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Womens Health Exam 1 > Antepartum Assessment > Flashcards

Antepartum Assessment Flashcards

1
Q

Define intrapartum?

A

Time between onset of labor and birth

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2
Q

Define postpartum

A

Time from birth until woman’s body returns to pre-pregnant state, which is about six weeks

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3
Q

Define gestation

A

Number of weeks since the FIRST day of your last menstrual period

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4
Q

Define abortion

A

Birth that occurs before 20 weeks

Spontaneous - miscarriage

Therapeutic - medically induced

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5
Q

Define preterm

A

Birth that occurs after 20 weeks, but before 37 weeks

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6
Q

Define stillbirth

A

Fetus born dead after 20 weeks

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7
Q

What is term pregnancy?

A

Pregnancy that is at least 37.0 weeks

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8
Q

What is early term?

A

37 weeks through 38 weeks and six days

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9
Q

What is full-term pregnancy?

A

39 weeks through 40 weeks and six days

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10
Q

What is late term pregnancy

A

41 weeks through 41 weeks and six days

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11
Q

What is post term pregnancy?

A

42 weeks and beyond

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12
Q

Define gravida

A

Total number of pregnancies, regardless of duration/outcome, INCLUDING present pregnancy

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13
Q

Define nulligravida

A

Woman who has never been pregnant

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14
Q

Define primigravida

A

Woman who is pregnant for the first time

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15
Q

Define multigravida

A

Woman who is in second or subsequent pregnancy

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16
Q

Define para

A

Birth > 20 weeks, regardless of outcome

17
Q

Define nullipara

A

Woman who has NOT given birth at > 20 weeks… like a miscarriage

18
Q

A patient is first time pregnant with twins, how would you code that?

A

G1P1

Twins or triplets etc, count as one pregnancy, and one delivery

19
Q

What is term (T) in TPAL?

A

Number of infants born at >37.0 weeks, regardless of outcome

20
Q

What is preterm (P) in TPAL?

A

Number of infants born between 20-36.6, regardless of outcome

21
Q

What is abortion (A) mean in TPAL?

A

Number of pregnancies ending in therapeutic or spontaneous abortion (< 20 weeks)

22
Q

What is living (L) mean in TPAL

A

Number of currently living children

23
Q

What is Nageles rule?

A

It determines someone’s due date

24
Q

How to use Nageles rule

A

Begins with 1st day of LMP

Ex. July 30th

Subtract 3 months

Ex. July 30th - 3 months = April 20th

Add 7 days

Ex. April 20th + 7 = April 27th

25
Q

What is quickening?

A

Fetal movements felt by mother

May indicate fetus is nearing 20 weeks

Can be felt as early as as 16 or as late as 22 weeks

Multiparous women usually report quickening before primigravidas do

26
Q

How you asses fetal heart beat

A

Ultrasonic Doppler is the primary tool for assessing FHT’s

May detect at 10 to 12 week gestation

Normal FHT is 110-160 bpm

27
Q

What is a good prenatal schedule in a healthy pregnancy?

A

Every four weeks until 28 weeks

Every two weeks until 36 weeks

After 36 weeks, weekly until delivery

28
Q

What do you give mom if she is RH negative

A

She’ll need a shot of Rogam.. and if the baby is RH + after delivery.. she’ll need another shot of rogam

29
Q

What do we test for in the third trimester?

A

Screening for Group B Streptococcus (GBS) at 36-37.6 weeks

GC/CT vaginal swab (gonorrhea, and chlamydia)

30
Q

Danger signs in pregnancy?

A

Sudden gush of fluid from vagina

Vaginal bleeding

Abdominal pain

Temp > 101

Dizziness, blurred/Double vision

Persistent nausea, vomiting, severe headache

Edema to face, hands, feet, legs

Absence or decreased fetal movement

31
Q

What are some physiological maladaption in pregnancy?

A

Increased anxiety or depression

Inability to communicate

Inappropriate responses/actions

Inability to cope with stress

Indications of substance abuse

Denying pregnancy

Intense preoccupation with sex of baby

Failure to plan/prepare for baby

32
Q

Why do we screen for GBS?

A

Because if you are positive and we don’t treat it.. the baby is at higher risk for infection like sepsis or pneumonia.. that could kill the baby

Womens Health Exam 1 (6 decks)

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