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Role of U/S and ethics vocab
Diagnostic Medical Sonography
70
Medical
Not Applicable
10/23/2011

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Term
amniocentesis
Definition
aspiration of a sample of amniotic fluid through the mother's abdomen for diagnostic analysis of fetal genetics, maturity, and/or disease
Term
amnion
Definition
smooth membrane enclosing the fetus and amniotic fluid
Term
anencephaly
Definition
a neural tube defect where absence of the brain, including cerebrum, cerebellum and basal ganglia
Term
cerclage
Definition
the ligatures around the cervix uteri to treat cervical incompetence during pregnancy
Term
cervix
Definition
inferior segment of the uterus, which is normally more than 3.5 cm long during pregnancy and decreases during labor
Term
chorion
Definition
cellular, outermost extraembryonic membrane, composed of trophblast lined with mesoderm
Term
cordocentesis
Definition
insertion under sonographic guidance of a thin needle into the vessels of the umbilical cord usually at the site of placental inserion to obtain a fetal blood sample, deliver fetal drug therapy, or assess fetal well-being
Term
corpus luteum
Definition
a functional structure within the normal ovary, which is formed from cells linign the graafian follocle after ovulation
Term
ductus venosus
Definition
vascular structure within the fetal liver that connects the umbilical vein to the IVC and allows oxygenated blood to bypass the liver and return directly to the heart
Term
embryo
Definition
dev'ping individual from implantation to the end of the ninth week of gestation
Term
embryonic age (conception age)
Definition
age of embryo stated as time from day of conception
Term
gestation age (menstrual age)
Definition
length of pregnancy defined in the US as number of weeks from first day of last normal menstrual period (LNMP)
Term
gestational sac
Definition
structure lined by the chorion that normally implants within the uterine deciduas and contains the dev'ping embryo
Term
hydatidiform mole
Definition
abnormal conception in which there is partial or complete conversion of the chorionic villi into grapelike vesicles
Term
incompetent cervix
Definition
A condition in which the cervix dilates silently during the second trimester
Term
intrauterine growth restriction (IUGR)
Definition
reduced growth rate or abnormal growth patterns of the fetus; resulting in a small for gestional age (SGA) infant
Term
lower uterine segment
Definition
thin expanded lower portion of the uterus that forms in the last trimester of pregnancy
Term
macrosomia
Definition
exceptionally large infant with excessive fat deposition in the subcutaneous tissue; most frequently seen in fetuses of diabetic mothers
Term
maternal serum alpha-fetoprotein (MSAFP)
Definition
one of several biochemical tests used to assess fetal risk for aneuploidy or getal defects; component of the "triple screen"
Term
oligohydramnios
Definition
reduced amount of amniotic fluid
Term
placenta
Definition
organ of communication where nutrition and products of metabolism are interchanged btw the fetal and maternal blood systems; forms from the chorion frondosum with a maternal decidual contribution
Term
placentra previa
Definition
placental implantation encroaches upin the lower uterine segment; if the placenta presents first in later pregnancy, bleeding is inevitable
Term
polyhydramnios
Definition
excessive amount of amniotic fluid
Term
trimester
Definition
a 40 week pregnancy is divided into three 13 week periods from the first day of the last normal menstrual period (week 1-12, 13-26, 27-end)
Term
umbilical cord
Definition
connecting lifeline btw the fetus and placenta; contains 2 umbilical a and 1 umbilical v, which carries oxygenated fetal blood encased in Wharton's Jelly
Term
yolk-sac
Definition
a circular structure within the gestational sac seen btw 4-10 wks of gestational age; supplies nutrition, facilitates waste removal, and is the origin of early hematopoietic stem cells in the embryo; lies btw the chorion and the amnion
Term
zygote
Definition
products of conception from fertilization through implantation; lasts approx 12 days after conception
Term
autonomy
Definition
self-governing or self-directing freedom and especially moral independence; the right of persons to choose and to have their choices respected
Term
beneficence
Definition
bringing about good by maximizing the benefits and minimizing possible harm
Term
confidentiality
Definition
holding info in confidence; respect for privacy
Term
ethics
Definition
the study of what is good and bad and of moral duty and obligation; systematic reflection on and analysis of morality
Term
informed concent
Definition
providing complete info and assuring comprehension and voluntary consent by a patient or subject to be required or experimental medical procedure
Term
integrity
Definition
adherence to moral and ethical principles
Term
justice
Definition
the ethical principle that requires fair distribution of benefits and burdens
Term
morality
Definition
the protection of cherished values that relate to how persons interact and live in peace
Term
nonmaleficence
Definition
refrain from harming oneself or others
Term
respect for persons
Definition
incorporates both respect for the autonomy of individuals and the requirement to protect those with diminished autonomy
Term
veracity
Definition
truthfulness, honesty
Term
society of diagnostic medical sonography
Definition
Code of Ethics for sonographers has been adopted by ?
Term
morality
Definition
concerns right and wrong conduct; good and bad character; duties and values
Term
morality
Definition
freedom and autonomy are integral to ? because values can be expressed
Term
pluralistic, multicultureal
Definition
the US is a ? ? society
Term
morality
Definition
? is learned through personal experiences and family traditions, and from normative behavior w/in communities
Term
nonmaleficence
Definition
requires the sonographer to obtain appropriate education and clinical skills to ensure competence in performing each required examination
Term
nonmaleficence
Definition
two problems:
a. may cause unnecessary harm
b. may undermine the informed consent by reporting in an incomplete or inaccurate manner
Term
beneficence
Definition
The use of obstetric ultrasound must be justified by the goal of seeking the greater balance of clinical “goods” over “harms,” not simply avoiding harm to the patient at all cost.
Term
autonomy
Definition
the right to self-determination
Term
autonomy
Definition
Patients, including pregnant women, have their own perspective on their interests that should be respected as much as the clinician’s perspective on the patient’s interests
Term
autonomy
Definition
? refers to a person’s capacity to formulate, express, and carry out value-based preferences
Term
autonomy
Definition
providing a detailed explanation of the examination, including appropriate choices such as the right to view the screen or determine the gender of the fetus
Term
the nonmedical use of sonography, the videotaping or photography of “baby pictures.”
Definition
Name a current ethical issue
Term
are
Definition
Sonographers are/aren't justified in disclosing findings of normal anatomy directly to the pregnant woman
Term
justice
Definition
Use of translators
Disabled patients
Obese Patients
Children
Term
Confidentiality
Definition
? concerns the obligation of caregivers to protect clinical information about patients from unauthorized access
Term
what is good
Definition
ethics tries to answer the key question ?
Term
morality, ethics
Definition
? has to do with the protection of cherished values, ? is a discipline of study that seeks to articulate clear, consistent, coherent, and practical guidelines for conduct and character
Term
1727
Definition
Prince Hammurabi of Babylon recoded the responsibilities of health care providers in ? BC
Term
Hindu
Definition
early ? writers about 1727 BC cautioned healers to treat patients with respect, gentleness, and dignity
Term
ancient Greece, 5th century
Definition
fundamental principles or Western medical ethics were first recorded in ? about the ? century BC
Term
Hippocrates; first, do no harm
Definition
who said primum non nocere and what does it mean
Term
primum non nocere = first do no harm
Definition
what is the ethical principle of nonmalefience?
Term
a patient wasn't someone who paid for treatment but a patient now was anyone needing care -- foresaw a team approach
Definition
How did Thomas Percival change medical ethics
Term
nuremberg trials = experimentation by Nazi doctors
Definition
what major even codified modern medical ethics
Term
Nuremberg Code
Definition
? emphasized individual rights and autonomy
Term
as low as reasonably possible
Definition
ALARA stands for?
Term
beneficence
Definition
seek the greatest benefit in the case of pregnant patients -- go beyond the minimum standard protocol and to seek additional images
Term
autonomy
Definition
the respect for persons falls under which medical ethical principle
Term
autonomy
Definition
informed consent is an ?-based right
Term
no
Definition
is there autonomy based obligations to the fetus?
Term
injustice
Definition
occurs when a benefit to which a person is entitled is withheld
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