Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NUR2204C > Antepartum Care > Flashcards

Antepartum Care Flashcards

1
Q

Antenatal period & pregnancy duration

A
  • conception to labour
  • 40 weeks (1st day of LMP to labour)
  • 3 trimesters:
    1. Week 1-12
    2. Week 13-27
    3. After week 28
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Presumptive signs of pregnancy (subjective)

A
  1. Breast tenderness (3-4 weeks)
  2. Amenorrhea (4 weeks)
  3. Nausea and vomiting (4-14 weeks)
  4. Breast enlargement (6 weeks)
  5. Urinary frequency (6-12 weeks)
  6. Uterine enlargement (7-12 weeks)
  7. Fatigue (12 weeks)
  8. Hyperpigmentation of skin (16 weeks)
  9. Fetal movements (quickening) (16-20 weeks)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Probable signs of pregnancy (objective)

A
  1. Positive pregnancy test (4-12 weeks)
  2. Goodell’s sign - softening of cervix (5 weeks)
  3. Chadwick’s sign - blueish purple colouration of the vaginal mucosa and cervix (6-8 weeks)
  4. Hegar’s sign - softening of lower uterine segment or isthmus (6-12 weeks)
  5. Abdominal enlargement (14 weeks)
  6. Ballottement (16-28 weeks)
  7. Braxton hicks contractions (16-28 weeks)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Positive signs of pregnancy

A
  1. Ultrasound verification of embryo or fetus (4-6 weeks)
  2. Auscultation of fetal heart tones via Doppler (10-12 weeks)
  3. Fetal movement felt by experienced clinician (20 weeks)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Danger signs of pregnancy

A
  1. Vaginal bleeding
  2. Persistent vomiting
  3. Chills & fever
  4. Abdominal/chest pain
  5. Hypertension/excessive weight gain
  6. Edema, eye changes
  7. Rupture membranes
  8. Increase or decrease of Fetal movement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Ultrasonography stages

A

Dating scan: in first 12 weeks of pregnancy, confirm and see gestational sac

Fetal anomaly scan: 20-22 weeks of pregnancy, physical anomaly

Growth scan: 30-32 weeks of pregnancy, growth (maturity, sex)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Chromosomal anomalies

A
  • triple test
  • amniocentesis
  • chronic villus sampling (CVS)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Risk factors of PIH

A
  1. Multiple pregnancies
  2. Primigravida (<20 years or >40 years)
  3. Chronic renal disease
  4. Poor nutrition - obesity
  5. Hydramnios
  6. Diabetes mellitus
  7. Chronic hypertension
  8. Family history
  9. Black race
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Gestational hypertension

A

BP >140/90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mild pre eclampsia

A

BP >140/90
Mild proteinuria or Edema
Systolic/diastolic >30/15 mmhg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Severe preeclampsia

A

BP 160/110
Diastolic 30mmhg more
Edema of different levels
Proteinuria (3+/4+) / >5g/24 hours urine
Headache, blurred vision, nausea, vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Eclampsia

A

Seizure or coma occurs due to cerebral Edema
Fetal hypoxia; fetal morality rate of 25%
Antepartum/intrapartum/postpartum eclampsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Risk factors of GDM

A
  1. Personal/family history of GDM
  2. Previous unexplained stillbirth
  3. Marked obesity
  4. Glycosuria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Nursing management to promote self care

A
  1. Personal hygiene
  2. Perineal care
  3. Dental hygiene
  4. Breast care
  5. Nutrition
  6. Exercise
  7. Sleep and rest
  8. Sexual activity & sexuality
  9. Medications
  10. Clothing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Threatened spontaneous abortion

A
  1. Vaginal bleeding
  2. Spotting
  3. Cramping
  4. No cervical dilation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Inevitable spontaneous abortion

A
  1. Cramping
  2. Bleeding with cervical dilation
  3. Amniotic fluid may leak
17
Q

Incomplete spontaneous abortion

A
  1. Some of the POC are expelled
  2. Membrane and placenta retained with cervical dilation
18
Q

Complete spontaneous abortion

A
  1. All POC are expelled
19
Q

Missed spontaneous abortion

A
  1. Fetus dies but remains in the uterus.
  2. Uterine growth ceases
  3. Breast changes regress
  4. History of symptoms of threatened miscarriage
  5. Brownish vaginal discharge
  6. Cervix os is closed
20
Q

Risk factors for spontaneous abortion

A
  1. Advanced maternal age
  2. Previous pregnancy loss
  3. Maternal chronic disease
  4. Infections
  5. Structural uterine abnormalities
  6. Significant trauma
  7. Underlying endocrinological or gynaecological disorders
  8. Exposure to substances like tobacco, alcohol, drugs or environmental contaminants
  9. History of spontaneous abortion
21
Q

Complications of spontaneous abortion

A
  1. Infection leading to septic abortion (spontaneous or induced abortion complicated by severe uterine infection)
  2. Disseminated intravascular coagulation (DIC)
  3. Trauma to the uterus from surgical intervention
22
Q

Other clinical manifestations of complete/incomplete abortions

A
  1. Abdominal pain
  2. Cramping or contractions
  3. Vaginal bleeding
  4. Open cervix on pelvic examination
  5. If abortions occurs secondary to infection,
    - fever
    - purulent vaginal discharge
    - hypotension
    Can also occur as infection progresses to septic shock
23
Q

Diagnosis for spontaneous abortion

A
  • client’s history & physical assessment
  • ultrasound
  • laboratory testing (CBC, hCG & progesterone levels)
  • cultures from various sites (blood cultures)
24
Q

Nursing assessment for spontaneous abortion

A
  1. Vaginal bleeding
  2. Cramping or contractions
  3. Vital signs, pain level
  4. Patient’s understanding
25
Q

Clinical manifestations for PIH

A
  1. Hypertension
  2. proteinuria
  3. Edema
  4. Headache, blurred vision, nausea & vomiting, convulsion, coma
26
Q

Diagnosis of PIH

A
  1. Client’s history & physical assessment
  2. Lab test
27
Q

Nursing assessment of PIH

A

Risk factors
BP
Nutritional intake
Weight
Edema
Urine for protein
Other laboratory tests if indicated

28
Q

Risk factors of hyperemesis gravidarum

A
  1. Multi gestational pregnancy
  2. Primigravida
  3. Gestational trophoblastic disease
  4. White race
  5. Family history of hyperemesis gravidarum
  6. Those with history of motion sickness or migraines
29
Q

Signs and symptoms of hyperemesis gravidarum

A
  1. Nausea and vomiting several times a day or persist throughout the day
  2. Dehydration - weight loss; decreased urinary output, dry skin or mucous membranes, decreased skin tugor
  3. Hypotension
  4. Tachycardia
  5. Dizziness

NUR2204C (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions