Antepartum Terms Flashcards
Number of times a client has been pregnant
gravida/gravidity
nulligravida
never pregnant
primigravida
first pregnancy
multigravida
multiple pregnancy
number of pregnancy past 20 weeks (point of viability)
para/parity
nulli-
never
primi-
once
multi-
more than one
never carried a pregnancy past the point of viability
nullipara
term pregnancy
37-42 weeks
abortion
before 20 weeks gestation (spontaneous or induced miscarriage)
pre-term
20 weeks - 36 weeks 6 days
live or still birth
post-term pregnancy
42 weeks or higher
GTPAL
Client has had 3 pregnancies, 1 miscarriage at 15 weeks, an infant at 35 weeks (alive), and a current pregnancy at 17 weeks
G3 T0 P1 A1 L1
Gravida/para
Client is on their first pregnancy at 25 weeks
primigravida nullipara
Gravida/para
Client just gave birth to twins (her only pregnancy)
primigravida/primipara
GTPAL Client just gave birth to twins at 38 weeks (her first pregnancy, they’re alive)
G1 T1 P0 A0 L2
GTPAL
Client has had 3 miscarriages before 20 weeks, 1 birth at 25 weeks who lived 3 weeks, and twins at 38 weeks who are living
G5 T1 P2 A3 L2
GTPAL:
I am currently 8 weeks pregnant. I have four living children. I delivered a little girl first at 24 weeks, twin boys at 36 weeks, and a boy at 38 weeks
G - 4 T - 1 P - 2 A - 0 L - 4
Measurement of fundal height
symphysis pubis to top of uterine fundal
12 weeks fundal measurement
12 cm
20 weeks fundal height approximation
umbilicus
36 weeks fundal height approximation
up to xyphoid process
40 weeks fundal height compared to 36 weeks
lower, as the fundus drops
LMP date 8/16/1989
EDD 5/23/1990
Presumptive signs of pregnancy
amenorrhea, fatigue, n/v, urinary frequency, breast changes, uterine enlargement, quickening
quickening timeframe
16-20 weeks
16 weeks multigravida
18 weeks primigravida
group of signs that makes the pregnant person suspect a pregnancy
presumptive
group of signs that makes the clinician suspect a pregnancy
probable
group of signs that can only be explained by pregnancy
positive
Hegar’s sign
softening of lower uterus
Chadwick’s sign
bluish color of cervix (from increased blood flow)
Goodell’s sign
softening of the tip of the cervix
Ballottement
rebound of the fetus
Mnemonic: Hegar’s (SOFT)ware was so Good, Chad (Blush)ed.
Hegar (uterus) and Goodell (cervix) soften, Chad bluish cervix
Mnemonic: Some ex-presidents push back on the ballots
Ballotement – fetal rebound
Positive pregnancy test group of signs
probable
positive signs of pregnancy
sonogram 4-8 weeks
doppler heart 10-12 weeks
observed movement 20+ weeks
best time for pregnancy test
first void of the morning
which class of meds can interfere with pregnancy test results
anti-epileptics (could cause false positive or negative depending on the med)
Iron deficiency anemia in pregnancy
Hgb<11, Hct<33%
HR increase at 32 weeks gestation
10-15 beats
