N105 Antepartal Nursing

Front 1

Ovum fertilized with a sperm thru 1st week of prenatal life

Back 1

zygote

Front 2

12-16 cell division

Back 2

morula

Front 3

Embryo: from ____ to _____

Back 3

implantation-8wks

Front 4

Blastocyst: inner and outer cell masses.

inner-->_____
outer--> ______ & _______

Back 4

fetus
placenta & membranes

Front 5

where does the blastocyst implant?

Back 5

into fundus of uterus

Front 6

Fetus: from ____ (____) to ____

Back 6

8 complete weeks (9weeks) to delivery

Front 7

when does the fetus become viable? (when can the fetus survive?)

Back 7

24 weeks

Front 8

How long is the first trimester?

Back 8

1-12/14 weeks

Front 9

how long is the second trimester?

Back 9

12/14-28 weeks

Front 10

how long is the third trimester?

Back 10

28 weeks to term

Front 11

what the the presumptive signs of pregnancy?

Back 11

-amenorrhea (lack of menstruation)
-n/v
-urinary frequency
-breast tenderness / enlargment
-fatigue
-quickening

Front 12

what does quickening mean?

Back 12

mother's perception/sensation of fetal movement

Front 13

are presumptive signs objective or subjective?

Back 13

subjective

Front 14

for multips (women that have given birth before, when does the women feel quickening?

Back 14

16-18 wks

Front 15

for primips (first pregnancy), when does the women feel quickening?

Back 15

18-20 wks

Front 16

painless uterine contractions:

Back 16

braxton-hicks

Front 17

whooshing sound auscultated over uterine artery/same as Mom's pulse

Back 17

uterine souffle

Front 18

softening of the cervix

Back 18

goodell's sign

Front 19

softening of uterine isthmus- the neck/area between the lower uterus and upper cx

Back 19

hegar's sign

Front 20

blue/purplish discoloration of cx and vagina

Back 20

chadwick's sign

Front 21

the examiner taps lower uterine segment sharply, feels fetus moving in amniotic fluid.

Back 21

ballottement

Front 22

when is ballottement possible?

Back 22

16-20 wks

Front 23

probable signs of pregnancy are objective or subjective?

Back 23

objective

Front 24

when does urine pregnancy test become positive?

Back 24

10-14 days after 1st missed period

Front 25

when is the best time during the day to take a urine pregnancy test for adequate concentration?

Back 25

early a.m.

Front 26

any ______ in urine will give a false positive (pregnancy test)

Back 26

bld

Front 27

how long does it take for a serum pregnancy test become positive?

Back 27

within a few days of implantation

Front 28

how accurate is a OTC UCG pregnancy test?

Back 28

97% accurate

Front 29

this type of pregnancy test is based on antigenic properties og hCG:

Back 29

immunoassay tests

Front 30

after this trimester, all organs are formed

Back 30

first

Front 31

when is goodell's sign seen?

Back 31

2nd month of pregnancy

Front 32

_________<37 wks gestation

Back 32

preterm

Front 33

_________=38-42 wks gestation

Back 33

fullterm

Front 34

This is a stage of really rapid growth...most susceptible to bad environment at this time (smoking)

Back 34

embryo

Front 35

Sonographic visualization of fetur: (+) dx at ___wks with ____ _____

Back 35

6
cardiac activity

Front 36

Sonographic visualization of fetur: you can see gestational sax at ____-____wks

Back 36

5-6

Front 37

Braxton-hicks contractions: occur throughout pregnancy, beginning at _____________

Back 37

end of 1st trimester

Front 38

bluish color of cervix:

Back 38

chadwick's sign

Front 39

softening of the cervix:

Back 39

goodells sign

Front 40

softening of the cervial isthmus

Back 40

hegar's sign

Front 41

Ovarian changes: ______ ceases and the corpus luteum maintains ____ and ____ until 10-12 wks

Back 41

ovulation
estrogen
progesterone

Front 42

what 3 things cause the breast to grow?

Back 42

estrogen
progesterone
increase in adipose tissue

Front 43

blood volume increases by ____-____%

Back 43

45-55

Front 44

what is supine hypotension caused by?

Back 44

pressure on vena cava when lying supine

Front 45

with supine hypotension a woman experiences: (3)

Back 45

pallor
dizziness
feeling clammy

Front 46

with supine hypotension, the nurse should encourage:

Back 46

Left lateral position

Front 47

No supine position after ____ wks gestation

Back 47

20

Front 48

b/p decreases ___-___ wks then returns

Back 48

24-32

Front 49

Pregnancy lab values: almost everything increases except _______.

Back 49

H&H

Front 50

"mask of pregnancy" is called:______. It is when the cheeks nose and forehead are red

Back 50

chloasma

Front 51

reddish, wavy, depressed streaks

Back 51

striae

Front 52

where does striae occur?

Back 52

abd, breasts, thighs

Front 53

what is striae caused by?

Back 53

reduced connective tissue strength due to increased adrenal steroid levels, genetics

Front 54

striae turn what color after delivery? will they go away?

Back 54

silver/white

no, they're permanent

Front 55

small, bright red elevations of skin radiating from a central body.

Back 55

vascular spider nevi

Front 56

where does vascular spider nevi appear?
5

Back 56

chest, neck, face, arms and legs.

Front 57

what is the clinical significance of vascular spider nevi?

Back 57

none; often disapper with delivery

Front 58

redness and itching of palms due to elevated estrogen

Back 58

palmar erythema

Front 59

palmar erythema is common with _______ & ________, and disappears with delivery

Back 59

Caucasians
african americans

Front 60

______________ occurs which causes darkening of the nipples, vulva and aerolas

Back 60

hyperpigmentation

Front 61

the accentuated lumbar curve is a musculo skeletal adaptation called:

Back 61

lordotic posture

Front 62

sacroiliac, sacrococcygeal and pubic joints relax in latter part of pregnancy due to ____________

Back 62

hormonal changes

Front 63

slight separation of what is common (musculoskeletal)

Back 63

symphysis pubis

Front 64

rectus abdominis muscle separates

Back 64

diastasis recti

Front 65

if separation is severe and muscle tone isn't regained during post partum, there will not be adequate support during future pregnancies and abd will appear pendulous, ____ ____ possible

Back 65

umbilical hernia

Front 66

pregnant mother should increase calories by

Back 66

300/day

Front 67

pregnant mother should increase protein to

Back 67

60gm/d

Front 68

pregnant mother should increase iron to

Back 68

30mg/deciliter

Front 69

pregnant mother should increase calcium to

Back 69

1000mg/day

Front 70

pregnant mother should increase folic acie to

Back 70

400mcg/d-1mg/d

Front 71

___% pregnancies unplanned and range of emotional responses in part reflects that

Back 71

52

Front 72

African americans, mexican americans and native americans see pregnancy as

Back 72

state of wellness

Front 73

_________ don't name a baby prior to its birth

Back 73

orthodox jews

Front 74

asian families see pregnancy as a normal process but also time of

Back 74

anticipation and anxiety.

Front 75

with hindu women, pregnancy is considered a "___ ___" so they eat _____ ___ to counterbalance

Back 75

hot time
cool foods

Front 76

mexicans may be concerned about ___ ___ which is related to evil spirits, that can enter the body and cause harm to the fetus

Back 76

mal aire (bad air)

Front 77

asian women: ____ foods after birth since pregnancy is considered a ____ state

Back 77

hot
cold

Front 78

vietnamese women are warned to avoid:
1.
2.
3.
in order to avoid evil spirits

Back 78

funerals
places of worship
streets at noon and 5pm

Front 79

Maternal response: 1st trimester.
Task: _______&_________

Back 79

acceptance and validation

Front 80

Emotions during the 1st trimester: (4)

Back 80

-uncertainty/denial
-ambivalence/surprise
-focused on self
-anxiety

Front 81

Maternal response: 2nd trimester.

Task: __________

Back 81

accepting the baby

Front 82

emotions in the 2nd trimester

Back 82

-physical evidence
-focused on fetur
-narcissism
-introversion
-body image
-sexuality

Front 83

maternal response: 3rd trimester.

Task: _______

Back 83

preparation for parenthood

Front 84

emotions during the 3rd trimester:

Back 84

vulnerability
increasing dependence
preparation for birth
anxiety

Front 85

Psychological tasks of pregnancy: (4)

Back 85

- ensuring safe passage
- seeking acceptance
- learning to give of oneself
- committing herself.

Front 86

_________ syndrome:
-common in primitive cultures
-father does mock labor & confinement
-experience physical symptoms of pregnancy
-n/v, backache, fatigue, increase appetite, heartburn, h/a, irritability

Back 86

couvade

Front 87

imagining the fetus is an independent, self reliant child is:

Back 87

abnormal acceptance of pregnancy

Front 88

If sibling is in a crib, move to a bed how long before birth of new child?

Back 88

3 mos before delivery

Front 89

If the sibling is ready for potty training, dont start until

Back 89

several months before of after birth

Front 90

with adolescent pregnancies, there is an increased incidence of:

Back 90

preterm births
low birth weight
PIH (preg. induced htn), iron deficiency anemia, cepahlopelvic disproportion (pelvis isn't big enough) , std's, smoking, drug use

Front 91

with the adolescent pregnancy, who is usually told first?

Back 91

the mother of the pregnant girl

Front 92

teen usually wants who present for the birth?

Back 92

mother

Front 93

Estimated due date: Nagele's rule:

Back 93

LMP - 3mo + 7 days

Front 94

___________: # of times pregnant

Back 94

gravida

Front 95

____: # of pregnancies >20 wks

Back 95

para

Front 96

38-42 weeks is considered:

Back 96

term births

Front 97

< 38 wks:

Back 97

preterm births

Front 98

Scheduling of prenatal visits:

Until 28 wks:

Back 98

every 4 wks

Front 99

Scheduling of prenatal visits:

28-36 wks:

Back 99

q2wks

Front 100

Scheduling of prenatal visits:
36wks to delivery:

Back 100

every week

Front 101

________: woman who is pregnant for the 1st time

Back 101

primigravida

Front 102

_______: woman who has completed 2 or more prenancies past the point of viability

Back 102

primipara

Front 103

__________; woman who has had 2 or more pregnancies

Back 103

multigravida

Front 104

_____;woman who has completed 2 or more pregnancies past the point of viability

Back 104

multipara

Front 105

G TPAL stands for

Back 105

gravida
term
preterm
abortions
living children

Front 106

common discomforts of the first trimester:
(8) hnfnubpl

Back 106

h/a
n/v
fatigue
nasal stuffiness/epistaxis
urinary freq
breast tenderness
ptyalism
leukorrhea

Front 107

white vag d/c.

Back 107

leukorrhea

Front 108

if a woman has ptyalism, teach them:

Back 108

decrease carb intake
chew gum/hard candies

Front 109

excess saliva=

Back 109

ptyalism

Front 110

common discomforts of 2nd and 3rd trimester: (12)
hdvhcfblfsir

Back 110

heartburn
dependent edema
varicose veins
hemorrhoids
constipation
flatulence
backache
leg cramps
faintness
sob
insomnia
round ligament pain

Front 111

what 5 categories of teratogenic substances are there?

Back 111

abcdx

Front 112

with this category of tertogenic substances, there is a positive evidence of risk

Back 112

d

Front 113

with this category of tertogenic substances, there is adverse effects w/o study or no studies available. Only given if benefit outweighs the risk

Back 113

C

Front 114

with this category of tertogenic substances, there is no fetal risk documented

Back 114

B

Front 115

with this category of tertogenic substances, there is no known risk

Back 115

a

Front 116

with this category of tertogenic substances, there is a demonstrated risk, CI

Back 116

X

Front 117

pregnancy warning signs:

Back 117

-vag bleeding
-4 or more pains/hr
-leakage of fluid
-decreased fetal movement
-swelling of face/hands
-blurred vision, spots before eyes
-chills/fever
-painful urination
-persistant vomiting

Front 118

aspiration of amniotic fluid containing fetal cells

Back 118

amniocentesis

Front 119

excessive amt of amniotic fluid removed by amniocentesis:

Back 119

polyhydramnios

Front 120

how does polyhydramnios occur?

Back 120

if placenta is producing too much amniotic fluid or if fetus isn't ingesting enough

Front 121

polyhydramnios is done for

Back 121

comfort, not curactive

Front 122

when is polyhydramnios done?

Back 122

after 14th wk (15-16wks optimal)

Front 123

what are some maternal risks for polyhydramnios?

Back 123

-hemorrhage
-infection
-labor
-abruptio placenta
-damage to intestines/bladder
-amniotic fluid emboli-rh isoimmunization with rh incompatability

Front 124

fetal risks with polyhydramnios?

Back 124

-death
-hemorrhage
-infection
-injury from needle
-abortion
-premature labor
-leakage of amniotic fluid

Front 125

why is an amniocentestis done?

Back 125

to detect chromosomal abnormalities

Front 126

with the amniocentestis, if there is a presence of phosphotidiglycerol (PG) this means

Back 126

lungs are mature

Front 127

With the non stress test, the pt. should sit how? And why?

Back 127

in a reclining chair or in semi fowlers

to avoid supine hypotension

Front 128

this is a device which sneds sounds to the fetus and is used to stimulate fetal heart.

Back 128

vibroacoustic stimulation test

Front 129

fetus is monitored for 5 minutes prior to sound source being placed on maternal abdomen over fetal head:

Back 129

vibroacoustic stimulation test

Front 130

With this test, endogenous oxytocin is produced in response to stimulation of breasts or nipples.

Back 130

nipple stimulated stress test

Front 131

warm moist washcloths to both breasts for several minutes. Roll one nipple at a time until contraction.

Back 131

nipple stimulated stress test

Front 132

contraction stress tests determine:

Back 132

fetal well being

Front 133

3 types of contraction stress tests:

Back 133

natural UC's
nipple stimulation
oxytocin challenge test

Front 134

with this test, oxytocin (pitocin) is given in low doses IV until adequate UCs

Back 134

oxytocin challenge test

Front 135

what is a risk of the oxytocin challenge test?

Back 135

hyperstimulation (contractions lasting more than 90 seconds or more frequently than every 2 minutes)