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Module 6 > Antepartum Terms To Remember > Flashcards

Antepartum Terms To Remember Flashcards

1
Q

Gravida

A

Number of pregnancies
Regardless of duration including a pregnancy in progress

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2
Q

Nuligravida

A

Never been pregnant

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3
Q

Primigravida

A

Pregnant only once

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4
Q

Multigravida

A

Pregnant more than once

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5
Q

Para

A

of pregnancies that have reached 20 wks or more

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6
Q

How many paras are multiple birth

A

It counts as 1 para

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7
Q

Age of viability

A

20 weeks fetal lungs mature enough for fetal survival outside the uterus

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8
Q

AB

A

Any pregnancy loss occurring less than 20 weeks is counted as an abortion

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9
Q

GTPAL..M

A

Gravida
Term
Prefer,
Abortions
Living

Multiple

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10
Q

Term

A

of pregnancies delivered between 38-40 weeks

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11
Q

Preterm

A

of pregnancies delivered 37 wks or less

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12
Q

Living

A

children surviving birth ( twin multiples count individually here)

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13
Q

M multiples in gtpalm

A

of multiple gestational pregnancies

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14
Q

First visit pregnancy pulse rate

A

Avg 60-90 BPM ( it increases 10-20 beats around 32 wks)

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15
Q

1st visit pregnancy vitals resp rate

A

16-24 breaths per minute

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16
Q

Blood presssure in the first visit preggo vitals

A

Increases 1st trimester due to peripheral vascular resistance

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17
Q

Systolic BP in first trimester

A

Slight to no increase no more than 30 mmhg

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18
Q

Diastolic in the first trimester

A

Slight decrease 24-32 wks 10 -20 mmhg

Avg rand 90-140 / 60-90

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19
Q

EDC

A

Estimated date of confinement

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20
Q

EDD

A

Estimated due date

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21
Q

EDB

A

Estimated date of birth

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22
Q

LMP

A

Last menstrual period

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23
Q

Formula for nageles rule

A

LMP- 3 mo
Add 7 days
= EDD

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24
Q

FHR for babies non stress test interpretation for over 32 wks -reactive

A

FHR increases 15 beats above baseline for 15 seconds 2-3 x in 20 min

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25
Q

FHR for babe that is less than 32 wks on non stress interpretation ( reactive)

A

FHR increase 10 beats above baseline for 10 seconds 2-3 x

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26
Q

Non reactive stress test interpretation

A

Fewer than two acceleration during 40 min period

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27
Q

Which NST interpretations are associated with increase Caesarian delivery and still birth

A

Decelertions tht persist for 1 min or longer

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28
Q

Biophysical profile BPP score 8/10

A

Reassuring score all good n well

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29
Q

6/10 BPP score

A

Equiviqual and may indicate the need for delivery depending on gestational age

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30
Q

4/10 BPP score

A

Delivery is recommended due to a strong correlation w chronic asphyxia

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31
Q

Score of 2/10 or less BPP

A

Prompt immediate delivery

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32
Q

BPP

A

Biophysical profile
Combines electronic fetal monitoring with ultrasound assessment of fetal biophysical characteristics

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33
Q

Contraction stress test

A

Tool to assesss fetal well being and uteri placental function by monitoring fetal heart rate in response to contraction

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34
Q

Non stress test

A

An nst evaluates the ability of the fetal heart to accelerate either spontaneously or in association with fetal movement

35
Q

Ambivalence

A

Mom hs conflicting thoughts about pregnancy
Starts in the first trimester
1st and 2nd pregnancy worries

36
Q

When does ambivalence start to wane off?

A

In the second trimester

37
Q

Maternal risk of pregnancy in the 1st trimester

A

Role play, feed other infants , practice

38
Q

2nd trimester maternal task of pregnancy

A

Fantasy- day dream about infant and behaviors

39
Q

Maternal task of pregnancy of the third trimester

A

Nesting
Role fit set
I want to be a good mom

40
Q

Three phases to paternal response

A

Announcement
Moratorium
Focusing

41
Q

Announcement phase

A

Accepts biological facts of pregnancy
Joy or dismayed of confirmation of pregnancy
Ambivalance
Couvade syndrome (feel preggo symptoms)

42
Q

Moratorium phase

A

Period of adjustment to the reality of the pregnancy
Accepts
Introspective (engages in convo about parenting))
Can be short or last into the 3rd trimester , just depends when dad is ready

43
Q

Focusing phase

A

Active involvement in pregnancy
Negotiates role in labor delivery and parenthood
Sees himself as father

44
Q

IUDR

A

Intrauterine growth restriction

45
Q

Human chorionic gonadotropin ( Hcg)

A

Hormone detected in pregnancy test
Produced by placenta after implantation
Essential in early pregnancy

46
Q

Progesterone

A

Maintains uterine lining , relaxes smooth muscles. , helps uterus grow as baby grows in pregnancy

47
Q

Estrogen

A

Stimulates uterine growth and increases blood supply and helps fetal organs develop

48
Q

Which two hormones play a big factor in body changes

A

Progesterone and estrogen

49
Q

Prolactin

A

PREPERATION for lactation contributes to enlargement of mammary glands preps for milk production

Helps in getting ready for breast feeding

50
Q

Relaxin

A

Inhibits the uterine activity prevention premature birth but it also softens and lengthens cervix and relaxes joints to get body ready for delivery

51
Q

Oxytocin hormone

A

Causes uterine muscle contraction and triggers prostaglandins to increase contraction
If labor does not start naturally can be induce … also stimulates milk

52
Q

Hegar’s sign

A

Softening of isthmus cervix

( before the pregnancy it will feel like the tip of the nose and after it will feel like ear lobe)
Maternal change @ 8wks

53
Q

Goodell sign

A

Maternal change at 8 wks
Softening of cervix

54
Q

Chadwick sign

A

Maternal change at 8 wks
Bluish purple color of vag

55
Q

What two hormones can contribute to nausea and vomiting in the first 12 weeks

A

Estrogen and hcg levels

56
Q

At 12 wks where does thhe uterus rise to

A

Above the pelvic brim

57
Q

Where is the fundus at at 16 wks

A

Between symphysis and umbilicus

58
Q

When does quickening start

A

For multigravida at 14-16 wks

59
Q

Where is the fundus sitting at at 20 wks

A

At the umbilicus

60
Q

Fundus at 24 wks

A

Rises above the umbilicus

61
Q

Fundas at28 wks

A

Between umbilicus and xiphoid process

62
Q

Fundus at 32 week s

A

Reaches the xiphoid process

63
Q

Fundus at 36- 40 weeks

A

Below xiphoid process

64
Q

Balloment

A

Uterus is palpable like a ball bounces back

65
Q

Late positive sign of pregnancy

A

Fetal movement observed and palpated @28 wks with Leopoldo’s maneuver

66
Q

An increase in estrogen and progesterone can cause what that is a presumptive sign of pregnancy

A

Melasma

67
Q

Linea nigra

A

Dark vertical line on belly
Presumptive

68
Q

Stria gravidarum

A

Stretch marks
Presumptive

69
Q

Hair and nails growing

A

Presumptive

70
Q

At 32 wks we should have a certain amount of what to determine complications

A

Hcg

71
Q

What’s meds contribute to a false positive or negative pregnancy test

A

Anticonvulsant, diuretic , tranquilizers,

72
Q

Preclampsia albumin test

A

More than 1 trace

73
Q

Gestational diabetes glucose

A

1+ is normal but anything greater or equal to 2+ indicates gestationalvdiabetes

74
Q

Preclampsia protein trace

A

<1+ mild preclampsia
2+ to 3+ severe preclampsia

75
Q

<1+ mild preclampsia

A

High Bp associated with just a headache

76
Q

2+ to 3+ severe preclampsia

A

High Bp, swelling, blurry vision or spots

77
Q

UTI

A

Increase risk for preterm labor
Fever chills Dysuria
Frequency
Urgency

78
Q

Prom/srom/preterm labor

A

Ruptured membrane
Fluid or bleeding from the vag
Abdominal pain cramping Or backache

79
Q

Placenta previa abruption

A

Vag bleeding

80
Q

Transvaginal ultra sound

A

Useful in obese pt
Does not require full bladder

81
Q

Transabdomina ultra sound for first 20 weeks

A

Requires full bladder to help support uterus for imaging
Allow pt to empty bladder when complete
Pillows under neck and knees for uterus placement

82
Q

Lecithin-to-spvinomyelin
Lamellar bodies

A

First 1 ratio is 2:1 or greater and both of these are lipids that determine fetal lung maturity

83
Q

3rd trimester trans abdominal ultrasound

A

Pt is supine w hip wedge

84
Q

3rd trimester trans abdominal ultrasound

A

Pt is supine w hip wedge

Module 6 (21 decks)

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