terminology

Question 1

what does LMP mean?

Answer 1

• FIRST day of last of menstrual period
• on the first day of bleeding ovulation happens two weeks after that

Question 2

what does EDD mean & when is it established?

Answer 2

• estimated due date
• established by first day of last period

Question 3

what does EDC mean?

Answer 3

• estimated date of confinement, aka Due date (older term)

Question 4

what does GA mean?

Answer 4

• gestational age aka how many weeks they are along

Question 5

what does EGA mean?

Answer 5

• estimated gestational age (how many weeks they are)

Question 6

what does SVE stand for and what is it used for?

Answer 6

• stands for sterile vaginal exam that is an exam with gloved fingers to feel the cervix for thickness and dilation

Question 7

what does SSE stand for?

Answer 7

• sterile speculum exam and is similar to SVE but with a speculum rather then a providers fingers

Question 8

what does a “term” baby mean?
- “T”

Answer 8

• baby born at or after 37 weeks
• in an assessment it would look like: “how many babies born after 37 weeks”

Question 9

what does a pre term baby mean?
- “P”

Answer 9

• births under 37 weeks but before 20 weeks

Question 10

what does the medical term abortion mean?
- “A”

Answer 10

-births before 20 weeks

Question 11

what does Living mean when doing an OB assessment?

Answer 11

• how many current living children do you have

Question 12

define “Gravida”

Answer 12

• number of pregnancies total including current pregnancy

Question 13

what does Paragravida mean?

Answer 13

• number births after 20 weeks

Question 14

what is primigravida?

Answer 14

• first time pregnant

Question 15

define multigravida?

Answer 15

• has been pregnant more then once

Question 16

what is primiparous?

Answer 16

• never delivered after 20 weeks before

Question 17

define multiparous?

Answer 17

• has delivered after 20 weeks GA before

Question 18

what is the fundus and why is it important?

Answer 18

• top of uterus
• most muscular part of uterus and is also the pacemaker so it’s responsible for contractions

Question 19

what is the ischial spine?

Answer 19

• most narrow part of the pelvis
• where a lot of issues can come as the baby can get stuck

Question 20

what is assessed during a SVE?

Answer 20

• Cervical dilation
• cervical effacement
• fetal station
• amniotic membrane
• fetal presentation
• always in this order

Question 21

define cervical dilation

Answer 21

• how far open the cervix is
• 0 to 10 cm dilated

Question 22

define cervical effacement?

Answer 22

• how thick or thin the cervical lining is
• the thicker, the less dilated, birth is not as close
• thin? pt ready to push

Question 23

how is cervical effacement documented?

Answer 23

• 0% to 100%
• 0% means NOT at all thin, very thick yet
• 50% means halfway there
• 100% means no thickness, very thin

Question 24

what does fetal station mean?

Answer 24

• how many cm above or below the ischial spine the fetus is

Question 25

how is fetal station documented?

Answer 25

0 is the number for the ischial spines - above (or the wider part of the pelvis) is 4 cm long and is said in negatives: ex- -3 fetal station - the more narrow part of the pelvis after the ischial spines i also 4 cm long but is documented in positives "positive 2 fetal station"

Question 26

what is the amniotic membrane or the "bag of waters" (BOW)

Answer 26

- amniotic sack or the fluid referenced when someone says my water has broke.

Question 27

define BOW - I

Answer 27

- intact bag of waters - sack is not broken

Question 28

what does SROM mean?

Answer 28

- spontaneous rupture of amniotic sack - "my water just broke"

Question 29

what does AROM mean?

Answer 29

- artificial rupture of ammonitic sack, ruptured with a amnihook and snags the membrane to break

Question 30

what does TACO refer to when a pt's BOW breaks?

Answer 30

- FIRST IS TO CHECK FETAL HR bc that is a change in state - T = time, when did the bow break? - A = amount: how much fluid was there? - C = color: clear, bloody, green, brown - O = odor: foul smell indicating infection?

Question 31

what is the normal FHR?

Answer 31

- normal fetal heart rate is 110 - 160

Question 32

where can you find FHR?

Answer 32

- feel on abdomen for the soft part of the babies spine or back and listen there - can't listen through knees and arms of the baby so the nobbles on the abdomen - typically heard LLQ and RLQ

Question 33

how do we do a head to toe post partum assessment?

Answer 33

- brain - breast - utuers - bladder - bowel - lochia - episiotomy/perineum - epidural site - extremities - emotional state