Pcn Maternal Assessment Pt. 1 Key Terms

Front 1

abortion

Back 1

a spontaneous or elective termination of a pregnancy before the 20th wk gestation.

Front 2

amenorrhea

Back 2

absence of menses

Front 3

Braxton Hicks Contractions

Back 3

contractions of the uterus throughout the pregnancy, more so in the last trimester

Front 4

Chadwick's sign

Back 4

Blueish purple discoloration of the cerix, vagina, and labia due to increased vascular congestion

Front 5

chloasma

Back 5

brownish pigmentation of face during pregnancy. AKA the "mask of pregnancy"

Front 6

colostrum

Back 6

breast fluid secreted during pregnancy and the first 2 to 3 days after birth. Contains mostly protein and is most important for the baby to receive.

Front 7

diastasis recti

Back 7

separation of rectus abdominis during pregnancy

Front 8

Goodell's sign

Back 8

softening of cervix, uterus, and vagina

Front 9

gravida

Back 9

a woman who has been pregnant regardless of outcome.

Front 10

hyperemia

Back 10

an increase in blood

Front 11

multigraida

Back 11

a woman who has been pregnant more than once

Front 12

multipara

Back 12

a woman who has given birth more than one time at >20 wks gestation.

Front 13

nullipara

Back 13

a woman who has never completed a pregnancy

Front 14

para

Back 14

number of pregnancies who have progressed > than 20 wks. Whether the fetus was born alive or stillborn, not the number of fetuses

Front 15

physiological anemia of pregnancy

Back 15

decrease in Hg and hematocrit caused by an increase in plasma volume.

Front 16

postterm birth

Back 16

birth after 42 wks gestation

Front 17

preterm birth

Back 17

birth given between 20 wks and 38 wks gestation

Front 18

primigravida

Back 18

pregnant for the first time

Front 19

primipara

Back 19

a woman who has given birth ONCE after 20wks

Front 20

quickening

Back 20

movements of the fetus felt by the mother

Front 21

striae gravidarum

Back 21

stretch marks caused by pregnancy

Front 22

term birth

Back 22

birth given between 38 and 42 wks

Front 23

trimester

Back 23

a division of pregnancy of 13 wks each

Front 24

viability

Back 24

: the capacity to live outside the uterus, usually around 22 to 24 weeks since LMP, or greater than 500 grams; in LA, the legal parameters are 20 weeks and 350 grams.

Front 25

nulligravida

Back 25

never been pregnant

Front 26

Stillbirth

Back 26

born dead after 20 weeks

Front 27

two-digit gravity/parity abbreviation system

Back 27

: i.e. “I/O” means that a woman is pregnant for the first time (primigravida), and has not carried a pregnancy to viability (nullipara).

Front 28

GTPAL

Back 28

; G = gravidity (total number of pregnancies including the present one), T = total number of full term births, P = total number of preterm, A = total number of abortions (spontaneous or elective termination of pregnancy before viability), and L = total number of children currently living.

Front 29

Presumptive Signs of Pregnancy

Back 29

1. Amenorrhea
2. Nausea/vomiting
3. Excessive fatigue
4. Urinary frequency
5. Breast and skin changes
6. Vaginal and Cervical color changes (Chadwicks sign)
7. Quickening

Front 30

Probable Signs of Pregnancy

Back 30

1. Abdominal Enlargement
2. Goodell’s sign
3. Hegar’s sign
4. Positive pregnancy test
5. Braxton-Hicks contractions
6. Ballottement

Front 31

Positive Signs of Pregnancy

Back 31

1. Visualization of fetus
2. Fetal heart sounds
3. Palpable fetal movement