MCN Flashcards
- A pregnant woman
- This refers to any pregnancy
regardless of duration.
Gravida
- A woman who has delivered a viable
young (not necessarily living at
birth). - is used with numerals to
designate the number of pregnancies
that have resulted in the birth of a
viable offspring.
Para
A woman who has never pregnant
Nulligravida
A woman who has not delivered a child who reached viability
Nullipara
A woman pregnant for the very first time
Pulligravida
A woman who has delivered one child after the age of viability
Primipara
A woman who has been pregnant more than once
Multigravida
-A woman who has delivered two or
more fetuses past the age of viability.
- It does not matter whether they are
born dead or alive.
Multipara
- A woman who has had six or more
births past the age of viability.
Grand Multipara
Refers to the capability of a fetus to
survive outside the uterus after the
earliest gestational age
(approximately 24 weeks gestation).
Viability
Refers to within the uterus
In utero
Schedule of Prenatal Visits
● Up to 28th week of pregnancy
Every 4 weeks/every one moth
Schedule of Prenatal Visits
● Up to 28th to 36th week of pregnancy
Every 2 week/2 times a month
Schedule of Prenatal Visits
● 36th week until birth
every week/ four times a moth
If LMP is not known.
McDonald’s Rule (Fundal Height
Measurement)
small
changes in FHB from second to second
short-term viability
differences in
FHR that occur over 20 min. period.
long term viability
No accelerations with the fetal
movements
Abnormal: NON-REACTIVE NONSTRESS
TEST
- 2 – 4 FHR accelerations in 10 min
Normal : REACTIVE NONSTRESS TEST
Test used to stimulate fetal movement by the
use of an acoustic stimulator especially if a
spontaneous acceleration has not occurred
within 20 min. During NON STRESS TEST.
vibroacoustic stimulation
A substance produced by the fetal liver that is
present in amniotic fluid and maternal serum.
Alpha-feto protein
Average fluid index
= 12 – 15 cm between 28 –
40 weeks
Response of FHR to fetal movement in which
the FHR and Uterine Contraction Monitors are
attached.
non-stress test
C.1. Biparietal Diameter
● 8.5 cm = 40 weeks of fetal age
↑ MSAFP =
spina bifida
↓ MSAFP =
down syndrome
Indicates blood incompatibility or the
degree of destruction of fetal RBCs
bilirubin level
↑ Apha-fetal protein
indicates NEURAL TUBE
DEFECT
These are the protein components of
the lung enzyme surfactant that the
alveoli begin to form at about 22nd –
24th wks. Pregnancy
L/S (Lecithin/sphingomyelin ratio)
3 separate episodes of fetal limb or
trunk movements within 30 min.
fetal body movements
Fetus extends then flexes extremities
or spine at least once in 30 min.
fetal tone
Pocket of amniotic fluid measuring 1
cm in vertical diameter
amniotic volume
score
fetus is doing well; healthy fetus
8-10
score
suspicious; requires determination of the
need for immediate delivery of the fetus
6
score
fetus in jeopardy
4
Comprehensive system of classifying
pregnancy status
obstetric history
Decreased fetal movement =
placental insufficency
Counting & recording the number of fetal
movements in an hour after meal (mother in
LEFT RECUMBENT position)
sandovsky method
