Antepartum Terms Flashcards
never been pregnant =
nulligravida
1st time preg =
primigravida
2 or more preg including current =
multigravida
of pregnancies carried past 20 weeks and delivered =
parity
of time preg =
gravidity
not been able to carry past 20 weeks =
nullipara
1 past 20 weeks and delivered =
primipara
multiple past 20 weeks and delivered =
multipara
born between 20 weeks - 36 weeks and 6 days =
preterm
37 weeks =
term
birth of fetus after 20 weeks and fetus not living =
stillbirth
birth of fetus before 20 weeks and not living =
abortion
viability =
20 week mark
for para- what do twins count as?
twins count as 1 preg and 1 birth
Is GTPAL usually given during report?
No, usually give the Parity
GTPAL stands for?
Gravida Term Preterm Abortion Living
GTPAL- T?
term
‣ After 37 completed weeks
‣ Any term delivery (live or still birth)
GTPAL - P?
preterm
‣ Before 37 completed weeks
‣ Any preterm delivery (live or still birth)
GTPAL- A?
abortion
‣ Before 20 weeks gestation
‣ (miscarriage – spontaneous or induced)
GTPAL- L?
Living
‣ Number of currently living children
re GTPAL : the Term and Preterm includes living or stillbirth?
both!
re GTPAL: Abortion includes induced or spontaneous abortion?
both!
“Mary Smith presents to her nurse midwife for her first prenatal care visit. She is currently 8 weeks pregnant. When asked about her past pregnancies, Ms. Smith states, “I have four living children. I delivered a little first at 24 weeks, twin boys at 36 weeks, and a boy at 38 weeks,” Using the G/P system, how would you document Ms. Smith’s obstetrical history? Using the GTPAL system, how would you document Ms. Smith’s obstetrical history?”
- G4, P3
- G4, T1, P2, A0, L4
unit of measure to measure fundal height?
cm
where are we measuring to get the fundal height?
Symphysis pubis to top of uterine fundus (top of uterus)
What will the fundal height match?
Approximate gestational age
what if the fundal height does not match the approximate gestation age?
further investigate!
‣ excessive amniotic fluid? bleeding disorder with concealed hemorrhage?
EDD?
estimated delivery date
What is Naegele’s rule?
a way to calculate EDD
Steps for using Naegele’s rule to calculate EDD?
- Obtain the first day of the last menstrual period (LMP)
- Add 7 days
- Subtract 3 months (or add 9 months)
- Adjust for the year
of weeks: fundus just above pubic bone
12
of weeks: fundus is at umbilicus
20 weeks
of weeks: fundus usually right up under sternum
36-38
of weeks: fundus drops below 38 week level as presenting part drops down into pelvis
40
calculate the EDD
-LMP date June 8, 2020
EDD March 15, 2021
