Obstetrics Terminology Quiz
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Questions and Answers

What does GTPAL stand for?

Gravidity, Term Births, Preterm Births, Abortions/Miscarriages, Living Children

What is the definition of a primigravida?

  • A woman who has given birth to one child.
  • A woman who is pregnant for the first time. (correct)
  • A woman who has given birth to twins.
  • A woman who has never been pregnant.

What does the term 'viable' refer to in the context of pregnancy?

  • A pregnancy that has reached 20 weeks gestation. (correct)
  • A pregnancy that has reached 12 weeks gestation.
  • A pregnancy that has reached 40 weeks gestation.
  • A pregnancy that has reached 37 weeks gestation.

Which of the following is a presumptive sign of pregnancy?

<p>Sore breasts. (C)</p> Signup and view all the answers

The first awareness of fetal movement is called [BLANK].

<p>quickening</p> Signup and view all the answers

Which of the following is considered a risk factor for gestational diabetes?

<p>All of the above. (D)</p> Signup and view all the answers

Preeclampsia can be treated with magnesium sulfate.

<p>True (A)</p> Signup and view all the answers

What is the typical recommended daily intake of folic acid during pregnancy?

<p>600 mcg</p> Signup and view all the answers

What is the medical term for a miscarriage?

<p>spontaneous abortion</p> Signup and view all the answers

What is the typical treatment for an incompetent cervix?

<p>A surgical procedure called a cerclage. (B)</p> Signup and view all the answers

Which of the following infections is NOT included in the TORCH acronym?

<p>Chickenpox (B)</p> Signup and view all the answers

Flashcards

Gravidity

The number of pregnancies a woman has experienced, including the current pregnancy and any previous pregnancies, including abortions, twins, and triplets.

Parity

The number of viable births a woman has had, after 20 weeks of gestation. Includes both live and stillbirths. Twins and triplets count as one parity.

Nullipara

A woman who has never given birth to a child.

Primipara

A woman who has given birth to one child.

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Multipara

A woman who has given birth to two or more children.

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Viability

The point in pregnancy where the fetus is considered viable, meaning it has the potential to survive outside the womb. This is typically at 20 weeks of gestation.

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Total Weeks of Gestation

The total length of a pregnancy, measured in weeks. A full-term pregnancy is 40 weeks.

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Preterm

A pregnancy that reaches 20 weeks of gestation but ends before completing 37 weeks. Often considered a preterm birth in the real world at 35 weeks.

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Term

A pregnancy that ends between 37 and 42 weeks of gestation.

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Postterm/Postdate

A pregnancy that extends beyond 42 weeks of gestation.

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GTPAL

A system used to summarize a woman's obstetrical history. It stands for: Gravidity (number of pregnancies), Term Births, Preterm Births, Abortions/Miscarriages, and Living Children.

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Naegele's Rule

A formula used to estimate the estimated date of delivery (EDD). It involves subtracting 3 months from the first day of the last menstrual period (LMP), adding 7 days, and then adding 1 year.

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Presumptive Signs of Pregnancy

Subjective signs of pregnancy that are perceived by the woman herself, but not necessarily observable by others. These signs are not definitive indicators of pregnancy.

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Probable Signs of Pregnancy

Objective signs of pregnancy that can be observed by a healthcare provider. These signs are more reliable indicators of pregnancy than presumptive signs.

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Positive Signs of Pregnancy

Objective signs of pregnancy that definitively confirm pregnancy beyond a doubt. These signs are the most reliable indicators of pregnancy.

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Quickening

The first time a pregnant woman is aware of fetal movement. This typically occurs between 18-20 weeks in first-time mothers and 14-16 weeks in women who have had children before.

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Biophysical Profile (BPP)

A group of tests used during pregnancy to assess fetal well-being. It includes a non-stress test (NST) and an ultrasound to measure amniotic fluid index (AFI).

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Nuchal Translucency

An ultrasound and serum test performed between 11-16 weeks of gestation to screen for chromosomal disorders.

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Terbutaline (Brethine)

A type of beta adrenergic receptor agonist, bronchodilator, and tocolytic medication used to relax uterine muscles and stop preterm labor.

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Nifedipine (Procardia)

A calcium channel blocker used as an antidysrhythmic, antihypertensive, and tocolytic medication to inhibit smooth muscle contraction.

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Magnesium Sulfate

Substance used as a tocolytic to stop contractions, and also used to treat seizures. It can cause a number of side effects, but the most dangerous are respiratory depression and the absence of deep tendon reflexes.

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Hydralazine and Labetalol

Drugs of choice for managing gestational hypertension and preeclampsia.

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Betamethasone (Celestone)

A steroid used to stimulate the production of lung surfactant in the fetus, especially when preterm labor is likely. It can cause some side effects such as fluid retention and elevated blood pressure.

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Infertility

The inability to conceive and maintain a pregnancy after 12 months of trying. This is reduced to 6 months for women over 35.

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In Vitro Fertilization (IVF)

A treatment for infertility that involves the fertilization of an egg with sperm outside of the body, followed by the transfer of the resulting embryo into the woman's uterus It can result in ethical concerns due to its use in Assisted Reproductive Therapy (ART).

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Ectopic Pregnancy

Implantation of a fertilized egg outside of the normal uterine cavity, usually in the fallopian tube. This is a dangerous condition that can cause bleeding and infection.

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Placenta Previa

Occurs when the placenta implants low in the uterus, near or covering the cervical opening. While not a medical emergency, a Cesarean Section is required for delivery.

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Placenta Abruption

A serious condition that occurs when the placenta separates from the uterine wall before delivery. This can be caused by drug use, trauma, or other factors. It is a medical emergency that requires immediate attention.

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Anemia

A condition characterized by a low hematocrit (less than 10) and a low hemoglobin level (less than 36%).

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Gestational Hypertension/Preeclampsia/Eclampsia

A condition that develops during pregnancy, characterized by high blood pressure (hypertension). It can progress to preeclampsia, which involves additional symptoms like blurred vision, dizziness, headaches, epigastric pain, and nausea/vomiting. Preeclampsia can progress to eclampsia which involves seizures.

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HELLP Syndrome

A serious complication of severe or untreated preeclampsia involving hemolysis, elevated liver enzymes, and low platelets. This can lead to Disseminated Intravascular Coagulation (DIC) syndrome.

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Gestational Diabetes

A condition that develops during pregnancy, characterized by high blood sugar levels. The greatest concern for the newborn is hypoglycemia, with blood sugar levels needing to be above 40.

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Hyperemesis Gravidarum

Excessive vomiting during pregnancy, leading to electrolyte, metabolic, and nutritional imbalances.

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Smoking During Pregnancy

A condition that affects the fetus if the mother smokes during pregnancy. It can lead to Intrauterine Growth Restriction (IUGR) and birth defects.

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Abortion

The loss of a pregnancy before 20 weeks of gestation, which can be spontaneous (miscarriage) or medically induced.

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Intrauterine Fetal Demise (IUFD)

The death of the fetus inside the uterus after 20 weeks of gestation.

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Incompetent Cervix

A condition characterized by spontaneous, premature dilation of the cervix during the second trimester of pregnancy. It is often treated with a cerclage, which is a stitch placed around the cervix to help keep it closed.

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TORCH Infections

A group of infections that can harm the developing fetus. These infections include toxoplasmosis, rubella, cytomegalovirus, herpes, and other infections like STIs.

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Study Notes

Gravida/Gravidity

  • A woman who is pregnant; number of pregnancies
  • Includes current pregnancy
  • Includes abortions
  • Twins/triplets count as one gravidity

Para/Parity

  • A woman who has given birth; the number of viable (after 20 weeks gestation) births
  • Includes both live births and stillbirths
  • Twins/triplets count as one parity

Nullipara

  • A woman who has never birthed a child

Primipara (PRIMTIP)

  • A woman's first birth

Multipara (MULTIP)

  • A woman who has birthed 2+

Viability

  • 20 weeks gestation

Total Weeks of Gestation

  • 40 weeks

Preterm

  • A pregnancy that has reached 20 weeks of gestation but ends before completion of 37 weeks of gestation (real world: 35 weeks)

Term

  • A pregnancy that ends between 37 - 42 weeks

Postterm/Postdate

  • A pregnancy that ends after 42 weeks gestation

GTPAL

  • Gravidity
  • Term Births
  • Preterm Births
  • Abortions/Miscarriages
  • Living Children

Naegele's Rule

  • EDD = LMP - 3 months + 7 days + 1 year

Types of S/S of Pregnancy

Presumptive

  • All subjective s/s
  • Period (amenorrhea)
  • Tired/fatigue
  • Enlarged breasts
  • Sore breasts
  • Increased urination frequency
  • Possible movement/quickening
  • Emesis (N/V)

Probable

  • All objective s/s
  • All "signs"
  • (+) pregnancy test
  • Goodell's sign
  • Chadwick's sign
  • Hegar's sign
  • Enlarged uterus
  • Ballottement
  • Braxton Hicks contractions (may be present)

Positive

  • All objective + definite signs
  • Fetal movement palpated
  • Electronic FHT detected
  • Delivery of the baby
  • Ultrasound detects baby
  • Seeing visible movements

Quickening

  • a woman's first awareness of fetal movement, first occurs between 18 - 20 weeks gestation in primigravidas and between 14 - 16 weeks in multigravidas

Antepartal Testing

  • biophysical profile (BPP)
  • ultrasound for fetal HR and measurement of amniotic fluid index (AFI) which should be between 8 - 18 cm
  • nuchal translucency

Healthy People 2030 Goals

  • Reduce the rate of fetal deaths at 20+ weeks of gestation
  • Increase the proportion of pregnant women who receive early and adequate prenatal care
  • Reduce preterm births (worsening trends)
  • Increase the proportion of women who had healthy weight before pregnancy (worsening trend)

Pregnancy Hormones

  • Progesterone
  • Relaxin
  • Prolactin
  • hCG
  • Oxytocin

Diet

  • Folic acid: 600 mcg/day - to prevent neural tube defects
  • Iron: 27 mg - to prevent anemia

Tocolytics

  • Terbutaline (Brethine)
  • Nifedipine (Procardia)
  • Magnesium Sulfate

Hydralazine + Labetalol

  • Drugs of choice for gestation HTN and preeclampsia

Betamethasone (Celestone)

  • steroid used to stimulate production of lung surfactant pf fetus when s/s of preterm labor are present at less than 35 weeks gestation

Infertility + IVF

  • Infertility defined as inability to conceive and maintain a pregnancy after 12 months (6 months for women of AMA (35))
  • Treatment: Clomid (stimulates release of FSH and LH)
  • IVF (Assisted Reproductive Therapy)

Ectopic Pregnancy

  • Implantation of the fertilized egg in any site other than the normal uterine location
  • Greatest concern: hemorrhage and infection
  • Treatment: surgical or methotrexate

Placenta Previa

  • Not a medical emergency but C-SECTION IS REQUIRED
  • Cause unknown
  • Signs: painless bright red bleeding

Placenta Abruption

  • Medical emergency
  • Causes: drug use, MVAS
  • Signs: dark red bleeding, sudden and severe abdominal pain

Anemia

  • Hct less than 10
  • Hgb less than 36%

Gestational HTN/preeclampsia/eclampsia

  • Hypertension
  • Hypertension with symptoms like blurred vision, dizziness, HA, epigastric pain, N/V, seizures

HELLP syndrome + DIC syndrome

  • HELLP (hemolysis, elevated liver enzymes, and low platelets)
  • Can occur as complication of severe/untreated preeclampsia
  • Symptoms: hematuria, jaundice, epigastric pain
  • HELLP can lead to DIC (disseminated intravascular coagulation) syndrome

Gestational diabetes

  • Hypoglycemia is a major concern in newborns; newborn Glu should be greater than 40

Hyperemesis Gravidarum

  • Excessive vomiting during pregnancy
  • Greatest concern: electrolyte, metabolic, and nutritional imbalances

Smoking, alcohol, and drug use effects

  • Smoking - IUGR
  • Alcohol - fetal alcohol syndrome
  • Marijuana - negative effect on neurological development of fetus
  • Heroine - newborn withdrawal

Abortion vs IUFD

  • Abortion (miscarriage) or medically induced; occurs less than 20 weeks gestation
  • Intrauterine fetal demise = death of fetus greater than 20 weeks gestation

Incompetent Cervix

  • Spontaneous, premature dilation of the cervix during the second trimester of pregnancy
  • Treatment: cerclage (between 10 - 14 weeks gestation, removed at 36 weeks or labor)

TORCH Infections

  • Toxoplasmosis
  • Other infections (STIs, varicella, hep B, or human parvovirus B19)
  • Rubella
  • Cytomegalovirus
  • Herpes

GBS (Group Beta Streptococcus)

  • Overgrowth of normal flora
  • Mother receives 2 doses of antibiotics to prevent complications in newborns

RhoGAM

  • Given only to Rh (-) mothers to prevent complications in future pregnancies

Fetal Movement

  • 10 kicks in 2 hours
  • Fetus should not sleep more than 30 minutes

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Test your knowledge of key terms related to obstetrics and pregnancy. This quiz covers topics like gravidity, parity, and gestational milestones. Perfect for medical students or anyone interested in women's health.

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