Antepartal Care for Concepts Flashcards
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A screening tool that helps identify factors that may detrimentally effect the course of the pregnancy physically or psychologically
Client history
What do you do on the client’s initial visit?
Client history and a complete physical assessment
The number of times a woman has been pregnant
Gravida
The number of births that occurred after 20 weeks gestation
Para
A woman who is pregnant for the first time
Primigravida
A woman who has been pregnant multiple times
Multigravida
A woman who has never given birth after 20 weeks gestation
Nullipara
A woman who has given birth after 20 weeks gestation multiple times
Multipara
Spontaneous or induced termination of a pregnancy before 20 weeks gestation
Abortion
Loss of baby after 20 weeks
Stillbirth
What does GTPAL stand for?
G- gravida T- term (38-42 weeks) P- preterm A- abortions L- living children
What is the difference between original recording and GTPAL?
Original counted twins and triplets as one pregnancy and one birth and GTPAL counts it as one pregnancy and 2-3 births & terms
When do you do pelvic exam?
Last
When is fundal height the most accurate?
22-34 weeks
Softening of the cervix
Goodell’s sign
Midstream specimen used to dip for glucose and protein
Urinalysis
Tests for hematocrit, hemoglobin, and WBC
Complete blood count (CBC)
Tests for gonorrhea and chlymydia
GC culture
More common in people of African American or Mediterranean descent
Sickle cell
Tests for German measles
Rubella titer
What can contracting German measles during pregnancy lead to?
Microcephaly which leads to retardation
Tests for syphilis
VDRL
Can syphilis, chlymydia, and gonorrhea be treated?
Yes
What do you do to test for Rh incompatibility?
Blood type
When Rh is negative what can you do?
Give Rhogam
When do you administer the Rhogam?
28 weeks
How often to you visit the doctor in the first 6 months?
Once a month
How often do you visit the doctor from the 7th month to week 36?
Every two weeks
How often do you visit the doctor from week 36 until the onset of labor?
Once a week
Systematic abdominal exam to determine fetal position
Leopold’s maneuvers
When do you do Leopold’s maneuvers?
After 30 weeks
How often do you test urine?
Every visit
How often is hematocrit checked?
16, 28, and 36 weeks
How often do you check antibody titers on an Rh negative mom?
24, 28, 32, and 36 weeks
When do you do a glucose tolerance test?
28 weeks
How does the GTT work?
50 grams of glucola then check in an hour
What should the glucose level be after an hour in a GTT?
130-140 mg/dL
When do you test for group beta strep?
36 weeks
If GBS is positive how do you treat it and how long do they have to stay after delivery?
Treat with antibiotics and keep for 48 hours to watch baby
