Antepartum & Prenatal Care Flashcards
Gravida
The number of pregnancies the client has had (current included)
Parity
The number of pregnancies where the fetus has reached beyond 20 weeks, regardless of the outcome
Nulligravida
A female client who has never been pregnant
Primigravida
A female client who is pregnant for the first time
Multigravida
A female client who is in her second or subsequent pregnancy
Stillbirth
Fetus born dead after 20 weeks
Abortion
Birth that occurs prior to 20 weeks gestation
Full term
39 - 40+6 weeks gestation at birth
Early term
37 - 38+6 weeks gestation at birth
Pre-term
Before 37 weeks
Late term
The 41st week
Post term
42 weeks +
Two-digit method for documenting reproductive history
- Gravida
- Parity
- G#, P#
Five-digit method for documenting reproductive history
- Gravida
- Full term
- Pre-term
- Abortions
- Living
- G#, F#, P#, A#, L#
Calculating the estimated date of confinement (birth) using Naegele’s Rule
LMP + 7 days + 9 months = EDB
- first day of LMP
- often given within +/- 7 days
3 P’s of pregnancy
- Presumptive
- Probable
- Positive
Which physiologic change in a pregnant woman is associated with nasal congestion?
- Increased estrogen levels
- Increased estrogen levels are associated with increased vascularity to the mucus membranes of the upper respiratory tract during pregnancy. This increases incidence of congestion
Components of Biophysical Profile (BPP)
- FHR/NST
- Fetal muscle tone
- Fetal body movements
- Fetal breathing movements
- Amniotic fluid volume
First trimester danger signs
- hyperemesis gravidarium
- abdominal bleeding
- abdominal cramping
- infection signs and symptoms
Second trimester danger
- ROM
- prolonged ROM (infection)
- Vaginal bleeding
- decreased fetal movement
