Maternity + Pediatric vocabulary and time frames

Macrosmia

Large for gestationale age baby (above 8 pounds 13 oz.)

Cerclage

Surgery to stich closed the cervix during pregancy

shoulder dystocia

delayed or difficult birth of the fetal shoulders after the head is born

mifepristone

abortion pill

dilation and curettage

Surgical procedure used to open the cervix and remove excess uterine tissue

Goodel's Sign

Cervical softening that occurs in pregnancy

Hegar's Sign

Lower portion of uterus softening

Ballotement

Maneuver to displace the fetus with sharp upward pressure on urine wall from inside the vagina, and palpation of fetal return to original position

Chadwick's Sign

Blue purple discoloration of cervix vagina and vulva

Probable signs of preganncy

Chadwicks sign, Ballotement, Pos serum hCG, Pos Home pregnancy test

Presumptive signs of pregnancy

Melasma, Breast tenderness, N/V, Amennorhea

Positive signs of pregnancy

Fetus on ultrasound, Visualization of fetal heart activity

Naegles Rule

Calculation of expected date of birth, using the first day of the last menstrual period, subtracting 3 months and adding 7 days. That day will be the next year.

____ bladder is NOT required for transvaginal ultrasound of uterine contents early in pregnancy

Full

Biparietal diameter

Distance measured from proximal skull to distal skull

Multiple gestation

twins triplets etc

Fundal height measured between

20 and 36 weeks gestation

Glucose challenge done at

24-28 weeks unless high risk

epistaxis

nosebleed

Coryza

Inflammation of the tissues in the nasal cavity that is commonly caused by a virus. It leads to temporary nasal congestion, runny nose, and loss of taste, often found in spasmodic Croup

Peripartum cardiomyopathy

Heart failure developing late in pregnancy or after birth.

Group B strep test done during

36-37 weeks and 6 days regardless of birth method

First prenatal appointment actions

Current BMI, health history, calculate due date

BMI 25-29.9 Means ____ of weight should be gained during pregnancy

15-25 pounds

BMI 30+ Means ____ of weight should be gained during pregnancy

11-20 pounds

Quickening begins at ___ weeks

16-20

RPR (Rapid Plasma Reagin) screening tests for

Syphillis

Third trimester range

28-40 weeks and 6 days

Diastasis Recti

Separation of the abdominal wall muscles at the linea nigra (tendon in the abdomen between the rectus abdominis muscles, extending from the xiphoid process to the symphysis pubis), resulting in a bulging area in the abdomen.

Lumbar Lordosis

Greater inward curve of the lumbar spine (normal in pregnancy)

Human placental Lactogen

contributes to insulin resistance, allowing the fetus to take up more glucose. encourages fat breakdown in mom.

Compound birth

Term for when an extremity prolapses alongside the primary presenting part, such as a fetal hand alongside the fetal head.

Primiparous

A client experiencing a first pregnancy that has reached at least 20 weeks of gestation

Bloody show

Discharge of tiny amount of blood associated with cervical mucuous plug expulsion late in labor

Multiparous

2 or more pregnancies lasting at least 20 weeks

Expected Contractions

Three to five during a 10-min period, with each contraction lasting at least 30 to 40 seconds.

Tachysystole

More than five contractions in a 10-min period averaged over 30 minutes

Cervical Os

Internal and external cervical openings.

Fern Test

placing a small amount of amniotic fluid on a slide, allowing it to dry, and observing for the characteristic fern pattern under a microscope to detect SROM.

Immuno Assay test

Vaginal fluid is collected on a swab, and then the protein in the fluid is evaluated through the rapid bedside test.

Rhinorrhea

Mucus Secretion from the nose

Nadir

Lowest point in a fetal heart deceleration

First things when client appears on L and D

Leopolds, TOCO+fetal monitor, presence of amniotic fliud via nitrazine paper or Leopolds

Amniotic Fluid pH

7.1-7.3

Longitudinal lie

Fetus’s spine is paralell to the mothers

GBS stands for

Group B Strep

Fetal Attitude

Describes fetal head/neck location compared to eachother/body

Vertex Presentation

head-first in the womb with its chin tucked to its chest and the crown of its head facing the birth canal (most common+safest position)

Tocolytic Meds

Terbutaline, Nifedipine

misoprostol

used to to ripen the cervix, induce labor, and prevent or treat postpartum hemorrhage.

Ferguson Reflex

Pushing on the cervix = release of oxytocin

Extremely preterm

Before 28 weeks

very preterm

28-32 weeks

Moderate to late preterm

32-36 weeks

Montgomery glands

normal small oil producing glands that lubricate and protect the skin on the nipple

Kleihauer betke test

Detects number of fetal RBC’s in maternal blood

Indirect Coombs test

tests for Rh sensitivity status in an Rh neg mom

Semi-recumbent position

aids in fetal descent and allows the client to conserve energy.

AKA Semi-fowlers

Nuchal Cord

Cord is wrapped around the baby’s neck at birth

Metoclopramide

Decreases pain, and expediates labor

Bradley method

Learn to trust your body

Schoolage Height and weight gained

2-2.5 inches, 4-7 pounds annually.

Average height at age 6

115 cm (45 inches)

average height at age 12

150cm (60 inches) (females taller)

Average weight at age 6

20kg (44 lbs)

Average weight at age 12

40kg (88 lbs)

Loss of teeth begins at

age 6

Can tie shoe laces at

age 6

Can dress/groom themselves at

age 9

By age 10, follow ___ commands in a row

5

____ of children report body dysmorphia

40-50%

Children recognize gender as soon as ___

18 months