Antepartum

Question 1

first tri psychosocial response

Answer 1

concerns for self
mixed feelings - ambivalence
confirming preg

Question 2

second tri psychosocial response

Answer 2

fantasize about baby
inward
body image

Question 3

third tri psychosocial response

Answer 3

vulnerable

nesting

Question 4

Rubins task of preg

Answer 4

acceptance of child by others

attachment to child

Question 5

HCG increases at the beginning of preg (fert.) t or f

Answer 5

true - peaks at 4 weeks

Question 6

hormone of preg

Answer 6

progesterone

Question 7

estrogen and progesterone at high levels at end of preg t or f

Answer 7

true

Question 8

changes in the uterus during preg

Answer 8

decidua

growth

Question 9

changes in the cervix during preg

Answer 9

formation of mucus plug

signs of preg (goodell, chadwick, hegar)

Question 10

increase in pulse rate during 2nd trimester is normal t or f

Answer 10

true

Question 11

cardio changes in preg

Answer 11

bld vol. increase 30-45%

anemia due to = lg. increase in plasma vol (40-60%) but sm increase in rbc (20-30%)

Question 12

bld component chgs in preg

Answer 12

increased wbc during preg/labor
hyper coagulation (blood clots)

Question 13

vena cava syndrome is

Answer 13

pressure from uterus on vena cava redux in bld flow to moms heart

Question 14

skin chg in preg

Answer 14

linea nigra (line down stomach)
chloasma (darkened pig. of face)

Question 15

gravida is

Answer 15

of preg

Question 16

para is

Answer 16

of births 20 weeks or more

Question 17

extended para (TPAL)

Answer 17

term
preterm
abortion
living children

Question 18

determining due date

Answer 18

edc- estimated date of confinement

edd - estimated date of delivery

Question 19

naegles rule

Answer 19

subtract 3 mos from last menstrual period, add 7 days, adjust for year

Question 20

1st prenatal visit

Answer 20

current preg (lmp, signs/symptoms)
obstetrical hx (prev. deliveries)
gynecological hx (surgeries?)
med hx (family hx. pre-existing)
demographics (age)

Question 21

maternal testing initial visit

Answer 21

cbc, vs, ht/wt
Rh screen
group B strep
Hep b
genetic testing
STDs (hiv)

Question 22

tests/screenings 1st trimester

Answer 22

bld work
pap
STDs
urine test (every visit)

Question 23

test/screen weeks 24-28

Answer 23

glucose challenge

Question 24

test/screen weeks 18-22

Answer 24

u/s - level 2

Question 25

test/screen weeks 28-29

Answer 25

Rh fxr testing

non-stress test

Question 26

test/screen weeks 35-37

Answer 26

group b strep

Question 27

prenatal visit schedule

Answer 27

every 4 weeks until 28wks
every 2 weeks until 36 wks
every week until delivery

Question 28

fetal growth assessment

Answer 28

uterine size estimated by: bimanual size in 1st trimester

fundal height in 2 & 3 trimester

Question 29

mcdonalds measurement of fundal height

Answer 29

fundal ht = gestational age +/- 3cm

Question 30

landmarks

Answer 30

20 wks - umbilicus

36 wks higher than 40 wks

Question 31

pt education

Answer 31

avoid teratogens

Question 32

3rd trimester testing

Answer 32

non-stress test
contraction stress test
biophysical profile

Question 33

biophysical profile

Answer 33

acute & chronic markers

Question 34

acute markers for biophysical profile

Answer 34

fetal tone/movements/breathing/heart reactivity

Question 35

chronic markers for biophysical profile

Answer 35

amniotic fluid vol

Question 36

scoring of biophysical profile

Answer 36

2=present
0=not present
8-10 reassuring
6-10 equivocal
<4 not reassuring