Antepartal Terms Flashcards
Kitzinger
Chest breathing, with abdominal relaxation, therapeutic touch
Lamaze
First pattern
Second pattern
Third pattern
Breathing patterns, disassociation techniques, muscular relaxation
1st: Slow paced, inhale through nose, exhale through pursed lips
2nd: Modified paced, inhale/exhale through mouth 4 times in 5 seconds
3rd: Pattern paced, inhales/ exhale through mouth, exhales are “hee” or “hoo”, ratio 2:1, 3:1, 4:1
Bradley
Partner’s involvement as coach; harmony with your body using breath control and general body relaxation
Hyponobirthing
Relaxation techniques, deep breathing, comfort and eliminating pain
Effleurage
Stroking the abdomen in a circular motion
Sacral counter pressure
Putting pressure on sacrum of patient with “back labor”
Goodell’s sign
Softening of the cervix
Chadwick’s sign
Bluish color of the cervix
Colostrum
Thin yellow secretion, high in protein and immune properties
Vena cava syndrome
Def, S/S
Uterus compresses the vena cava
S/S: pallor, dizziness, lightheadedness and clammy skin
Chloasma
Mask of pregnancy on forehead and around eyes , aggravated by sun exposure
Lines nigra
Dark pigmented line from umbilicus to pubic area
Physiologic lordis
Lumbar spinal curvature, compensating for weight if uterus
Diastasis recti
Separation of. Che rectus muscle of the abdominal muscles
( common in patient with vertical abd scar
Weight Gain
- underweight
- normal
- overweight
40 lbs
25-35 lbs
15lbs
Pituitary produces..
Prolactin for lactation
Vasopressin for BP
Oxytocin to promote uterine contraction
Adrenal secretes..
Cortisol to change protein and CHO metabolism
Placenta produces…
HcG (human chorionic gonadotropin)- stimulates progesterone and estrogen, causes n/v
hPL (human placental lactogen)- insulin antagonist
Estrogen- stimulates uterine/ breast development
progesterone- decrease uterine contractility, relax muscles
Relaxin- deceased uterine contractility, softens cervix
prostaglandins- decrease placental vascular sys
Presumptive s/s of pregnancy
(Woman reports)
N/V, amenorrhea, urinary frequency, Breast change, fatigue
Quickening, linea nigra, cholasma, stria gravidarum
Probable s/s of pregnancy
(Noted by examiner)
Goodells, Chadwick’s, Hegars, ballottement, positive pregnancy test, Braxton hicks, palpating of fetal outline, enlarged abdomen
Hegars sign
Something of lower uterine
Positive s/s of pregnancy
Fetal heart beat, fetal movement palpable, ultrasound
Quickening
18-20 weeks sometimes 16
Nesting syndrome
Surge of energy close to delivery date; third trimester
Couvades
Partner experienced pregnancy s/s such as nausea, cravings, weight gain
Antepartum
From conception to onset of labor
Intrapartum
Onset of labor to the first 1-4 hours after delivery of newborn and placenta
Postpartum
6 weeks after delivery of the newborn and placenta
Pregnancy length
9 months, 3 trimesters, 3 months each, or 13 weeks each
EDC/EDB
Estimated date if confinement, estimated date of birth
Gestation
Number if weeks since the first day of the last menstrual, 40 weeks gestation in a pregnancy
Abortion
Birth that occurs before end of 20 weeks gestation
Preterm
Term
Posterm
20-37 weeks ( must complete 37 weeks to be term)
38-40 weeks
After 42 weeks ( must pass 42 weeks)
Gravida
Any pregnancy
Para
Birth after 20 weeks gestation (multiples count as one)
Stillborn
Born dead after 20 weeks
Primigravida
Multigravida
- First time
2. Second or any other pregnancy
TPAL
Term births; twins count as one
Preterm; birth from 20-37 weeks
Abortion
Living children
McDonald method
Fundal Height 18-30 weeks; 22-34 correlates with gestation
Measure form top of symphysis pubis top of uterine fundus
Fetal heartbeat
FHR 110-160
Doppler 10-12 weeks and 17-20 weeks with feta scope
Decreases with increased gestation
Fundal height assessment
10-12 wk: slightly above symphysis pubis
16 wks: halfway between symphysis pubis and umbilicus
20-22 wks: fundus at umbilicus
28 wks: three finger breaths above umbilicus
36 weeks: just below ensiform cartilage
40 wks: comes back down
Fetal movement felt
18 weeks 4 to 5 months
Prenatal visit routines
Every four weeks until 28 weeks; once a month until seven months
Every two weeks until 36 weeks; twice a month from 6 to 8 months
Every week until delivery; every week on the ninth month
Weight gain per trimester
First trimester 3.5-5 pounds
Second and third trimester above 12 to 15 pounds; about a pound a week
Labs
AFP at 15 to 20 weeks or 4 to 5 months
Glucose screen 24 to 28 weeks or 5 to 6 months
Indirect coombs for Rh negative moms at 28 weeks RhoGAM at 28 weeks or seven,months also after delivery
GBS vag culture 35 to 37 weeks
Pre-eclampsia symptoms
Edema, rapid weight gain, headaches ,visual disturbances, vomiting epigastric pain, irritability ,scanty urine output
