QUIZ 4 -Pregnancy Flashcards

1
Q

whats a gravida

A

pregnant woman

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

para?

A

completed pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

nulligravida?

A

never pregnant & isn’t pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

nullipara

A

has never completed a pregnancy past 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

parity

A

of pregnancies 20+ weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

primigravida

A

preg for first time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

preterm?

A

20-26 w

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

GTPAL

A
Gravity (how many pregnancies)
Term births 
Preterm births
abortion/miscarrige
living children
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

hi levels HCG

A

ectopic preg, down syndrome, multiples

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

low levels HCG

A

impending miscarriage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

most common pregnancies test mistake?

A

doing it too early

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

false neg preg test?

A

diuretics or promethazine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

false pos

A

anticonvulsants, tranquilizers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Presumptive?

A

Subjective change felt by woman

breasts, moody etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Probable?

A

objective by examiner

Hegar sign, ballotement, preg test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Positive?

A

sign that can only mean preg

fetal heart beat, movement, visual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when will preg start to show?

A

14w

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

irregular painless contractions?

A

braxton hicks

19
Q

3 factors that reduce uterine blood flow

A

low maternal arterial pressure
contractions
supine position

20
Q

softening of cervix?

A

goodell sign

21
Q

what is ballottement

A

passive movement of unengaged fetus

22
Q

leukorrhea

A

white/grey discharge with faint musty odour

23
Q

hr?

A

increased, just like stroke volume & cardiac output

& blood volume

24
Q

resp rate?

A

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

25
Q

thoracic cavity?

A

expands and may never go back to normal

26
Q

glycosuria

A

sugar in blood v common in preg

27
Q

When is 1st tri

A

1-13 w, 2nd is 14-26

28
Q

Nageles rule

A

1st day of last period

Minus 3 months, add 7 days & a year

29
Q

5 Steps of maternal adaptation

A

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

30
Q

Paternal adaptations

A

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

31
Q

factors that affect sibling response

A
  • attitude of parents
  • father role
  • separation from mother
  • hospital visiting policy
  • prep
32
Q

Barriers to prenatal care

A
  • not enough providers
  • unpleasant facilities/ procedurs
  • distance/ transport issues
  • fragmented services
  • inadequate money
  • conflicting attitudes
33
Q

visiting schedule

A

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

34
Q

components of initial visit

A
  • 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
35
Q

how to prevent UTI

A
  • avoid bubble bath
  • get enough fluid
  • pee before and after sex
  • yogurt
36
Q

who is air travel not recommended for

A
  • anemia
  • sickle cell
  • thrombophielbitis
  • placental abnormalaiites
37
Q

immunizations

A

killed vaccines ok

alivee not

38
Q

what is ptyalism

A

increased saliva

39
Q

severe signs of possible complications

A
vag bleed 
alterations in fetal movemtn
symptoms of pre-clampsia
-rupture of membranes
-preterm labour
40
Q

recognizing preterm birth (20-27 weeks)

A
  • 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”
41
Q

adolescent preg facts

A
  • 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
42
Q

alderwomen preg facts

A
  • usually v thoughtful
  • adverse outcomes more common
  • chromosomal abnormalaities, LBW, preterm, placental abruption, muiltiples
  • more likely cesarean
  • increased maternal mortality
43
Q

muiltifetal pregnancies

A

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