QUIZ 4 -Pregnancy

Question 1

whats a gravida

Answer 1

pregnant woman

Question 2

para?

Answer 2

completed pregnancies

Question 3

nulligravida?

Answer 3

never pregnant & isn’t pregnant

Question 4

nullipara

Answer 4

has never completed a pregnancy past 20 weeks

Question 5

parity

Answer 5

of pregnancies 20+ weeks

Question 6

primigravida

Answer 6

preg for first time

Question 7

preterm?

Answer 7

20-26 w

Question 8

GTPAL

Answer 8

Gravity (how many pregnancies)
Term births 
Preterm births
abortion/miscarrige
living children

Question 9

hi levels HCG

Answer 9

ectopic preg, down syndrome, multiples

Question 10

low levels HCG

Answer 10

impending miscarriage

Question 11

most common pregnancies test mistake?

Answer 11

doing it too early

Question 12

false neg preg test?

Answer 12

diuretics or promethazine

Question 13

false pos

Answer 13

anticonvulsants, tranquilizers

Question 14

Presumptive?

Answer 14

Subjective change felt by woman

breasts, moody etc

Question 15

Probable?

Answer 15

objective by examiner

Hegar sign, ballotement, preg test

Question 16

Positive?

Answer 16

sign that can only mean preg

fetal heart beat, movement, visual

Question 17

when will preg start to show?

Answer 17

14w

Question 18

irregular painless contractions?

Answer 18

braxton hicks

Question 19

3 factors that reduce uterine blood flow

Answer 19

low maternal arterial pressure
contractions
supine position

Question 20

softening of cervix?

Answer 20

goodell sign

Question 21

what is ballottement

Answer 21

passive movement of unengaged fetus

Question 22

leukorrhea

Answer 22

white/grey discharge with faint musty odour

Question 23

hr?

Answer 23

increased, just like stroke volume & cardiac output

& blood volume

Question 24

resp rate?

Answer 24

unchanged, but increased tidal volume, no change in vital capacity

Question 25

thoracic cavity?

Answer 25

expands and may never go back to normal

Question 26

glycosuria

Answer 26

sugar in blood v common in preg

Question 27

When is 1st tri

Answer 27

1-13 w, 2nd is 14-26

Question 28

Nageles rule

Answer 28

1st day of last period | Minus 3 months, add 7 days & a year

Question 29

5 Steps of maternal adaptation

Answer 29

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

Question 30

Paternal adaptations

Answer 30

1) Accepting preg 2) identifying with father role 3) rewording personal relationships 4) establish relationship w/ fetus 5) prep for child birth

Question 31

factors that affect sibling response

Answer 31

- attitude of parents - father role - separation from mother - hospital visiting policy - prep

Question 32

Barriers to prenatal care

Answer 32

- not enough providers - unpleasant facilities/ procedurs - distance/ transport issues - fragmented services - inadequate money - conflicting attitudes

Question 33

visiting schedule

Answer 33

once a month for 6 months every 2 weeks until 9 months once a week till birth

Question 34

components of initial visit

Answer 34

- 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

Question 35

how to prevent UTI

Answer 35

- avoid bubble bath - get enough fluid - pee before and after sex - yogurt

Question 36

who is air travel not recommended for

Answer 36

- anemia - sickle cell - thrombophielbitis - placental abnormalaiites

Question 37

immunizations

Answer 37

killed vaccines ok | alivee not

Question 38

what is ptyalism

Answer 38

increased saliva

Question 39

severe signs of possible complications

Answer 39

``` vag bleed alterations in fetal movemtn symptoms of pre-clampsia -rupture of membranes -preterm labour ```

Question 40

recognizing preterm birth (20-27 weeks)

Answer 40

- 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"

Question 41

adolescent preg facts

Answer 41

- 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

Question 42

alderwomen preg facts

Answer 42

- usually v thoughtful - adverse outcomes more common - chromosomal abnormalaities, LBW, preterm, placental abruption, muiltiples - more likely cesarean - increased maternal mortality

Question 43

muiltifetal pregnancies

Answer 43

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