Week 1: Introduction Flashcards
When does perinatal nursing start and end?
Preconception period throughout the childbearing year
What are the 6 principles of trauma informed care?
Trustworthiness, Collaboration, Safety, Peer support, Empowerment, Cultural, historical, and gender issues
That creep sucks Peen Every Chance He Gets!
Recommendations for preconception period and maintaining health?
150’ exercise, no more than 2 drinks a day or 10/week, take a multivitamin with 0.4mg folic acid
What are the 6 main ideas in health promotion during preconception care?
Nutrition and healthy diet, optimum weight, exercise, avoidance of drugs, risk reducing sexual practice, infertility
Preconception care: Medical Hx
Immune status (rubella, hep B, varicella), Family Hx, Illness, Medication use
Preconception care: Reproductive Hx
Contraceptive and obstetrical
Preconception care: Psychosocial
-Partner and family
-Intimate partner violence
-Readiness for pregnancy
What is the earliest biomarker for pregnancy?
HcG in urine and serum
How long does a pregnancy last?
9 months, 40 weeks, 280 days
Most clients give birth within X days of their estimated due date?
+/- 7 days
During what period of a pregnancy is the ultrasound an accurate way to determine gestational age?
Early.
What is Nagele’s rule?
LMP - 3 months + 7 days + 1 year
Trimester 1
week 1-13
Trimester 2
weeks 14-26
Trimester 3
weeks 27-40
My Birthday
Presumptive signs of pregnancy
breast changes, amenorrhea, N/V, urinary frequency, fatigue, quickening
What is quickening?
A presumptive sign of pregnancy felt in weeks 16-20 which is a fluttering related to fetal movement
Probable signs of pregnancy
Positive pregnancy test, Chadwick’s sign, Goodell’s sign, Hegar’s sign, Ballottement
What is Goodell’s Sign?
5-6wk
Softening of the cervical tip due to an increased vascularity, hyperplasia, and hypertrophy
What is Chadwick Sign?
bluish discoloration of **cervix **that occurs normally in pregnancy at 6 to 8 weeks’ gestation
What is Hegar’s sign?
softening and compressibility of lower uterus
What is Ballottement?
a palpation technique used in detecting or examining a floating object in the body
What are the positive signs of pregnancy?
Visualization of fetus, fetal heart sounds, fetal movements-palpated and visible
When does a fetus start to move and when can you feel them via palpation?
19-22 weeks
A 28 year old man’s tinder range
What is a therapeutic abortion?
Intentional interruption of pregnancy before 20 weeks gestation
First trimester abortion techniques
-Surgical (aspiration),
-methotrexate + Misoprostol
-Mifepristone + misoprostol
Second trimester abortion techniques
-Dilation and excavation
-Medical induction (prostaglandins, hypertonic and uterotonic agents)
What is Gravidity?
Pregnancy
What is Gravida?
Client who is pregnant
What is Primigravida?
Pregnant for the first time
What is Multigravida?
Client who has had 2+ pregnancies
What is Nulligravida?
Client who has never been pregnant
What is Parity?
Number of pregnancies in which fetuses have reached 20wks-regardless of outcome
What is Primipara?
Completed one pregnancy to 20 weeks or more
What is Multipara?
Has completed 2 or more pregnancies to 20 weeks or more
What is Nullipara?
Client who has not completed a pregnancy with fetus/fetuses to 20 weeks or more
What is Pre-term?
A pregnancy beyond 20 weeks gestation but delivered prior to the completion of week 36
What is Term?
Pregnancy from beginning week 37 to end of week 40
What is Early term?
37-38+6
“AAAAND 6,7,8,”
What is Full term?
39-40+6
(905)? No, this is actually (906), fake MA #
What is Late term?
41
What is Post term?
after 42
What is Viability?
Capacity to live outside of the uterus 22-25 weeks
Chorion develops from
Trophoblasts
Amnion develops from
Blastocyst
ABC
How much amniotic fluid will there be in a pregnancy?
700-1000ml
What is Oligohydraminos?
less than 300ml, renal abnormalities
What is Polyhydramnios?
More than 2000ml, GI and other malformations
What are the contents of amniotic fluid?
Albumin, urea, uric acid, creatinine, lecithin, sphingomyelin, bilirubin, fructose, fat, leukocytes, protein, epithelial cells, enzymes, and lanugo hair
What are the proportions of the umbilical cord at term?
2cm thick, 30-90cm long
What is Wharton’s Jelly?
Connective tissue that **prevents the compression of blood vessels **to ensure the nourishment of the embryo and fetus
When is maternal-placental-embryonic circulation established?
day 17
When does an embryo’s heart start beating?
Day 17
When is the structure of the placenta complete?
Week 12
When is placenta as wide as it will be?
Week 20
What are the 4 hormones made by the placenta?
-hCG
-Human chorionic somatomammotropin, human placental lactose
-Progesterone
-Estrogen
When is the initial visit?
In the first trimester
How long into a pregnancy will there be monthly visits?
Until 28 weeks
When are there biweekly visits in a pregnancy?
28-36 weeks
When will there be weekly visits?
36 weeks and beyond
What is the purpose of prenatal care?
To identify existing risk factors and other deviations from normal. We also seek to engage in health promotion, emphasis is placed upon preventative and self-care.
What is a consideration for clients living in poverty and seeking antenatal care?
-Prenatal care is sought after from women of middle-high SES
-Clients in poverty might not have access to private or public care
