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28 Cards in this Set
- Front
- Back
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OB Chapter 12 |
OB Chapter 12 |
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AMNIOCENTESIS |
SMALL AMOUNT OF FLUID IS REMOVED FROM THE UTERUS - TESTING MAY INCLUDE GENETIC STUDIES, MEASUREMENT OF ALPHA-FETOPROTEIN (AFP) LEVELS - RESULTS IN APPROX 2 WEEKS - MAY BE PERFORMED TO DIAGNOSE INFECTION, LUNG DEVELOPMENT, AND REMOVE EXCESS FLUID (POLYHYDRAMNIOS) |
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BIOPHYSICAL PROFILE |
COMBINES ULTRASOUND AND NON STRESS TEST - DETERMINES FETAL HEALTH 3RD TRIMESTER -FETAL ATTRIBUTES STUDIED; BREATHING, MOVEMENT, MUSCLE TONE, HEART RATE, AMNIOTIC FLUID |
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CHORIONIC VILLUS SAMPLING |
PERFORMED TRANSCERVICAL OR TRANSABDOMINAL (MISCARRIAGE RATES ARE HIGHER WHEN DONE THROUGH THE CERVIX) - TEST TO SCREEN FOR FETAL GENETIC PROBLEMS |
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NATURAL CHILDBIRTH |
UNMEDICATED APPROACH TO LABOR - MINIMAL ROUTINE INTERVENTIONS (EFM, EPIDURALS, ETC)- LOW RISK POTENTIAL FOR HARM OR SIDE EFFECTS ON THE BABY |
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PERINATAL EDUCATION |
VARIETY OF CHILDBIRTH CLASSES, ORGANIZATIONS AND EASILY ACCESSIBLE INFORMATION ON PREPARATION FOR CHILDBIRTH PROCESS |
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PRECONCEPTION CARE |
PROMOTE HEALTH AND WELL BEING BEFORE PREGNANCY, INDENTIFY AND MODIFY RISKS |
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RISK FACTORS FOR ADVERSE PREGNANCY OUTCOMES |
ISOTRETINOINS (ACCUTANE), ALCOHOL MISUSE, ANTI EPILECTIC DRUGS -DIABETES (PRECONCEPTION), FOLIC ACID DEFICIENCY, HIV/AIDS, HYPOTHYROIDISM, PHENYLKETONUREA, RUBELLA, OBESITY, ANTICOAGULANT, STI, SMOKING, IMMUNIZATION STATUS, NUTRITION, LIFESTYLE PRACTICES, SUPPORT SYSTEM |
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1ST PRENATAL VISIT |
ESTABLISH TRUSTING RELATIONSHIP, EDUCATION FOR OVERALL WELLNESS, DETECTION AND PREVENTION OF POTENTIAL PROBLEMS, HEALTH HX, PHYSICAL EXAM, LAB TESTS |
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COMPREHENSIVE HEALTH HISTORY |
REASON FOR SEEKING CARE; SUSPICION OF PREGNANCY, LAST MENSTRUAL PERIOD, S/S OF PREGNANCY, HCG TEST - PAST MEDICAL, SURGICAL AND PERSONAL HISTORY - REPRODUCTIVE HISTORY |
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MENSTRUAL HISTORY |
MENSTRUAL CYCLE, DATE OF LPM, CALCULATION OF EDB OR EDD - ULTRASOUND IS BEST METHOG OD DATING A PREGNANCY |
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NAGELE'S RULE |
FIRST DAY OF LMP - 3 MONTHS + 7 DAYS + 1 YEAR |
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ULTRASOUND |
BEST METHOD OF DATING A PREGNANCY |
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OBSTETRIC HISTORY |
GRAVIDA = PREGNANT WOMAN GRAVIDA I (PRIMIGRAVIDA): FIRST PREGNANCY GRAVIDA II (SECUNDIGRAVIDA): SECOND PREGNANCY, ETC
PARA = WOMAN WHO HAS PRODUCED ONE OR MORE VIABLE OFFSPRING CARRYING PREGNANCY 20 WEEKS OR MORE PRIMAPARA: ONE BIRTH AFTER PREGNANCY OF 20 WEEKS MULTIPARA: TWO OR MORE PREGNANCIES WITH VIABLE OFFSPRING NULLIPARA: NO VIABLE OFFSPRING |
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GTPAL |
G (GRAVIDA): CURRENT PREGNANCY T (TERM BIRTHS): # OF PREGNANCIES ENDING >37 WEEKS GESTATION P (PRETERM BIRTHS): # OF PREGNANCIES EDNING >20 WEEKS A (ABORTIONS): # OF PREGNANCIES ENDING BEFORE 20 WEEKS OR VIABILITY L (LIVING CHILDREN): # OF CHILDREN CURRENTLY LIVING |
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LABORATORY TESTS |
UA, CBC, BLOOD TYPING, RH FACTOR, RUBELLA TITER, HEP B, HIV, VDRL, RPR, CERICAL SMEARS, ULTRASOUND |
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FOLLOW UP VISITS |
EVERY 4 WEEKS UP TO 28 WEEKS EVERY 2 WEEKS FROM 29-36 WEEKS EVERY WEEK FROM 37 WEEKS TO BIRTH |
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FOLLOW UP VISIT ASSESSMENTS |
WEIGHT AND BP, URINE FOR PROTEIN, GLUCOSE, KETONES, AND NITRITES, FUNDAL HEIGHT, QUICKENING/FETAL MOVEMENT, FHR, TEACHING OF DANGER SIGNS |
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DANGER SIGNS |
VAGINAL BLEEDING, SEVERE PERSISTENT VOMITING, FEVER, REGULAR UTERINE CONTRACTIONS BEFORE 37 WEEKS, UNCONTROLLED VAGINAL DISCHARGE, ABSENCE OF FETAL MOVEMENT, SUDDEN WEIGHT GAIN/EDEMA, H/A WITH VISUAL CHANGES |
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ASSESSMENT OF FETAL WELL BEING |
ULTRASOUND, DOPPLER FLOW STUDIES, ALPHA FETOPROTEIN ANALYSIS, MARKER SCREENING, NUCHAL TRANSLUCENCY SCREENING, AMNIOCENTESIS, CVS, PUBS, CONTRACTION STRESS TEST, BIOPHYSICAL |
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1ST TRIMESTER DISCOMFORTS |
URINARY FREQUENCY OR INCONTINENCE, FATIGUE, N/V, BREAST TENDERNESS, CONSTIPATION, NASAL CONGESITON/EPISTAXIS, CRAVINGS, LEUKORRHEA |
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2ND TRIMESTER DISCOMFORTS |
BACKACHE, VARICOSITIES OF VULVA AND LEGS, HEMORRHOIDS, FLATULENCE WITH BLOATING |
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3RD TRIMESTER DISCOMFORTS |
RETURN OF 1ST TRIMESTER DISCOMFORTS, SOB AND DYSPNEA, HEARTBURN AND INDIGESTION, DEPENDENT EDEMA, BRAXTON HICKS |
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NURSING MANAGEMENT TO PROMOTE SELF CARE |
PERSONAL HYGIENCE, AVOID SAUNAS/HOT TUBS, PERINEAL CARE, DENTAL CARE, BREAST CARE, CLOTHING, EXCERCISE, SLEEP AND REST, SEXUAL ACTIVITY, EMPLOYMENT, TRAVEL, IMMUNIZATIONS AND MEDICATIONS |
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CHILDBIRTH EDUCATION |
LAMAZE (PSYCHOPROPHYLACTIC) METHOD: FOCUS ON BREATHING AND RELAXATION TECHNIQUES BRADLEY (PARTNER COACHED CHILDBIRTH) METHOD: FOCUS ON EXCERCISES AND SLOW CONTROLLED ABDOMINAL BREATHING DICK-READ (NATURAL CHILDBIRTH) METHOD: FOCUS ON FEAR REDUCTION AND ABDOMINAL BREATHING TECHNIQUES |
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OPTIONS FOR BIRTH SETTING |
HOSPITALS: DELIVERY ROOM, BIRTHING SUITE BIRTH CENTERS HOME BIRTH |
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OPTIONS FOR CARE PROVIDERS |
OBSTETRICIAN, MIDWIFE, DOULA |
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FEEDING CHOICES |
BREAST FEEDING, BOTTLE FEEDING, TEACHING |
