QUIZ 4 -Pregnancy Flashcards
whats a gravida
pregnant woman
para?
completed pregnancies
nulligravida?
never pregnant & isn’t pregnant
nullipara
has never completed a pregnancy past 20 weeks
parity
of pregnancies 20+ weeks
primigravida
preg for first time
preterm?
20-26 w
GTPAL
Gravity (how many pregnancies) Term births Preterm births abortion/miscarrige living children
hi levels HCG
ectopic preg, down syndrome, multiples
low levels HCG
impending miscarriage
most common pregnancies test mistake?
doing it too early
false neg preg test?
diuretics or promethazine
false pos
anticonvulsants, tranquilizers
Presumptive?
Subjective change felt by woman
breasts, moody etc
Probable?
objective by examiner
Hegar sign, ballotement, preg test
Positive?
sign that can only mean preg
fetal heart beat, movement, visual
when will preg start to show?
14w
irregular painless contractions?
braxton hicks
3 factors that reduce uterine blood flow
low maternal arterial pressure
contractions
supine position
softening of cervix?
goodell sign
what is ballottement
passive movement of unengaged fetus
leukorrhea
white/grey discharge with faint musty odour
hr?
increased, just like stroke volume & cardiac output
& blood volume
resp rate?
unchanged, but increased tidal volume, no change in vital capacity
thoracic cavity?
expands and may never go back to normal
glycosuria
sugar in blood v common in preg
When is 1st tri
1-13 w, 2nd is 14-26
Nageles rule
1st day of last period
Minus 3 months, add 7 days & a year
5 Steps of maternal adaptation
1) Acceptance pregnancy
2) identifying with mother role
3) reordering personal relationships
4) Establish a relationship with fetus
- Accept biological fact “ im pregnant”
- accept fetus distinct from herself “I’m gonna have a baby”
- preps for birth of child “Im a mother”
5) preparing for baby
Paternal adaptations
1) Accepting preg
2) identifying with father role
3) rewording personal relationships
4) establish relationship w/ fetus
5) prep for child birth
factors that affect sibling response
- attitude of parents
- father role
- separation from mother
- hospital visiting policy
- prep
Barriers to prenatal care
- not enough providers
- unpleasant facilities/ procedurs
- distance/ transport issues
- fragmented services
- inadequate money
- conflicting attitudes
visiting schedule
once a month for 6 months
every 2 weeks until 9 months
once a week till birth
components of initial visit
- interview
- reason for seeking care
- childbearing/reproductive history
- health history
- nutritional history
- history of drug use & herbal prep
- family history
- social, experiential, & occupational health
- history of abuse
- reveiw of symtoms
- physical exam
- lab tests
how to prevent UTI
- avoid bubble bath
- get enough fluid
- pee before and after sex
- yogurt
who is air travel not recommended for
- anemia
- sickle cell
- thrombophielbitis
- placental abnormalaiites
immunizations
killed vaccines ok
alivee not
what is ptyalism
increased saliva
severe signs of possible complications
vag bleed alterations in fetal movemtn symptoms of pre-clampsia -rupture of membranes -preterm labour
recognizing preterm birth (20-27 weeks)
- Higher in: poverty, low ed., lack of support, voilence, smoking, stress
- can feel abdomen contract
- freq. contractions every 10 mins for an hr.
- pelvis pressure not relaxed
- spotting
- “something isn’t right”
adolescent preg facts
- not as much support
- not as ready -emotional, financial etc.
- less likely to get prenatal
- -more likely to smoke
- less likely to gain enough weight
- more likely to have a conditions
- **When they get proper care there is no greater risk
alderwomen preg facts
- usually v thoughtful
- adverse outcomes more common
- chromosomal abnormalaities, LBW, preterm, placental abruption, muiltiples
- more likely cesarean
- increased maternal mortality
muiltifetal pregnancies
increased risk of neg outcomes
- increased maternal blood vol
- anemia
- increased abdominal pressure & placental prevue
- often premature
- mist gain more weight
- will need more support
