Chapter 13 Flashcards
qualitative preg test
yes or no result
quantitative preg test
actual # or HCG present
doubles every 48 hours first 4 weeks of pregnancy
what can happen if HCG abnormally high?
abnormal gestation such as down syndrome, gestational trophoblastic disease)
what can low HCG levels indicate?
impending miscarriage
urine pregnancy tests
based on monoclonal antibody, accuracy depends on how well test is completed.
any neg test should be repeated in 1 week
GTPAL
G- gravida, # of times woman has been pregnant
T- term, pregnancies >37 weeks gestation (multiples count as 1)
P- preterm, 20 0/7-36 6/7 gestation (alive or stillborn)
A- abortion, <19 6/7 weeks (multiples count as 1)
L- Living (count multiples individually)
G,P
G, gravida # of times woman has been pregnant
P, parity, all completed pregnancies >20 weeks gestation (including live births and stillborn, multiples count as 1)
Goodell sign
softening of the cervix
chadwick’s sign
bluish discoloration of cervix/vagina
hegar’s sign
softening of the lower uterine segment/uterine isthmus
softening of the tip of the cervix; occurs about 6 weeks’ gestation
goodell’s sign
fundal height decreases between 38-40 weeks’ gestation as the fetus begins to descend into the pelvis before the onset of labor
lightening
softening and compressibility of the lower uterine segment that occurs at about 6 weeks gestation
Hegar’s sign
where is the fundus at 12 weeks?
just above the pubic bone
where is the fundus at 20 weeks?
belly button
