Normal Antepartum Flashcards
purpose of Nagele’s Rule?
determines due date based off LMP
Nagele’s rule
subtract 3 months, add 1 year, add 7 days
months with 30 days
april, june, september, november
4, 6, 9, 11
ideal fundal measurement
weeks gestation, +- 2 cm
where should the fundal height be at 12 weeks?
symphysis pubis
where should the fundal height be at 20 weeks?
umbilicus
where should the fundal height be at 36 weeks?
xyphoid process
ideal kick count
5-10 an hour
what can a BPP measure
FM, FHT, breathing movement, reactivity, amniotic fluid volume
why might amniocentesis be done?
testing for infection, genetic diseases, fetal growth concerns
risks of amniocentesis
isoimmunization, miscarriage, amniotic fluid leak, infection, bleeding
what weeks are in the 1st trimester
1-13
what weeks are in the 2nd trimester
14-27
what weeks are in the 3rd trimester
28-40
presumptive s/s of pregnancy
breast changes, amenorrhea, n/v, frequency, fatigue, quickening
probable s/s of pregnancy
Goodell’s, Chadwick’s, Hegar’s, positive pregnancy test, Braxton Hicks
positive s/s of pregnancy
visualization on US, FHT detection, FM
Goodell’s sign
softening of the cervix
Chadwick’s sign
vagina turns blue-purple
Hegar’s sign
softening of the lower uterus
endocrine changes during pregnancy
mood fluctuation, increased insulin production and resistance, thyroid imbalances
immune changes during pregnancy
increased WBC, decreased immunity, passive immunity, white thick discharge
respiratory changes during pregnancy
increased O2 needs, dyspnea, epistaxis
CV changes during pregnancy
high HR, low BP, hemodilution anemia
