Chapter 13: Adaptations to Pregnancy (Part 2) Flashcards
How do you calculate estimated due date (EDD) (also known as estimated date of confinement or EDC)?
Use Nägele’s Rule:
1. Take the LNMP date
2. Subtract 3 months
3. Add 7 days
4. Change year (if needed)
Purpose of lab test: urinalysis
Detect renal disease/infection
Term for woman who has delivered one pregnancy at 20 or more weeks of gestation
primipara
Term for births between 20-38 weeks gestation
preterm births
Purpose of lab test: rubella titer
Determine immunity against rubella
Purpose of lab test: genetic testing
If increased risk for genetic conditions
Purpose of lab test: multiple marker screen
Screen for fetal anomalies
Why is the antepartum assessment important? (3 reasons)
- Identifies potential problems
- Health education, counseling, social support
- Inadequate care associated with low birth weight and higher incidence of prematurity
Term for the number of pregnancies that have ended at 20 or more weeks, regardless of whether the infant was born alive or stillborn
para
Purpose of lab test: cervical culture
Detect group B strep and STDs
Term for woman who has never completed a pregnancy beyond 20 weeks of gestation
nullipara
Purpose of lab test: Hepatitis B
Detect presence of antibodies in maternal blood
GTPAL stands for
gravida, term, preterm, abortion, living
Purpose of lab test: VDRL or RPR
Screen for syphilis
Purpose of lab test: glucose challenge test
Screen for gestational diabetes
Term for pregnancies delivered between 38-42 weeks of gestation
term births
What is the importance of folic acid in pre-conception and pregnancy?
It prevents neural tube defects (promotes closure of neural tube)
Purpose of lab test: Tuberculin skin test
Screen for TB
Purpose of lab test: blood grouping with Rh factor and antibody screen
Determine blood type, screen for possible blood incompatibility
Term for woman who is or has been pregnant regardless of duration of pregnancy
gravida
Term for woman who is pregnant for the first time
primigravida
Term for woman who has been pregnant more than once
multigravida
Purpose of lab test: HIV screen
Detect HIV antibodies
Typical ongoing assessment (without problems) occurs every 4 weeks until _________, every 2 weeks until __________, and every 1 week until ___________
28 weeks, 36 weeks, delivery
Purpose of lab test: CBC with Hgb/Hct
Identify infection, anemia, cell abnormalities
Term for a woman who has delivered two or more pregnancies at 20 or more weeks of gestation
multipara
Purpose of lab test: Pap test
Screen for cervical neoplasia
