chapter 11

Question 1

gravida/gravidity

Answer 1

the total number of times someone has been pregnant (doesn’t matter what the outcome was)

Question 2

Nulligravida

Answer 2

a person who has never been pregnant

Question 3

primigravida

Answer 3

a person pregnant for the first time

Question 4

para

Answer 4

the number of times a person has given birth to a fetus of at least 20 gestational weeks (viable or not)–>multiple births is still one birthing event

Question 5

GTPAL

Answer 5

gravida, term births, pre-term births, aborta, living children

Question 6

post-term

Answer 6

baby is considered post-term if born 1 week past due date

Question 7

when is a fetus considered full term?

Answer 7

at 37 weeks

Question 9

ACEs

Answer 9

adverse childhood experiences

Question 10

TIC

Answer 10

trauma informed care

Question 11

IPV

Answer 11

intimate partner violence

Question 12

isthmus

Answer 12

lower portion of uterus
becomes thinner as pregnancy progresses
DOES NOT GO THROUGH HYPERTROPHY

Question 13

inferior vena cava

Answer 13

is pressed against by uterus
supine position makes it worse
lying on side takes the pressure off
orthostatic hypotension
weak, syncope, nausea, light headedness
reduces blood flow, venous return, cardiac output

Question 14

lightening

Answer 14

by 40 weeks the fetal head begins to descend and engage in the pelvis

Question 15

progesterone

Answer 15

mucous plug
when it decreases, contractions occur more frequently and strongly
suppresses prolactin–>when theres a drop after delivering placenta, lactogensis can begin

Question 16

prolactin

Answer 16

released form the anterior pituitary gland–>in response to suckling from a newborn

Question 17

hCG

Answer 17

maintains maternal corpus lutes–>secretes estrogen and progesterone , which occurs before implantation
production peaks at 8 weeks
Basis for pregnancy tests

Question 18

Estrogen

Answer 18

promotes enlargement of the genitals, uterus, and breasts–>increased vascularity which causes vasodilatation
relaxation of pelvic ligaments and joints
hyperpigmentation, vascular changes in skin, increased saliva, hyperaemia of the gums and nasal mucous membranes (nose bleeds and gum bleeding)

Question 19

iron

Answer 19

essential for fetal growth and brain development
prevention of maternal anemia
multivitamin 16-20mg of iron

Question 20

folic acid

Answer 20

prevent neural tube defects in fetus
extra 400mcg multi vitamin to add to normal amount pre pregnancy