Antepartum Flashcards
Gravid
State of being pregnant
Gravidity
Number of times a woman has been pregnant
Nulligravida
Never been pregnant
Primigravida
Pregnant for the first time
Multigravida
Pregnant more than 2 times
Para
Number of births at 20 weeks, not the number of fetuses
Multipara
Woman who has carried 2 or more pregnancies over 20 weeks, regardless of outcome
Preterm
Pregnancy that has reached 20 weeks of gestation but before completion of 37 weeks of gestation
Late term
Pregnancy that has reached between 34 weeks 0 days and 36 weeks 6 days gestation
Early term
Pregnancy that has reached between 37 weeks 0 days and 38 weeks 6 days gestation
Viability
Capacity to live outside the uterus; about 22 to 25 weeks gestation are on the threshold of viability
Two digits G P
G- Gravida
P- Para
Five digits- GTPAL
Gravidity
Term (births at 37weeks+)
Preterm (up to 37weeks)
Abortions (prior to viability)
Living children
When is Rhogam given to Rh- women?
28 weeks gestation
When is TDaP typically given?
Between 30-32 weeks gestation
When do weekly visits begin?
After 36 weeks
A client asks about her 20 week ultrasound. The nurse explains it will assess for what?
The 20-week anatomy scan evaluates fetal organs, limbs, and structural development.
What instructions should be given before an external abdominal ultrasound?
A full bladder enhances visualization during an abdominal ultrasound.
What is the priority nursing action after an amniocentesis in an Rh- woman?
Administer Rhogam. Rhogam prevents isoimmunization from fetal blood exposure.
Which symptoms would alert the nurse to possible ectopic pregnancy?
Unilateral abdominal pain and missed menses. Ectopic pregnancy classically presents with unilateral stabbing pain, missed period, and possible bleeding.
Foods high in folate?
Leafy vegetables, dried ores and beans, seeds, and orange juice. Breads, cereals, and other grains are fortified with folic acid.
Food sources of iron?
Beef liver, red meats, fish, poultry, dried peas and beans, and fortified cereals and breads.
Sources of calcium?
Milk, calcium-fortified soy milk, fortified orange juice, nuts, legumes, and dark leafy vegetables.
Recommend fluid intake?
8-10 glasses (2.3L) of fluid. Preferred fluids are water, fruit juice, and milk.
