Antepartal Care for Concepts

Question 0

A screening tool that helps identify factors that may detrimentally effect the course of the pregnancy physically or psychologically

Answer 0

Client history

Question 1

What do you do on the client’s initial visit?

Answer 1

Client history and a complete physical assessment

Question 2

The number of times a woman has been pregnant

Answer 2

Gravida

Question 3

The number of births that occurred after 20 weeks gestation

Answer 3

Para

Question 4

A woman who is pregnant for the first time

Answer 4

Primigravida

Question 5

A woman who has been pregnant multiple times

Answer 5

Multigravida

Question 6

A woman who has never given birth after 20 weeks gestation

Answer 6

Nullipara

Question 7

A woman who has given birth after 20 weeks gestation multiple times

Answer 7

Multipara

Question 8

Spontaneous or induced termination of a pregnancy before 20 weeks gestation

Answer 8

Abortion

Question 9

Loss of baby after 20 weeks

Answer 9

Stillbirth

Question 10

What does GTPAL stand for?

Answer 10

G- gravida
T- term (38-42 weeks)
P- preterm
A- abortions
L- living children

Question 11

What is the difference between original recording and GTPAL?

Answer 11

Original counted twins and triplets as one pregnancy and one birth and GTPAL counts it as one pregnancy and 2-3 births & terms

Question 12

When do you do pelvic exam?

Answer 12

Last

Question 13

When is fundal height the most accurate?

Answer 13

22-34 weeks

Question 14

Softening of the cervix

Answer 14

Goodell’s sign

Question 15

Midstream specimen used to dip for glucose and protein

Answer 15

Urinalysis

Question 16

Tests for hematocrit, hemoglobin, and WBC

Answer 16

Complete blood count (CBC)

Question 17

Tests for gonorrhea and chlymydia

Answer 17

GC culture

Question 18

More common in people of African American or Mediterranean descent

Answer 18

Sickle cell

Question 19

Tests for German measles

Answer 19

Rubella titer

Question 20

What can contracting German measles during pregnancy lead to?

Answer 20

Microcephaly which leads to retardation

Question 21

Tests for syphilis

Answer 21

VDRL

Question 22

Can syphilis, chlymydia, and gonorrhea be treated?

Answer 22

Yes

Question 23

What do you do to test for Rh incompatibility?

Answer 23

Blood type

Question 24

When Rh is negative what can you do?

Answer 24

Give Rhogam

Question 25

When do you administer the Rhogam?

Answer 25

28 weeks

Question 26

How often to you visit the doctor in the first 6 months?

Answer 26

Once a month

Question 27

How often do you visit the doctor from the 7th month to week 36?

Answer 27

Every two weeks

Question 28

How often do you visit the doctor from week 36 until the onset of labor?

Answer 28

Once a week

Question 29

Systematic abdominal exam to determine fetal position

Answer 29

Leopold’s maneuvers

Question 30

When do you do Leopold’s maneuvers?

Answer 30

After 30 weeks

Question 31

How often do you test urine?

Answer 31

Every visit

Question 32

How often is hematocrit checked?

Answer 32

16, 28, and 36 weeks

Question 33

How often do you check antibody titers on an Rh negative mom?

Answer 33

24, 28, 32, and 36 weeks

Question 34

When do you do a glucose tolerance test?

Answer 34

28 weeks

Question 35

How does the GTT work?

Answer 35

50 grams of glucola then check in an hour

Question 36

What should the glucose level be after an hour in a GTT?

Answer 36

130-140 mg/dL

Question 37

When do you test for group beta strep?

Answer 37

36 weeks

Question 38

If GBS is positive how do you treat it and how long do they have to stay after delivery?

Answer 38

Treat with antibiotics and keep for 48 hours to watch baby