UNIT 2 PRE-NATAL ASSESSMENT Flashcards
The number of times the women has been pregnant
GRAVIDA
Number of pregnancies that have reached the age of viability
PARA/ PARITY
The number of full term infants born 37 weeks or after
TERM
Number of infants born below 37 weeks (dead or alive)
PRETERM
Did not reach 20 weeks. Terminates before 20 weeks
ABORTION
Number of living children at present
LIVING
Pregnancy with more than one fetus
MULTIPLE
Measuring the distance from the symphysis pubis to the uterine fundus. Measurement incentimeters is eqaul to the week of gestation between 20th to 31st weeks of gestation
MCDONALD’S RULE
It detects the presence of hCG
PREGNANCY TEST
It involves exposing a part of the body to high frequency sound waves to produce oictures of the inside of the body.
PELVIC ULTRASOUND
Blood pressure during pregnancy
<140/90 mmHg
Pulse rate during pregnancy
70-80 bpm (pre-pregnanacy) 80-90 bpm (pregnancy)
Respiratory rate during pregnancy
increased by 1-2 breaths per minute
Temperature during pregnancy
36.60C - 37.60 C
Type of Pelvic Ultrasound: Pt is in supine position. Transducer is applied on the abdomen
Abdominal/ Transabdominal
Type of pelvic ultrasound: provides visualization of the woman’s reproductive organs
Vaginal/ Transvaginal
Method of checking fetal movement: Ask the woman to count the fetal movements for an hour after a meal.
Sandovsky Method
Method of checking fetal movement: Instruct the pt to record the time interval it takes for her to feel 10 fetal movements.
Cardiff Method/ “Count-to-ten”
Most common method of assessing fetal heart rate
DOPPLER
It is a glycoprotein produced by the fetal liver.
Alpha-fetoprotein
Checkin the AFP through amniotic fluid
MATERNAL SERUM ALPHA-FETOPROTEIN (MSAFP)
Inceased 2x AFP
SPINAL CORD DISORDER
Dcreased AFP
Trisonomy 21
Involves retrieval and analysis of chorionic villi (cell).
CHORIONIC VILLI SAMPLING
It involves the withdrawal of amniotic fluid through the abdominal and uterine wall.
AMNIOCENTESIS
Examines blood from fetal vein of the umbilical cord.
PERCUTANEOUS UMBILICAL BLOOD SAMPLING (PUBS)/ CORDOCENTESIS
Fetal visualization
FETOSCOPY
Visual inspection of of amniotic fluid through the cervix and membranes with amnioscope. Detects meconium staining
AMNIOSCOPY
Fetal ECG
Electrocardiography
More detailed than ultrasound and hel in diagnosing complications
MAGNETIC RESONANCE IMAGING (MRI)
Screening test that look for AFP, hCG, and Estirol
TRIPLE SCREENING
Hormone of placenta
HUMAN CHORIONIC GONADOTROPIN
Estrogen produced by both mother and fetus
ESTERIOL
Detects fetal well-being. AKA as APGAR
BIOPHYSICAL PROFILE
5 Components of APGAR
(1) F. REACTIVITY, (2) F. BREATHING MOVEMENTS, (3) F. BODY MOVEMENTS, (4) F. TONE, (5) AMNIOTIC FLUID VOLUME
Assessment of FHR for wether there is a good baseline rate and a degree of variability
RHYTHM STRIP TESTING
It is the variation or differing rhythmicity in the heart rate over time. “Slight irregularity or jitter”
BASELINE VARIABILITY
It measures the response of the fetal heart rate to fetal movement
NONSTRESS TESTING (NST)
FHR is analyzed in conjunction with contractions. Use to measure uteroplacental contractions
CONTRACTION STRESS TESTING
