Exam 1 Flashcards
What weeks are in the second trimester
13-27 weeks
What are signs of possible gestational diabetes
sudden weight gain, facial swelling, vision changes, severe headache, decreased urine output, RUQ pain, BP 140/90
What is measure during a nonstress test
two accelerations in 20 minutes
Chorionic villi sampling: which trimester, invasive or noninvasive, and diagnostic or screening
1st trim
invasive
diagnostic
When is a baby considered macrosomic
If they weigh 4.5kg or more due to gestational diabetes
Term for amniotic fluid above 20cm
hydramnios
Term for amniotic fluid below 5cm
oligohydramnios
What weeks are in the third trimester
28-40
Patients using contraceptives should report what signs for possible myocardial or thromboembolic complications?
abdominal pain
chest pain
headache
eye problems
severe leg pain
Assessing newborn pulse
should be 120-160 per min
listen at apical pulse for a full minute
femoral pulse for 1 min
Naegele’s Rule
First day of last period, minus 3 months, add 7 days= estimated due date
What should the biophysical profile number be between
8-10
What is the psychological task in 3rd trimester
preparing for parenthood
nesting
Average newborn body temperature
99 F
Presumptive pregnancy symptoms
subjective/self reporting
1. N/V
2. fatigued, breast/uterine changes
3. amenorrhea
What are the TORCH teratogenic maternal infections
toxoplasmosis
other (chlamydia, syphilis, HPV)
rubella
cytomegalovirus
HSV
At 28-40 weeks pregnant what is the average of amniotic fluid
12-15 cm
Best way to sleep pregnant
Left sided sims
How much weight should a newborn expect to lost in the first few days
5-10% of birth weight
What weeks are in the first trimester
1-12 weeks
Main side effects of oral contraceptives
nausea, headache, breast pain, weight gain/loss
Amniocentesis: which trimester, invasive or noninvasive, and diagnostic or screening
2nd trim
invasive
diagnostic
Fetal heights during pregnancy
12 weeks- above symphysis pubis
20 weeks- umbilicus
36 weeks- xiphoid process
Fetal anatomy scan: which trimester, invasive or noninvasive, and diagnostic or screening
2nd trim
noninvasive
screening
GTPAL pregnancy abbreviation
Gravida- # of pregnancies (includes everything TPAL)
Term Births- full term births 37 wks+
Preterm- births between 20-37 wks
Abortion- miscarriage/abortion before 20wks
L- # of living children
Probably Pregnancy Signs
hCG positive serum test
Chadwick, Goodell, Hegar signs
fetal outline is felt
Maternal quadruple marker screening: which trimester, invasive or noninvasive, and diagnostic or screening
2nd trim
noninvasive
screening
What are the assessments for subfertility investigation
semen analysis
ovulation monitoring
tubal patency
What is the average weight gain during pregnancy
25-35 lbs
What are signs of labor
uterine contractions that increase
expelling of mucus plug
membrane rupture
What injections are newborns given at birth
Vitamin K
Hepatitis B
When does ovulation occur
14 days before their cycle ends
Assessing newborn respiratory rate
30-60 per min
irregular rhythm
periods of apnea
belly breathers
coughing/sneezing to clear airways
What is the psychological task in 1st trimester
accept reality of pregnancy
pleased, anxious, ambivalence
Newborn urine and stool
meconium passed within 24 hrs
pink frothy urine due to uric acid
What are signs of undetected bleeding during pregnancy
sudden increase in pulse and respiration
What are some signs indication a possible pregnancy complication
persistent vomiting
sudden escape of clear fluid
contractions before 37 weeks
chills, fever, painful urination (UTI)
How many arteries/veins should a fetal umbilical cord have
2 arteries
1 vein
Newborn measurements
Weight: avg 50% percentile
Length: 45-55 cm
Head circum: 33-55 cm
Chest circum: 33-33 cm
What are danger signs of gestational hypertension
sudden increase in BP
sudden weight gain
Nuchal translucency: which trimester, invasive or noninvasive, and diagnostic or screening
1st trim
noninvasive
screening
Major causes of illness or death during pregnancy
hypertension
hemorrhage
embolism
infection
morbid obesity
cardiac arrest
What are the 5 parameters of the biophysical profile that are measured
fetal heart rate
fetal muscle tone
fetal body movements
fetal breathing movements
amniotic fluid volume
What is the psychological task in 2nd trimester
accept they are having a baby
adheres to prenatal instructions
Positive pregnancy signs
ultrasound
fetal heartbeat
fetal movement felt by RN
What is Erickson’s theory
Theory of psychosocial development
Ex. trust vs mistrust
autonomy vs shame and doubt
initiative vs guilt
What is Piaget’s theory
Theory of cognitive development
Ex. sensorimotor, preoperational, concrete opperational, formal operational
What is Kohlberg’s theory
Stages of moral development
preconventional- moral based on reward and punishmens
conventional- moral based on external reasoning
post conventional- moral based on personal ethics
