Chapter 13: Adaptations to Pregnancy (Part 2)

Question 1

How do you calculate estimated due date (EDD) (also known as estimated date of confinement or EDC)?

Answer 1

Use Nägele’s Rule:
1. Take the LNMP date
2. Subtract 3 months
3. Add 7 days
4. Change year (if needed)

Question 2

Purpose of lab test: urinalysis

Answer 2

Detect renal disease/infection

Question 3

Term for woman who has delivered one pregnancy at 20 or more weeks of gestation

Answer 3

primipara

Question 4

Term for births between 20-38 weeks gestation

Answer 4

preterm births

Question 5

Purpose of lab test: rubella titer

Answer 5

Determine immunity against rubella

Question 6

Purpose of lab test: genetic testing

Answer 6

If increased risk for genetic conditions

Question 7

Purpose of lab test: multiple marker screen

Answer 7

Screen for fetal anomalies

Question 8

Why is the antepartum assessment important? (3 reasons)

Answer 8

1. Identifies potential problems
2. Health education, counseling, social support
3. Inadequate care associated with low birth weight and higher incidence of prematurity

Question 9

Term for the number of pregnancies that have ended at 20 or more weeks, regardless of whether the infant was born alive or stillborn

Answer 9

para

Question 10

Purpose of lab test: cervical culture

Answer 10

Detect group B strep and STDs

Question 11

Term for woman who has never completed a pregnancy beyond 20 weeks of gestation

Answer 11

nullipara

Question 12

Purpose of lab test: Hepatitis B

Answer 12

Detect presence of antibodies in maternal blood

Question 13

GTPAL stands for

Answer 13

gravida, term, preterm, abortion, living

Question 14

Purpose of lab test: VDRL or RPR

Answer 14

Screen for syphilis

Question 15

Purpose of lab test: glucose challenge test

Answer 15

Screen for gestational diabetes

Question 16

Term for pregnancies delivered between 38-42 weeks of gestation

Answer 16

term births

Question 17

What is the importance of folic acid in pre-conception and pregnancy?

Answer 17

It prevents neural tube defects (promotes closure of neural tube)

Question 18

Purpose of lab test: Tuberculin skin test

Answer 18

Screen for TB

Question 19

Purpose of lab test: blood grouping with Rh factor and antibody screen

Answer 19

Determine blood type, screen for possible blood incompatibility

Question 20

Term for woman who is or has been pregnant regardless of duration of pregnancy

Answer 20

gravida

Question 21

Term for woman who is pregnant for the first time

Answer 21

primigravida

Question 22

Term for woman who has been pregnant more than once

Answer 22

multigravida

Question 23

Purpose of lab test: HIV screen

Answer 23

Detect HIV antibodies

Question 24

Typical ongoing assessment (without problems) occurs every 4 weeks until _________, every 2 weeks until __________, and every 1 week until ___________

Answer 24

28 weeks, 36 weeks, delivery

Question 25

Purpose of lab test: CBC with Hgb/Hct

Answer 25

Identify infection, anemia, cell abnormalities

Question 26

Term for a woman who has delivered two or more pregnancies at 20 or more weeks of gestation

Answer 26

multipara

Question 27

Purpose of lab test: Pap test

Answer 27

Screen for cervical neoplasia