General Pregnacy Flashcards
- What is nulligravida?
- What is primigravida?
- What is multigravida?
- Woman who has never been pregnant
- Pregnant for the first time
- Woman who has 2+ pregnancies
- Nullipara means?
- Primipara means?
- Multipara mean?
- Zero pregnancies beyond viability (20 weeks)
- One pregnancy that has reached viability
- 2+ pregnancies that have reached viability.
Preterm is considered how many weeks
20-37 weeks
Full term is considered how many weeks
38-40
Why do they usually induce at 41 weeks?
Because the baby is not benefiting or growing inutero anymore. The internal environment is actually losing its capacity to keep the baby safe.
Postdate means?
Pregnancy that goes beyond 42 weeks
What does the “G” in GTpal mean?
GRAVIDITY: The number of pregnacies
*Includes the current pregnancy
* includes miscarriages/abortions
* twins/triplets count as 1 pregnancy
What does the “T” in GTpal mean?
TERM BIRTHS: the number of babies born at term (over 37 weeks)
- includes live births or stillborns
- twins/triplets count as one
What does the “P” in GTpal mean?
Preterm births: pregnancies delivered between 20 and 36 weeks
- includes live or stillborn
- twins/triplets count as one
What does the “A” in GTpal mean?
Abortion/miscarriages: The number of pregnancies is delivered before 20 weeks
- count towards gravidity
- twins/ triplets count as one
What does the “L” in GTpal mean?
Live (births) children: the current number of living children
- Twins/triplets are counted individually*
What are some presumptive signs of pregnancy?
Subjective and felt by mother
Amenorrhea
Fatigue
Sore and enlarged breasts
Urinary frequency
Quickening (flutters in belly)
Nausea
What are probable signs of pregnancy?
Something the nurse or doctor can see/measure
Positive hcg pregnancy test in office
Palpating (ballottement)
Goodell’s sign: softened cervix
Chadwick’s sign: bluish color of vagina or cervix
Hegar’s sign: lower uterine segment softened
Enlarged uterus
What are positive signs of pregnancy?
Can only be attributed to the fetus.
Fetal movement
Fetal heart tones
Ultrasound detection of baby
Delivery of baby
“Pregnancy line”
Dark line that develops across your belly during pregnancy
Linea Nigra
How many weeks is the first trimester?
1-12 weeks
How many weeks are the second trimester?
13-27 weeks
How many weeks are the 3rd trimester?
28- 40 weeks
Antepartum means?
Before labor
Intrapartum means ?
During labor (4 stages)
Postpartum means?
Birth-6 weeks
What is Nagele’s rule? How do you use it?
First day of LMP - 3 months + 7days + 1 year
Quickening occurs during what trimester. What is it?
Baby kicks felt in second trimester
16ish weeks for 2nd time mom
20ish weeks for first time mom
Oligohydramnios means?
Hydraminos means?
Too little amniotic fluid
Too much amniotic fluid
When does most of the fetal organs develop?
1st trimester. Fetus is very susceptible to negative effects of tetragoens
What is the most common pelvic structure shape in females?
Gynecoid (40% of women)
Circular shaped
What is pelvis shape is common in men and MOST common in non-white women?
Anthropoid
Vaginal birth is okay
Anterior to posterior shaped oval
What TWO types of pelvis structures are not often suitable for vaginal delivery due to their shape?
Android = heart shaped ❤️
Common in men and 20% of women
Platypelloid: flat transverse oval
Least common in both men and women