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49 Cards in this Set

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What serves as a reference point during L&D?
Ischial spines
What happens to cervical mucus during ovulation?
Becomes thinner, clearer, and more alkaline
What is the hormone of pregnancy?
Progesterone
How can the pelvic outlet's size be increased?
Sitting, lithotomy position, squatting
Where is the true pelvis?
Below pelvic brim

Consists of pelvic inlet, midpelvis, and pelvic outlet

Paramount importance for L&D
Where is the false pelvis?
Above the pelvic brim

Supports abdominal viscera
What is the most favorable pelvis shape for sucessful L&D?
Gynecoid
How long is the diagnal conjugate?

How do you calculate the transverse conjugate and what is it's significance?
12.5cm

Diagnal conjugate - 1.5cm

Determines whether there is room for the fetus to move down the birth canal
How is the gynecoid pelvis shaped?
L&D implications?
Transversely rounded or blunt

Ideal

Gyneco means female
How is the anthropoid pelvis shaped?
L&D implications?
Oval shaped - long anterposterior diameter
Adequate outlet, narrow pubic arch

anthro means man
How is the android pelvis shaped?
L&D implications?
Heart shaped or angulated, resembliing a male pelvis.
Not favorable, causes midpelvic arrest
How is the platypelloid pelvis shaped?
L&D implications?
Flat with oval inlet - long transverse diameter
Makes labor and birth difficult

Platy- means flat
Where is estrogen secreted?
Ovaries
What secretes progesterone?
Corpus luteum
What are the 2 phases of the menstrual cycle?
Day 1-14 - follicular - estrogen
Day 14-28 - luteal - progesterone
Which hormone stimulates ovulation?
LH - it causes the ovum to turn mature and release the egg leaving the corpus luteum. LUTENIZING HORMONE
When are the 3 periods of fetal development?F
First 2 weeks - pre-embyonic
2-8wks - embryonic
9wk to birth - fetal period
When can you detect the fetus's heart beat and recognize the sex?
Between 10 and 12 weeks
When can you detect the baby's heartbeat through fetoscope?
Wk 20
When can the baby hear?
Wk 24
How early can the neonate breathe if born?
Wk 28
What secretes FSH and LH?
Anterior pituitary
What is tunica albuginea?
The tissue that surrounds the ovary. When an ovum goes through a thick tunica albuginea and causes midcycle pain, it is called mittelschmerz.
About how much blood is lost during menstruation?
30mL
About how much iron is lost during menses?
0.5-1g/day
What happens to the cervical mucosa during ovulation?
Produces a ferning pattern and pH increases to 7-7.5
What surrounds the urethra in men?
corpus spongiosum
Which testis hangs lower?
Left
What is the tube from the testis to the urethra?
Vas deferins
What cells produce testosterone in the scrotum?
Leydig's cells (interstitial)
What cells in the scrotum nourish the sperm?
Sertoli's cells
Where are the ampulla of vas deferens and the seminal vesicle located?
Above prostate, ampula of vas deferens connected directly to vas deferens

These connect to form the ejaculatory duct directly above the prostate
What order do the urethras go proximal to distal in a male?
Prostatic, membranous, penile
How large should the prostate be?
4cm
Where is the bulbourethral gland (Cowper's)?
Behind the urethra, under the prostate
How many days after fertilization does it take the blastocyte to implant in the uterus?
6-8 days
What should the fetal HR be in the first trimester?
160-170
What does the ductus venousis allow?
Ductus arteriosus?
Bypass the liver

Blood to bypass the lungs
Where is the foramen ovale?
B/w rt and lft atria
What makes up the "bag of waters"?
Chorion on the outside, amnion on the inside
What is a measure of fetal kidney function?
the amniotic fluid
What makes up the "bag of waters"?
Chorion on the outside, amnion on the inside
How much amniotic fluid should there be?
800-1,200mL
What is a measure of fetal kidney function?
the amniotic fluid
When can genetic testing be done?
By wk 10-12 through chorionic villus sampling
How much amniotic fluid should there be?
800-1,200mL
Can bacteria be passed to the fetus through the placenta?
No, but viruses can
When can genetic testing be done?
By wk 10-12 through chorionic villus sampling
Can bacteria be passed to the fetus through the placenta?
No, but viruses can