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20 Cards in this Set
- Front
- Back
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What is Gravida?
Para? |
Gravida: a woman who is or has been pregnant
--Nulligravida – a woman who has never been pregnant Primigravida – a woman who is or has been pregnant one time Multigravida – a woman who is/has been pregnant more than one time Para: a woman who has delivered a pregnancy beyond 20 weeks gestation Nullipara – a woman who has never delivered a pregnancy beyond 20 weeks gestation Primipara – a woman who has delivered one pregnancy beyond 20 weeks gestation Multipara – a woman who has delivered more than one pregnancy beyond 20 weeks gestation |
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What is G--T-P-A-L
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G: # of pregnancies
Term (beyond 37 weeks) Preterm: number of pregnancies delivered between 20 – 36+ weeks Abortion: number of pregnancies delivered prior to 20 weeks Living: living children at the time of interview |
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How can you have G1 L:3?
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triplets!
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the following are what kind of evidence of pregnancy?
Amenorrhea Breast changes – tender, tingle, size change Skin changes – increase pigmentation, striae Chadwick’s sign – bluish coloring to cervix and vagina Nausea- appears b/t 6-12wk Bladder irritability, frequency, nocturia Fatigue Quickening – perception of fetal movement |
Presumptive evidence
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the following are what kind of evidence of pregnancy?
Enlargement of the abdomen Hegar’s sign – softening of lowest part of the uterus McDonald’s sign – uterine body and cervix can be flexed against one another Goodell’s sign – cyanosis and softening of the cervix Palpation of a fetus Braxton-Hicks contractions Detection of beta-subunit of hCG (human chorionic gonadotropin) |
Probable evidence
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what is the positive evidence of pregnancy? 3
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Auscultation of fetal heart tone
Appreciation of fetal movement Visualization of the fetus |
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what are some of the things that would come along with pregnancy for your differential diagnosis
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Leiomyomas
Ovarian cyst, tumors, cancer Hematometra Pseudocyesis-psych disorder, pt believes they are pregnant and can feel like they have fetal movement |
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how long is pregnancy?
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40 weeks from the first day of the last menstrual period
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Gestational age =
Developemental age = ? |
Gestational age = menstrual age (First day of last menstrual period)
Developemental age = fetal age ---2 weeks less than gestational age**** based on FDLMP-2weeks |
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What is Nagele's rule?
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To calculate the estimated date of delivery (EDD) or estimated date of confinement (EDC):
subtract 3 months from the last menstrual period (LMP) and add 7 days |
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when do you start to hear fetal heart tones?
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10-12 weeks with doppler
note: heart develops at 4 weeks |
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Fundal Height landmarks
8 weeks: 12 15 20 20+ |
8 weeks at pubic symphysis
12 weeks uterus becomes an abdominal organ 15 weeks midway between symphysis and umbilicus 20 weeks at umbilicus 20-36 weeks distance in cm from the symphysis to the fundus = weeks gestation |
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at 20-36 weeks, how can you pretty accurately tell the weeks gestation?
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distance in cm from the symphysis to the fundus = weeks gestation
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at 6-12 weeks what is the most accurate dating measurement?
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CRL – crown rump length
on ultrasound |
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at 13-22 weeks what is the most accurate dating measurement?
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BPD – biparietal diameter
on ultrasound |
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MSAFP / Quad or Penta screen
shows what? what gives the definitive diagnosis |
Downs syndrome...but doesn't tell you 100% (done in 2nd trimester)
definite diagnosis: Amniocentesis or birthing the baby |
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Prenatal care goals for the woman?
fetus? (probably just read this, but was an objective) |
For the pregnant women
To increase her well being before, during and after pregnancy Reduce maternal mortality and morbidity, fetal loss and unnecessary pregnancy interventions Promote the development of parenting skills For the fetus and then the infant Increase child’s well being Reduce preterm birth, IUGR, congenital anomalies and failure to thrive Promote healthy growth and development Reduce child abuse & neglect, injuries, preventable illnesses and the need for extended hospitalizations after birth |
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education for the 1st trimester?
(objective; just read) |
Identify & discuss risk factors
Diet/Exercise Weight gain Sleep Bowel / bladder habits Tobacco, drinking and drug use Medication use Sex Seat belt use Dental care Concerns / fears From conception to 12 weeks |
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education for the 2nd trimester?
(objective; just read) |
From 13 to 26 weeks
Symptoms – bleeding, pain/cramping, swelling, headache, persistent vomiting, dysuria Fetal development Prenatal/Breastfeeding classes Kick counts GDM / PTL Diet / exercise Cord blood collection Concerns / fears |
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education for the 3rd trimester?
(objective; just read) |
Preterm Labor, PROM, pre-eclampsia, GBS
Labor support & pain management Anesthesia / c-section / VBAC Labor signs Complications of L&D Post date surveillance Contraception Concerns / fears |
