Prenatal and Leopolds Maneuver Flashcards
Refers to the number of times a woman has been pregnant
Gravida
Is the number the woman has given birth to a fetus with gestational age of more than 24 weeks whether the child was born live or was stillborn
Para/Parity
Has been pregnant for the first time
Primigravida
Has been given birth to one child
Primipara
Has been pregnancy previously
Multigravida
Has carried 2 or more pregnancies to viability
Multipara
Carried 5 or more pregnancies to viability
Grand multipara
Has never been and is not currently pregnant
Nulligravida
Termination of pregnancy before the fetus attained viability
Abortion
Expelled from the uterus during the first half of gestation (20 weeks or
less), or weighing less than 500 gms
Abortus
Infant died in the womb after 20 weeks gestation (earlier regarded as
abortion.
Sometimes called as fetal demise
Stillbirth (IUFD –fetal death)
Death or loss of the baby before or during delivery
Stillborn
Pregnancy with AOG of 37-42 weeks
Term
Born before 38 weeks
Premature
Born before 38 weeks
Premature
Vaginal discharge that occurs at the end of pregnancy or during labor
Bloody show
TPAL (describes the outcomes of pregnancies)
Term
Premature
Abortion
Live
Regular and periodic care of a pregnant woman and her unborn baby throughout pregnancy
ANTENATAL CARE
1st Visit
within 3 months
2nd Visit
6 months
3rd visit
8 months
4th visit
9 months
1st trimester ( 3 lbs)
0.4 kg or 1 lb/ mo
2nd trimester ( 12 lbs)
0.4 kg or 1 lb/week
3rd trimester ( 12 lbs)
0.4 kg or 1 lb/week
Metric system
Weight in Kg / Height in m^2
English System
Weights in lbs x 703 / height in in^2
Underweight
Under 18.5
Normal weight
18.5 - 24.9
OVERWEIGHT
25 - 29.9
Obesity
30 or more
BP decreases slightly during 2nd trimester because of peripheral resistance to circulation, is lowered as the placenta expands rapidly
True
During 3rd trimester, bp rises again. Increase BP and sudden weight gain are danger signs of PIH
True
Heart rate increases by 10 beats/min .
True
Early in pregnancy temperature increases slightly and decreases to normal at about 16 weeks
True
Slight increase in rr ( 2 breathjs/min)
True
✓ Refers to the length of pregnancy measured from the 1st day of the last menstrual period.
✓Sometimes measured in lunar months ( 10 months, 40 weeks or 280 days) or in
TRIMESTER (3 months period)
AOG ( Age of Gestation )
or Gestational Age
1st Trimester
1 to 12 weeks ( 1-3 mos.)
2nd Trimester
13 to 24 weeks ( 4-6mos.)
3rd Trimester
25 to 38 weeks (7-10mos.)
Nagele’s Rule
Ask the woman to state the 1
st day of the LMP (Last Menstrual
Period)
❖ LMP falls from January – March – + 9 + 7
❖ LMP falls from April – December – - 3 + 7 + 1
To determine the AOG based on the location of fundus in the abdominal cavity: landmarks.
Bartholomew’s Rule
❑ 3 mos. (12 wks.)
Just above the symphysis pubis
❑ 4 mos. (16wks.)
Midway between the symphysis pubis and the umbilicus
❑ 5 mos. (20-22wks.)
At the level of the umbilicus
❑ 9 MOS. (36wks.)
Just below the xiphoid process
❑ 10 mos. (40wks.)
Same level in 8-9mos. Or 4cm. Below xiphoid process due to lightening
Uses fundal height to determine the duration of a pregnancy
Mcdonald’s Rule
FH [in cm] x 8/7 = GA in weeks
Problem: What is the estimated gestational age in weeks if the
fundic height is 21 cm
Solution: 21 x 8
7
Estimated AOG = 24 weeks
FH [in cm] x 8/7 = GA in weeks
FH [in cm] x 8/7 = GA in weeks
Problem: What is the estimated gestational age in weeks if the
fundic height is 21 cm
Solution: 21 x 8
7
Estimated AOG = 24 weeks
Describes the location of a fixed
reference point on the presenting part in relation to the four quadrants of the maternal pelvis
Fetal position
the relationship of the long axis of
the fetus to the long axis of the woman
LIE
tightening and shortening of cervix
Resulting in effacement and dilatation of cervix
Uterine contraction
intensity increases
Increament
contraction is at peak
Acme
intensity decreases
Decreament
LENGTH of uterine contraction F from the beginning of uterine contraction to the end of the same
uterine contraction.
Duration
TIme when contractions begin to the beginning of the next uterine contraction
Frequency
time from the end of uterine contraction to the
beginning of uterine contraction( resting period of uterine contraction
Interval