Antepartum Flashcards

1
Q

Pregnancy Trimesters

A

1st: 1-12 weeks
2nd: 13-27 weeks
3rd: 28-40 weeks

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2
Q

Diagnosing Signs of Pregnancy (3)

A
  1. presumptive (general)
  2. probable
  3. positive
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3
Q

Presumptive signs of pregnancy

A

 cessation of menses, N/V, Breast changes, urinary frequency, fatigue, elevation of body temp, leakage of colostrum(breast milk), increased saliva
 “Quickening”- mother’s perception of fetal movement

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4
Q

Probable signs of Pregnancy

A

Piskaceks sign, Goodells sign, Chadwicks sign, Hegars sign, McDonalds sign, uterine souffle, ballotment

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5
Q

Positive signs of pregnancy

A

auscultation of feta heart tones, visualization of fetus, fetal movement felt by mother

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6
Q

Piskacek’s sign

A

asymmetry of uterus, one side is rough

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7
Q

Goodell’s sign

A

softening of the cervix

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8
Q

Chadwick’s sign

A

blue color or cervix and other lady parts

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9
Q

Hegar’s sign

A

softening and compressing of uterine isthmus (inferior/posterior)- lower portion of uterus

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10
Q

McDonald’s sign

A

flexing of the uterus against cervix

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11
Q

Uterine Souffle

A

blowing sound from increased blood flow, palpation of fetal outline

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12
Q

Ballotment

A

fetal movement witnessed by palpation

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13
Q

Naegele’s Rule

A

To date pregnancy: first day of last period +7 days, -3 months

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14
Q

Uterine Size

A

8 weeks= egg, 10 weeks=orange, 12 weeks= grapefruit

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15
Q

Fundus

A

top of uterus, farthest fro cervix

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16
Q

Isthmus

A

lower portion of uterus, nearest cervix

17
Q

Gravida

A

G= total number of pregnancies ever

18
Q

Parity

A

P= anything that goes past 20 weeks

19
Q

Term

A

T= anything that goes past 38 weeks

20
Q

Pre-term

A

p= anything between 20-38 weeks

21
Q

Micropreme

A

born between 23-27 weeks

22
Q

Abortions

A

A= anything before 20 weeks (dead or alive)

23
Q

Living

A

L= number of children currently alive

24
Q

Cardiovascular changes

A

cardiac hypertrophy, upward displacement, increased blood volume/output, increased pulse, cardiac arrhythmias, increased vascularity

25
Q

Respiratory changes

A

increased oxygen requirements/chest expansion, upward displacement, more vascular and congested

increased tidal volume and capacity; decreased reserve and residual volume

26
Q

Renal changes

A

increased pressure on bladder, urine flow slows, UTI common, glomerular filtration rate/renal blood flow increases, decreased BUN/Creatinine, glucose present normally in urine

27
Q

Skin changes

A

increased skin thickness and subdermal fat, hyperpigmentation, increased hair and nail growth, increased sweat, increased circulation, stretch marks

28
Q

Neuromuscular changes

A

 center of gravity shifts, Lordosis (curve/hump), abd weakens and separates, increased headaches, syncope, muscle cramps, numbness

29
Q

GI changes

A

appetite changes, absorption increases, decreased gastric motility, increased salvation

30
Q

Nutrition Recommendations

A

 4 servings fruits/veggies
 4 servings whole wheat
 4 servings milk
 3 servings protein

Folic acid 400mcg
Calcium 1200-1500mgm

31
Q

Weight gain

A

average person= 25-35lbs
overweight= 15-25lbs
underweight= 30-40lbs
twins= 35-45lbs

32
Q

Rubin’s 4 Developmental Tasks of Pregnancy

A
  1. safety through pregnancy, labor, and birth
  2. acceptance of child to others
  3. acceptance and commitment of role by mother
  4. learning to give on behalf of child
33
Q

Prenatal Care: 1st trimester (1-12 weeks)

A

visits every 4 weeks

  1. early assessment and intervention; dating of pregnancy
  2. physical exam
  3. lab tests
  4. initial interview
  5. edcuation, counseling
34
Q

Prenatal Care: 2nd trimester (13-27 weeks)

A

visits every 4 weeks
1. routine assessment
(urine, weight, bp, fundal height, fetal heart rate)
2. quad test, ultrasound

35
Q

Prenatal Care: 3rd trimester (28-40 weeks)

A

36 weeks= every week

  1. 28 week H&H, glucose, Rhogam,
  2. GroupB strep 36 weeks
  3. stress test
  4. biophysical profile
36
Q

Biophysical Profile (BPP)

A
ultrasound measuring 4 criteria of fetal wellbeing
•	amniotic fluid level
•	fetal breathing
•	fetal tone
•	fetal movement