Antepartum Terms Flashcards

1
Q

Number of times a client has been pregnant

A

gravida/gravidity

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2
Q

nulligravida

A

never pregnant

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3
Q

primigravida

A

first pregnancy

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4
Q

multigravida

A

multiple pregnancy

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5
Q

number of pregnancy past 20 weeks (point of viability)

A

para/parity

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6
Q

nulli-

A

never

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7
Q

primi-

A

once

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8
Q

multi-

A

more than one

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9
Q

never carried a pregnancy past the point of viability

A

nullipara

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10
Q

term pregnancy

A

37-42 weeks

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11
Q

abortion

A

before 20 weeks gestation (spontaneous or induced miscarriage)

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12
Q

pre-term

A

20 weeks - 36 weeks 6 days

live or still birth

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13
Q

post-term pregnancy

A

42 weeks or higher

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14
Q

GTPAL
Client has had 3 pregnancies, 1 miscarriage at 15 weeks, an infant at 35 weeks (alive), and a current pregnancy at 17 weeks

A
G3
T0
P1
A1
L1
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15
Q

Gravida/para

Client is on their first pregnancy at 25 weeks

A

primigravida nullipara

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16
Q

Gravida/para

Client just gave birth to twins (her only pregnancy)

A

primigravida/primipara

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17
Q

GTPAL Client just gave birth to twins at 38 weeks (her first pregnancy, they’re alive)

A
G1
T1
P0
A0
L2
18
Q

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

A
G5
T1
P2
A3
L2
19
Q

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

A
G - 4
T - 1
P - 2
A - 0
L - 4
20
Q

Measurement of fundal height

A

symphysis pubis to top of uterine fundal

21
Q

12 weeks fundal measurement

A

12 cm

22
Q

20 weeks fundal height approximation

A

umbilicus

23
Q

36 weeks fundal height approximation

A

up to xyphoid process

24
Q

40 weeks fundal height compared to 36 weeks

A

lower, as the fundus drops

25
Q

LMP date 8/16/1989

A

EDD 5/23/1990

26
Q

Presumptive signs of pregnancy

A

amenorrhea, fatigue, n/v, urinary frequency, breast changes, uterine enlargement, quickening

27
Q

quickening timeframe

A

16-20 weeks
16 weeks multigravida
18 weeks primigravida

28
Q

group of signs that makes the pregnant person suspect a pregnancy

A

presumptive

29
Q

group of signs that makes the clinician suspect a pregnancy

A

probable

30
Q

group of signs that can only be explained by pregnancy

A

positive

31
Q

Hegar’s sign

A

softening of lower uterus

32
Q

Chadwick’s sign

A

bluish color of cervix (from increased blood flow)

33
Q

Goodell’s sign

A

softening of the tip of the cervix

34
Q

Ballottement

A

rebound of the fetus

35
Q

Mnemonic: Hegar’s (SOFT)ware was so Good, Chad (Blush)ed.

A

Hegar (uterus) and Goodell (cervix) soften, Chad bluish cervix

36
Q

Mnemonic: Some ex-presidents push back on the ballots

A

Ballotement – fetal rebound

37
Q

Positive pregnancy test group of signs

A

probable

38
Q

positive signs of pregnancy

A

sonogram 4-8 weeks
doppler heart 10-12 weeks
observed movement 20+ weeks

39
Q

best time for pregnancy test

A

first void of the morning

40
Q

which class of meds can interfere with pregnancy test results

A

anti-epileptics (could cause false positive or negative depending on the med)

41
Q

Iron deficiency anemia in pregnancy

A

Hgb<11, Hct<33%

42
Q

HR increase at 32 weeks gestation

A

10-15 beats