Week 2- flashcards
how are the trimesters split up
first 1-12 weeks
second 13-28
this 29-40
T/F you can get the rubella vaccine when pregnant
no it is a live vaccine
what is the longest prenatal visit
the first one
what happens during the first prenatal visit
relationship established, focus on education for overall wellness, detection/prevention fo possible problems, CHH, physical, lab tests, head to toe, pelvic examination.
what does GTPAL stand for
gravidity, term, preterm, abortions, living
what is gravida and para
gravida represents the number of pregnancies including the current one and para represents a how many viable offspring (20 weeks or more)
what is technically to term
over 37 weeks
preterm is
greater than 20 but less than 37
how often do you visit the doctor when pregnant
every 4 weeks up to 28 weeks, every 2 weeks from 29-36, and every week from 37 to birth, after 40 weeks twice a week
what is done a the follow up visits
interview, VS, urine dip, weight, assess uterus
if mom is GBS positive then she will
get antibiotics during labor, penicillin every 4 hours until delivery. keep the baby an extra 24 hours if the delivery was too fast to deliver antibiotics.
what ares some first trimester discomforts
urinary frequency, fatigue, N/V, breast tenderness, constipation, nasal stuffiness, bleeding gums, nose bleeds, cravings, leukorrhea
second trimester discomforts
backache, varicosities of the vulva and legs, hemorrhoids, flatulence
third trimester discomforts
SOB, heartburn/indigestion, dependent edema, Braxton hicks contractions.
what factors influence the onset of labor
uterine stretch, progesterone withdrawal, increased oxytocin sensitivity, increased release of prostoglandins
what are some premonitory signs of labor
Cervical changes (cervical softening, possible cervical dilation)
Lightening
Increased energy level (nesting)
Bloody show
Braxton Hicks contractions
Spontaneous rupture of membranes
what are signs of true labor
contractions are regular, get closer to gather, contraction strength becomes stronger with time, construction discomfort starts in the back and and radiates around the front, contractions continue no matter what the activity level is, stay home until contractions are 5 minutes apart last 45-60 seconds and are strong enough that conversation is not possible
what are signs of false labor
irregular contractions, which are frequently weak and get better with walking or position change. drink fluids and walk
what are the five _ affecting labor
passenger, pathway, powers, position, psychologic response
how is station rated
+3 to -3, engaged is when it is in line with the ischial spine which is 0 then plus 1,2,3
what factors regarding passenger effect labor
size of the fetal head, bones in the skull, fontanelles, and molding, fetal lie, fetal attitude, fetal positions nd fetal station
how can fetal position be abbreviated
Occipital
Anterior
Posterior
what are the three parameters to contractions
frequency, duration, and intensity
