Antepartum Terms

Question 1

never been pregnant =

Answer 1

nulligravida

Question 2

1st time preg =

Answer 2

primigravida

Question 3

2 or more preg including current =

Answer 3

multigravida

Question 4

of pregnancies carried past 20 weeks and delivered =

Answer 4

parity

Question 5

of time preg =

Answer 5

gravidity

Question 6

not been able to carry past 20 weeks =

Answer 6

nullipara

Question 7

1 past 20 weeks and delivered =

Answer 7

primipara

Question 8

multiple past 20 weeks and delivered =

Answer 8

multipara

Question 9

born between 20 weeks - 36 weeks and 6 days =

Answer 9

preterm

Question 10

37 weeks =

Answer 10

term

Question 11

birth of fetus after 20 weeks and fetus not living =

Answer 11

stillbirth

Question 12

birth of fetus before 20 weeks and not living =

Answer 12

abortion

Question 13

viability =

Answer 13

20 week mark

Question 14

for para- what do twins count as?

Answer 14

twins count as 1 preg and 1 birth

Question 15

Is GTPAL usually given during report?

Answer 15

No, usually give the Parity

Question 16

GTPAL stands for?

Answer 16

Gravida 
Term 
Preterm 
Abortion
Living

Question 17

GTPAL- T?

Answer 17

term

‣ After 37 completed weeks
‣ Any term delivery (live or still birth)

Question 18

GTPAL - P?

Answer 18

preterm
‣ Before 37 completed weeks
‣ Any preterm delivery (live or still birth)

Question 19

GTPAL- A?

Answer 19

abortion
‣ Before 20 weeks gestation
‣ (miscarriage – spontaneous or induced)

Question 20

GTPAL- L?

Answer 20

Living

‣ Number of currently living children

Question 21

re GTPAL : the Term and Preterm includes living or stillbirth?

Answer 21

both!

Question 22

re GTPAL: Abortion includes induced or spontaneous abortion?

Answer 22

both!

Question 23

“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?”

Answer 23

• G4, P3

- G4, T1, P2, A0, L4

Question 24

unit of measure to measure fundal height?

Answer 24

cm

Question 25

where are we measuring to get the fundal height?

Answer 25

Symphysis pubis to top of uterine fundus (top of uterus)

Question 26

What will the fundal height match?

Answer 26

Approximate gestational age

Question 27

what if the fundal height does not match the approximate gestation age?

Answer 27

further investigate!

‣ excessive amniotic fluid? bleeding disorder with concealed hemorrhage?

Question 28

EDD?

Answer 28

estimated delivery date

Question 29

What is Naegele’s rule?

Answer 29

a way to calculate EDD

Question 30

Steps for using Naegele’s rule to calculate EDD?

Answer 30

1. Obtain the first day of the last menstrual period (LMP)
2. Add 7 days
3. Subtract 3 months (or add 9 months)
4. Adjust for the year

Question 31

of weeks: fundus just above pubic bone

Answer 31

12

Question 32

of weeks: fundus is at umbilicus

Answer 32

20 weeks

Question 33

of weeks: fundus usually right up under sternum

Answer 33

36-38

Question 34

of weeks: fundus drops below 38 week level as presenting part drops down into pelvis

Answer 34

40

Question 35

calculate the EDD

-LMP date June 8, 2020

Answer 35

EDD March 15, 2021