PRENATAL CARE Flashcards

1
Q

Periodic and regular supervision including examination and advice of a woman during pregnancy.

A

Antenatal Care

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2
Q

It is a planned examination and observation for the woman from conception till the birth.

A

Prenatal Care / Prenatal Visit

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3
Q

Refers to the care that is given to an expected mother from time of conception is confirmed until the beginning of labor.

A

Antenatal Care

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4
Q

Pregnant woman. The number of pregnancies a woman has had regardless of the outcome of pregnancy.

A

Gravida

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5
Q

A woman pregnant for the first time.

A

Primigravida

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6
Q

A woman who has never been pregnant.

A

Nulligravida

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7
Q

A woman who has had 2 or more Pregnancies.

A

Multigravida

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8
Q

The number of pregnancies that has reached viability (20 weeks or more) or the number of fetus delivered with birth weight of 500 gms or more.

A

Para

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9
Q

A woman who has completed 1 pregnancy to viability.

A

Primipara

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10
Q

A woman who has never delivered a fetus that reached the age of viability: such woman may or may not have been pregnant before.

A

Nullipara

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11
Q

A woman who has completed 2 or more pregnancies to the age of viability.

A

Multipara

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12
Q

A recorded when an infant born shows signs of life: breathing. spontaneous movements of voluntary muscles, & heartbeat.

A

Livebirth

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13
Q

an infant born without signs of life.

A

Stillbirth

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14
Q

Death of a newborn within 7 days after birth.

A

Early Neonatal Death

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15
Q

an infant who died between 7 to 29 days after birth.

A

Late Neonatal Death

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16
Q

If the newborn’s weight is less than 2,500 grams.

A

Low birth weight

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17
Q

An infant with a birth weight of more than 4,000 grams.

A

Large for Gestational Age (LGA)

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18
Q

To ensure a normal pregnancy with delivery of a healthy baby from a healthy mother.

A

Objective

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19
Q

An infant born between 38 to 42 weeks gestation.

A

Term infant

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20
Q

an infant born 42 weeks gestation.

A

Post term infant

21
Q

an infant born before 38 weeks gestation.

22
Q

a woman in labor.

A

Parturient

23
Q

a woman who has just delivered; period within the 6 weeks after delivery.

24
Q

AIMS/GOALS OF PRENATAL CARE

A

+ To screen the high risk cases

+ To prevent or detect or treat at the earliest any complications

+ To ensure continued risk assessment and to provide ongoing primary preventive health care

+ To educate the mother about the physiology of pregnancy and labor by demonstration, charts and diagrams so that fear is removed, and psychology is improved.

+ To discuss the couple about the place, time and mode of delivery, provisionally and care of the newborn

+ To motivate the couple about the need of family planning and appropriate advice to couple seeking medical termination of pregnancy

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IDEALLY 13 VISITS
✓ 7 in 1st 7months ✓ 2 in 8th month ✓ 4 in 9th month
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ASSESSMENT AND PHYSICAL EXAMINATION MUST BE COMPLETED INCLUDING:
➤ History ➤ Physical Examination ➤ Laboratory Data ➤ Psychological Assessment ➤ Nutritional Assessment
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DEMOGRAPHIC DATA:
1. Name 2. Age- Under 17 or 35 3. Address 4. Civil status/marital status 5. Nationality 6. Weight 7. Height 8. Religion 9. Occupation 10. Phone number
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hyperemesis gravidarum & threatened abortion
1st Trimester
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pyelitis
2nd Trimester
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Anemia, pre-eclampsia, antepartum hemorrhage
3rd Trimester
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compete menstrual history
■ Last menstrual period (LMP). ■ Age of menarche. ■ Regularity and frequency of menstrual cycle. ■ Contraception method. ■Any previous treatment of menstrual ■ Expected date of delivery (EDD) is calculated.
32
PHYSICAL ASSESSMENT HISTORY OF PAST PREGNANCIES:
1. Number of past pregnancies 2. Outcome 3. Complications of pregnancy 4. Labor time 5. Method of delivery 6. Complications of labor 7. Puerperium 8. Complications of puerperium
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PHYSICAL ASSESSMENT
A. HISTORY OF PAST PREGNANCIES. B. BASELINE HEIGHT/WEIGHT AND VITAL SIGN MEASUREMENT. C. ASSESSMENT OF BODY SYSTEMS.
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To determine blood type
Blood Group (blood type & Rh factor)
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To detect anemia
CBC (Hgb & Hct)
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To determine immunity
Rubella
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To detect infection or renal disease, protein, glucose and ketones
Urine Analysis
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To screen for cervical cancer
Papanicolau (Pap) Test
39
To detect ova and parasites
Stool analysis
40
To detect for syphillis
VDRL (Venereal Disease Test)
41
To detect carrier status or active status
Hepatitis B
42
+ Blood typing (including Rh factor). + Blood type is documented because blood may have to be made available if a woman has bleeding during pregnancy and to detect the possibility of ABO and Rh isoimmunization.
RH
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A complete blood count, including hemoglobin or hematocrit and red cell index to determine the presence of anemia, a white blood cell count to determine infection, and a platelet count to estimate clotting ability.
CBC
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Serum antibody titers for rubella, hepatitis B (HBsAg), hepatitis C, varicella (chickenpox) may assessed. These tests determine whether a woman is protected against these diseases if exposure should occur be during pregnancy. Vaccines against these diseases can then be offered in the postpartum period.
RUBELLA
45
If a woman has a history of previously unexplained fetal loss, has a family history of diabetes, has had babies who were large for gestational age (9 lb or more at term), has a BMI over 30, or has glycosuria, she will need to be scheduled for a 50g oral 1-hour glucose loading or tolerance test (sometimes called a glucose challenge test) toward the end of the first trimester (12 weeks) to rule out gestational diabetes
GLUCOSE
46
Both levels will be elevated if a neural tube or abdominal defect is present in the fetus they may be decreased if a chromosomal anomaly is present.
Maternal serum a-fetoprotein (MSAFP) and pregnancy-associated plasma protein A
47
If syphilis is present, it must be treated early in pregnancy before fetal damage
SYPHILIS (VENEREAL DISEASE RESEARCH LABORATORY [VDRL] OR RAPID PLASMA REAGIN TEST).
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proteinuria (protein in urine) glycosuria (glucose in urine) nitrites (bacteria in urine) pyuria (white blood cells in urine suggesting an infection). ➤ All four of these can be assessed by point of care tests, or the urine can be sent for microscopic examination in a laboratory.
URINALYSIS
49
+ Also known as a sonogram + Is an imaging test that uses sound waves to create a picture of organs, tissues, and other structures inside the body. + Unlike x-rays, ultrasounds don't use any radiation.
ULTRASOUND