Maternal / Child Nursing Chapter 13

Front 1

Gravida

Back 1

Refers to a woman who is or has been pregnant regardless of the duration of the pregnancy.

Front 2

Primigravida

Back 2

A woman who is pregnant for the first time.

Front 3

Multigravida

Back 3

A woman who has been pregnant more than once.

Front 4

Para

Back 4

Refers to the number of pregnancies that have ended at 20 weeks or more regardless of whether the infant was born alive or stillborn

Front 5

Nullipara

Back 5

A woman who has never completed a pregnancy Beyond 20 weeks of gestation because she has never been pregnant or has had a spontaneous or elective abortion.

Front 6

Primipara

Back 6

A woman who has delivered one pregnancy at 20 or more weeks of gestation.

Front 7

Multi Para

Back 7

A woman who has delivered two or more pregnancies at 20 or more weeks of gestation.

Front 8

GTPAL

Back 8

An acronym that allows a more complete description of pregnancy outcomes then gravida and para alone.

G- GRAVIDA

T- TERM BIRTHS

P- PRETERM BIRTHS

A- ABORTIONS

L- LIVING CHILDREN

Front 9

EDD

Back 9

Estimated delivery date

Based on the first day of the last normal menstrual.

Front 10

LNMP

Back 10

Last normal menstrual period.

Ovulation and conception occur approximately two weeks after the beginning of menstruation in a regular 28 day cycle.

Front 11

Nageles rule

Back 11

A tool used to establish the estimated date of delivery.

Subtract 3 months from first day of last normal Metro. Add 7 days and correct the year if appropriate.. = EDD

Baced on LNMP.

Front 12

Hagar's sign

Back 12

Compressibility of the lower uterus this reflects softening of the isthmus of the cervix.

Front 13

Ballottement

Back 13

When the cervix is tapped the fetus flows upward in the amniotic fluid. A rebound is felt by The Examiner when the fetus falls back.

Front 14

Presumptive indications of pregnancy.

Back 14

*Amenorrhea

*Nausea and vomiting

*Fatigue

*Urinary frequency

*Breast and skin changes

*Vaginal and cervical color changes

Front 15

Probable indications of pregnancy

Back 15

*Abdominal enlargement

*Cervical softening

*Ballottement

*Braxton Hicks contractions

*Palpation of fetal outline

*Uterine souffle

*Pregnancy test

Front 16

Goodell's sign

Back 16

Softening of the cervix, resulting from pelvic vasocongestion.

* probable indication of pregnancy.

Front 17

Positive indications of pregnancy.

Back 17

*Auscultation of fetal heart sounds.

*Fetal movements felt by examiner.

*Visualization of embryo or fetus.

Front 18

Chadwicks sign

Back 18

One of the earliest signs of pregnancy.

A bluish purple color that extends to include the vagina and labia caused by estrogen < Hyperemia

Front 19

Striae Gravidarum

Back 19

Stretch marks, lineal tears in connective tissue.

Front 20

Lines nigra

Back 20

A dark line of pigmentation from the fundus to the symphysis pubis, appears during pregnancy.