yawa Flashcards
PREVENTS THE INCIDENCE OF PRETERM BIRTH AND THE INFANT MORTALITY RATE.
prenatal care
purposes of prenatal care
-establish a baseline data
-determine the gestational age
-monitor fetal development
-identify patients at risk of complications
-minimize complications
Assessment and History Taking
● Vital signs
● Urinalysis
● Blood serum for screening of chromosomal disorder or neural defects
● Test for STD’s (eg. Syphilis)
● Glucose test (FBS, PPBS, OGTT)
● Anti-Rh (Rhesus) titer
● GBS screening (Group B streptococcus)
No. of pregnancies, including: present pregnancy, miscarriage or abortion, twins or triplets as one
gravida
No. of pregnancies that has passed 20 weeks, alive, twins or triplets count as one
para
No. of born at term: > 37th week gestation, alive or stillborn, twins or triplets as one
term
No or preterm infants (born <37th week), alive or stillbirth
pre-term
No. of spontaneous miscarriages or therapeutic abortions (infant born before 20th week), count with gravidity, twins and triplets count as one
abortion
No. of living children, twins or triplets count individually
live birth
No. of multiple pregnancies, twins or triplets count as one
multiple birth
PRESENCE OF QUICKENING (1st quickening-
16-20 weeks
ULTRASOUND screen for chromosomal defects
11-13 weeks
ULTRASOUND evaluation for fetal health
about 20 weeks
TYPES OF PELVIC
gynecoid
anthropoid
platypelloid
android
well rounded with wide pubic arch
gynecoid
narrow
anthropoid
flattened
platypelloid
MALE OR A SHARP PUBIC ARCH
android
signs of pregnancy
presumptive felt by mom
Morning Sickness
Amenorrhea
Changes in breast
Fatigue
Lassitude
Urinary Frequency
Quickening
bluish discoloration of the vaginal wall
Chadwick’s
softening of the lower uterine segment
Hegar’s
Uterine enlargement
12 weeks just above the symphysis pubis
softening of the cervix
Goodell’s
Ballotment
6th to 20th week
POSITIVE FETAL heartbeat
=10 weeks by Doppler
=16 weeks by fetoscope =18-20 weeks by auscultation
POSITIVE FETAL movement
Usually after 20weeks-felt by the examiner
Signs of Pregnancy PROBABLE Think Baby
CHUPBOGS