MATERNITY Flashcards
Nagele’s rule
Determine the first day of the last menstrual period (LMP), count backward 3 months, add 7 days, ( correct the year if needed)
120 and 160 beats per minute
A normal fetal heart rate is between
performed at approximately the sixteenth week of pregnancy
Early amniocentisis
used to detect the presence of biochemical or chromosomal abnormalities such as fetal lung maturity and genetic studies
Amniocentisis
before Amniocentesis
Client is asked to void
fetoscope
can be used to auscultate the fetal heart rate at 18 weeks of gestation
non stress test (NST
done to evaluate the response of the fetal heart rate to periods of fetal movement
used to induce uterine contraction
Contraction stress test
excessive and persistent vomiting during pregnancy resulting in dehydration and starvation
Hyperemesis Gravidarum
the pregnant woman should sit up for 30 minutes after eating
To minimize heartburn
22 weeks
The legal point of viability of the fetus
cervical softening due to increased vascularity, congestion and edema, is a probable sign of pregnancy
Goodell’s sign
the bluish discoloration of cervix, is a probable sign of pregnancy
Chadwick’s sign
administered using either blood or urine and function by measuring the level of HCG
Positive pregnancy test
when the uterus becomes globular in shape, softens and flexes easily over the cervix, is a probable sign of pregnancy
Hegar’s sign
Auscultation of fetal heart beat by Doppler or ultrasonic transmitter is done at
10 weeks to 12 weeks gestation
predispose individuals to Candidiasis
Oral contraceptives
Ovulation occurs approximately
14 days after start of menstrual period
There are 7 days between
conception and implantation
An elevated alpha-fetoprotein (AFP) level
is consistent with neural tube defect
The purpose of Leopold’s maneuvers is to determine
presentation and position of the fetus
Patient teaching before an NST includes
the patient should eat, empty bladder and lie in SIMS position
A woman in her third trimester with complaints of frequent leg cramps
should stand with the feet flat on the floor when the cramps occur to obtain relief
During a nonstress test (NST)
a monitor records fetal heart rate when the mother senses fetal movement. This test is used to assess fetal oxygenation and autonomic function
rule out fetal abnormalities
One purpose of ultrasound imaging during pregnancy is to
If a labor’s patient electronic fetal monitor detects increasing late decelerations
reposition the woman and notify the physician
The fertilized ovum stays in the fallopian tube for about
4 days before it implants in the uterine wall
Presumptive signs of pregnancy
are subjective
Presumptive signs of pregnancy
menses more than 10 days late, morning nausea, quickening and skin pigmentation changes such as linea nigra
Probable and positive (certain) signs
objective
Probable and positive (certain) signs
The nurse can test for it or inspect it
hCG in urine, Goodell’s sign, ultrasound and fetal heart tones
Probable and positive (certain) signs
earlier in pregnancy
Compared with amniocentesis, chorionic villous sampling can be done
A diagnostic test of the amniotic fluid to determine if the fetus is likely to develop respiratory distress i
lecithin/sphingomyelin ratio (L/S ratio)
Instructions for trans abdominal ultrasound should include the client should
drink 1 to 2 liters of water and do not urinate before the test (full bladder required
To prepare a woman for a contraction stress test using nipple stimulation, an appropriate instruction would be to
brush the palm across the nipple of one breast for 2 to 3 minutes
If a pregnant woman feels like urinating all the time
she should drink more fluids during the day and less in the evening
pelvic sonogram
A woman in early pregnancy should have a full bladder
taking Folic acid at least two months before you conceive and through early pregnancy helps to prevent having a baby with
spina bifida
Both the mother and the father influence the
sex of their offspring
father
contributes the actual sex chromosome
obstetrical history with 5-3-2-0-4 nomenclature (GPTAL) indicates that a woman has been
pregnant 5 times, delivered 3 full term babies and 2 preterm infants, has had no abortions, and has 4 living children
