Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
50 Cards in this Set
- Front
- Back
|
Gravida
|
Number of times a woman has been pregnant total
|
|
|
nulligravida
|
a woman who has never been pregnant
|
|
|
primigravida
|
a woman who is pregnant for the first time
|
|
|
para/parity
|
number of pregnancies that have ended in a birth of a fetus that was at least 20 weeks.
|
|
|
primipara
|
a woman with one pregnancy where the fetus was at the point of viability
|
|
|
mulitpara
|
two or more pregnancies
|
|
|
A woman has 3 children, 2 spontaneous abortions, a is at her 10 week check up what is her GP status (TPAL)
|
G6P30230
|
|
|
Fundal Height measurement for 12 weeks
|
level of symphysis pubis
|
|
|
fundal height for 16 weeks
|
halfway between symphysis pubis and umbilicus
|
|
|
fundal height for 20 weeks
|
1-2 fingerbreadths below the umbilicus
|
|
|
fundal height for 24 weeks
|
1-2 fingerbreadths above umbilicus
|
|
|
fundal height for 28-30 weeks
|
1/3 between umbilicus and xyphoid process
|
|
|
fundal height for 36-38 weeks
|
1 fingerbreadth below xyphoid process and at 40 it could be up to 2 FB below d/t lightening
|
|
|
How long is gestation: days, weeks, months (lunar and calendar)
|
280 days, 40 weeks, 10 lunar, 9 calendar
|
|
|
Presumtive sign of pregnancy
|
no period
n/v breast changes increased urination fatigue |
|
|
probable sign of pregnancy
|
abdomen enlarged
palpation of fetal outline Goodells sign (softening of cervix) nose vs lips |
|
|
positive signs
|
fetal movement
FHT |
|
|
clinical signs of pregnancy
|
expressed colustrum
skin pigment enlarged abdomen ballottement quickening |
|
|
Naegle's Rule
|
7 days added to date of LMP then 3 months subtracted.
|
|
|
US
|
used if woman is unsure about dates of LMP or have a size/date discrepancy.
|
|
|
US when the pregnancy has progessed to 26 weeks and beyond
|
the US becomes less reliable
|
|
|
HCG
|
detect pregnancy within 1-2 days of implantation and 8-9 days after ovulation.
|
|
|
limitations of naegle's rule
|
only good when a woman has a regular cycle.
not good when woman is breastfeeding and is amenorrheic |
|
|
Quickening occurs at how many weeks
|
18 weeks but is not diagnostic to a date due to may just be gas
|
|
|
fetoscope heard at
|
20 weeks
|
|
|
Doppler heard at
|
12-20 weeks
|
|
|
movement of fetal heart by US by
|
7 weeks
|
|
|
fundal height measurement most accurate is
|
with a tape measure and by the same examiner each time
|
|
|
disadvantages of Us
|
false sense of well being
over reliance in technology increase in costs |
|
|
spontaneous abortion
|
termination of pregnancy by expulsion prior to 20 weeks
|
|
|
threatened abortion
|
vaginal bleeding during first half of pregnancy. poor outcome if pain and bleeding.
|
|
|
inevitable abortion
|
may offer 2 choices: D&C or home for spontaneous abortion
|
|
|
Incomplete abortion
|
placenta is not expelled with the fetus. NP involves MD at this time
|
|
|
Missed abortion
|
fetus dies but remains for 2 or more weeks.
|
|
|
Rh negative mothers with abortions
|
all Rh negative mothers with negative antibody titers shoudl receive Rhogam within 72 hours.
|
|
|
triple screen
|
improves % of chromosomal anomaly cases detected.
|
|
|
triple screen replaced __ and is used for detection of what?
|
MSAFP - and is the most common for ONTD and fetal aneuploidy
|
|
|
The addition of inhibin A in the second trimester creates what type of screen?
|
quad screen
|
|
|
when should triple and quad screen be offered?
|
15-20 weeks
|
|
|
most common reason triple test is abnormal
|
miscalculation of gestational age
|
|
|
major reasons for mSAFP evelations
|
underestimation of gestational age
multiple gestations neural tuve defects ventral wall defects underweight mother black race |
|
|
amniocentesis
|
used to diagnose after an abnormal screen and women
with an increased risk for neural tube defect down syndrome chromosomia anomalies |
|
|
CVS
|
used in first trimester to identify genetic disease that affects the fetus
|
|
|
what week do you screen for diabetes?
|
28 weeks
|
|
|
Scrren for GBS
|
35-37 weeks
|
|
|
RPR
|
first visit, is a test for syphillis, and if result is negative then nothing to be done.
|
|
|
HbsAG
|
if result is positive the woman has Hep.B and this is done at the first visit.
Infant is treated within 12 hours after birth. |
|
|
Rhogam needed when
|
if antibody screen is negative then rhogam given a 28-30 weeks and within 72 hours of delivery
|
|
|
Rubella titer 1:6
|
not immune and will need vaccine after birth.
|
|
|
urine culture
|
test for E.Coli and treat with antibiotics if infection present
|
