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CARE OF MOTHER, CHILD, AND ADOLESCENT > PRENATAL ASSESSMENT > Flashcards

PRENATAL ASSESSMENT Flashcards

1
Q

prenatal visit for the first 28 weeks

A

every 4 weeks

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2
Q

prenatal visit through the 36 weeks

A

every 2 weeks

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3
Q

prenatal visit from 36 weeks until birth

A

every week

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4
Q
  • establish rapport
  • setting: quiet
  • introducing self
  • gain information about a woman’s
    physical & psychosocial health
A

initial interview

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5
Q

components of prenatal assessment

A
  • extensive health hx
  • P.E.
  • lab assessment
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6
Q
  • lmp
  • pregnancy test
  • signs of early preg.
  • discomforts
  • danger signs
A

chief concern

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7
Q
  • age, occupation, educ
  • partner’s age, occupation, educ
  • marital status
  • support persons
  • house size, locations
A

family profile

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8
Q
  • heart, kidney disease
  • uti, htn, dm
  • asthma, infectious diseases
  • immunizations
  • allergies
  • surgical procedures
A

history of past illness

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9
Q
  • cardiovascular
  • renal
  • cognitive
  • blood disorders
  • genetically inherited diseases
  • congenital anomalies
A

history of family illness

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10
Q
  • nutrition
  • elimination
  • sleep/rest, exercise
  • recreation, hobbies
  • interpersonal interactions
  • habits
  • involvement in abusive relationship
  • medication Hx
A

day hx / social profile

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11
Q
  • menarche
  • usual menstrual cycle & discomforts
  • monthly perineal self-examination
  • past reproductive tract surgery
  • Hx of frequent D & C
  • FP methods
  • sexual hx
  • stress incontinence
A

gynecologic hx

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12
Q
  • previous pregnancy
  • previous miscarriages or therapeutic abortions
  • blood transfusion
  • GTPALM
A

obstetric hx

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13
Q

ROS headache, injury, seizures, dizziness, fainting

A

head

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14
Q

ROS vision, glasses, diplopia, infection, glaucoma, cataract, pain, recent changes

A

eyes

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15
Q

ROS infection, discharge, earache, hearing loss, tinnitus, vertigo

A

ears

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16
Q

ROS epistaxis, colds, allergies, postnasal discharge, sinus pain

A

nose

17
Q

ROS dentures, teeth condition, toothache, bleeding gums, hoarseness, dysphagia, tonsillectomy, last dental exam

A

mouth and pharynx

18
Q

ROS stiffness

A

neck

19
Q

ROS lumps, secretion, pain tenderness

A

breasts

20
Q

ROS cough, wheezing, asthma, SOB, pain, TB, pneumonia

A

respiratory system

21
Q

ROS rashes, acne, psoriasis

A

skin

22
Q

components of physical examination

A
  • baseline height, weight, and VS
  • assessment of systems
  • measurement of fundal height and fetal heart sounds
  • pelvic exam and estimating pelvic size
23
Q

✓posture
✓manner of dressing
✓manner of speaking
✓facial expression
✓ presence of bandages & dressings

A

general appearance and mental status

24
Q

estimates AOG by the relative position of the uterus in the abdominal cavity.

A

bartholomew’s rule

25
Q

measuring fundal height

A

mcdonald’s rule

26
Q

determines the length of the fetus in centimeters.

A

haase’s rule

27
Q

haase’s rule

which half of pregnancy - square the number of month (example: 1x1 = 1 cm)

A

first half

28
Q

haase’s rule

which half of pregnancy - multiply the month by 5

A

second half

29
Q

listening for fetal heart sounds start at

A

10-12 weeks

30
Q

an examination of the woman’s genital system

A

pelvic exam

31
Q

performed:

  • During a yearly physical exam
  • When a woman is pregnant
  • When a doctor is checking for an infection (such as chlamydia, vaginosis, trichomoniasis, and others)
  • When a woman is having pain in her pelvic area or low back
A

pelvic exam

32
Q

position for pelvic exam

A

lithotomy

33
Q

true or false: ask the pt to void before the pelvic exam

A

true

34
Q

instrument to use for internal visual exam

A

speculum

35
Q

swiping a small wand to collect a sample of cervical fluids

A

pap smear

36
Q

the measurement of the female pelvis to identify CPD, which is when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal

A

assessment of pelvic adequacy / clinical pelvimetry

37
Q

12.5 cms pelvic size

A

diagonal conjugate

38
Q

10.5-11 cms pelvic size

A

true conjugate or conjugate vera

39
Q

11 cms pelvic size

A

ischial tuberosity diameter

CARE OF MOTHER, CHILD, AND ADOLESCENT (14 decks)

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