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refers to the number of times a woman has been pregnant regardless of whether the pregnancies were interrupted gravidity
Obstetrics A ♀ who has not been pregnant nulligravida
a woman pregnant for the first time primigravida
A pregnant woman with one or more previous pregnancies. multigravida
is a technical term that refers to the number of times a female has given birth to a baby that has reached viability parity
A woman who has never given birth is a nullipara
A woman who has given birth two or more times that reached stage of viability is multipara
GTPAL gravida=number of total pregnancies term= term deliveries >37wks preterm=preterm deliveries abortions= abortions (both surgical abortions and miscarriages)<20wks living= living children
question: 40 yo woman had 1 miscarrage @ 10 wks, 3 daughters (3,5,&7), currently 12 wks preg. What is the GTPAL Gravida=5 T=3 P=0 A=1 L=3
-fatigue presuptive S&S of pregnancy
is the discoloration of the vaginal wall from pink to violet Chadwick's Sign
is the softening of the cervix Goodell's Sign
is the softening of the lower uterine segment. Hegar's Sign
is the procedure done by an examiner in which during bimanual examination, the fetus can be felt to rise against abdominal wall. Ballottement
is the periodic uterine tightening or what we also called painless contraction usually at the 28th weeks of gestation. Braxton Hick's Sign
shows presence of human chorionic gonadotropin hormone in urine. Positive Pregnancy Test
Ultrasound (4-6wks) verification on embryo or fetus, fetal mvmt felt by doc (20wks), auscultation of fetal hear tones via Doppler (10-12wks) positive S&S of pregnancy
during 1st half of preg much maternal glucose is diverted to fetus, thus maternal levels are lower
if the mother has inadequate # of beta cells, she will develope gestational diabetes
The first placental hormone produced is ______ also ensures that the corpus luteum continues to secrete progesterone and estrogen; also is detected in a preg test. hCG
This hormone is lactogenic and growth-promoting properties. It promotes mammary gland growth in preparation for lactation in the mother. It also regulates maternal glucose, protein, and fat levels so that this is always available to the fetus. (hPL [Human Chorionic Somatomammotropin])
necessary to maintain endometrial lining of the uterus during pregnancy. This hormone prevents preterm labor by reducing myometrial contraction. Levels are high during pregnancy. Progesterone
the "hormone of women" because it stimulates the development of secondary female sex characteristics. It contributes to the woman's mammary gland development in preparation for lactation and stimulates uterine growth to accommodate growing fetus. Estrogen
12-14 wks can be palpated above symphysis pubis, correlates with wks of gestations between 20-35wks, 36 wks fetus dropped fundal height
chadwicks sign, goodell;s sign, and mucus plug are assoc with cervix
corpus luteum persists untill 12wks to secrete progesterone until placents takes over
antibody rich yellow fluid that can be expressed in 3rd trimester; converts to mature milk after delivery about day 4 colostrum produced by breasts
is when a pregnant woman develops high blood pressure and protein in the urine after the 20th week (late 2nd or 3rd trimester) of pregnancy. Preeclampsia
1st trimester remains the same, 2nd trimester decreases 5-10mmHg, 3rd trimester should return to 1st trimenster levels, supine hypotensive syndrome (press on inferior vena cava causes bf to decrease to heart) bloop pressure / preclampsia
BP/Preclampsia NIC sleep on left side to increase blood flow to fetus
refer to the inward curve of the lumbar spine (just above the buttocks). Lordotic curves *normal in preg*
hormonal effects on musculoskeletal system progesterone and relaxin relas smooth muscle; feta growth -lordosis
if wgt gain >1lb @ 3rd trimester-> Q what Ck edema, Preclampsia, or gestational diabetes
integumentary system chgs; hormones (increased estrogen) lead to: linea nigra Chloasma stiae gravidarum
is a dark skin discoloration that appears on sun-exposed areas of the face, is often associated with the female hormones estrogen and progesterone. Chloasma (increased estrogen)blotchy forhead and around the eyes
atrophic, pinkish or purplish, scarlike lesions, later becoming white, on the breasts, thighs, abdomen, and buttocks, due to weakening of elastic tissues, associated with pregnancy (striae gravidarum)
a dark line appearing longitudinally on the abdomen of a pregnant woman during the latter 24 weeks of term. It usually extends from the symphysis pubis midline to the umbilicus and sometimes as far as the sternum. linea nigra
Increased vascularity may cause these to happen vascular spiders, palmar erythema
The three main immunoglobulins, IgG (decreased level as transfered to fetus), IgM and IgA
RH neg mother will receive _____ @ 28 wks RhoGAM
what is put into newborn eyes to prevent ghonorrhea arrythromycin
Physiological jaundice would be considered norm at what stage After the 1st 24h
what immunoglobin is given prior to discharge Hep B (HBIG)
a soft connective tissue that occurs in the umbilical cord and consists of large stellate fibroblasts and a few wandering cells and macrophages embedded in a homogeneous jellylike intercellular substance Wharton's jelly
are common bacteria which are often found in the vagina, rectum or urinary bladder of women,is not the same bacteria which causes strep throat. Tx abx prior to labor. Group B Streptococcus (GBS) Expectant mothers who tested positive for GBS bacteria will be treated with antibiotics when they go into labour or if their membranes rupture (water breaks) early
is the age-old name for feeling fetal movement when you're pregnant. Quickening
This is a psychological response to pregnancy: inital response ambivalence
This is a psychological response to pregnancy: triggered by quickening in 2nd semester acceptance
This is a psychological response to pregnancy: turning in oneself introversion
refers to a condition in which a father-to-be experiences some of the physical symptoms of pregnancy prior to the baby s birth. Couvade syndrome
-breast tenderness & enlargement(3-4wks) Presumption of preg
-n/v Presumption of preg
-amenorrhea(4wks) Presumption of preg
-uterine enlrgmt Presumption of preg
-hyperpigmentation skin(16wks) Presumption of preg
-fetal mvmt(quickening 16-20wks) Presumption of preg
-hegars sign(6-12wks) Probable signs of preg
-chadwicks sign Probable signs of preg
-goodells sign Probable signs of preg
-ballottement Probable signs of preg
-abdom enlrgmt Probable signs of preg
- + preg test Probable signs of preg
-braxtin hicks Probable signs of preg
Ultrasound Positive sign of preg
verification on embryo or fetus, fetal mvmt felt by doc (20wks) Positive sign of preg
auscultation of fetal hear tones via Doppler (10-12wks) Positive sign of preg
norm wgt gain per preg 25-35lbs
if 20 weeks gestation, how many cm is the fundus 20 cm from symphysis pubis to fundus (near belly button)
if 24 wks gest, how many cm should pubic symph to fundus height 24cm
if 35 wk gest, measurement of pubic symph to top of fundus should be 35cm
at 36 weeks of gest, where should fetus be dropped into pelvis (lightning)
To meet maternal and fetal oxygen needs, there is an increase in blood volume, C/O, HR (10-15bmp), RBC, but not in BP
Vitamin C, calcium, and magnesium may promote fertility and conception
Parathyroid hormone controls __ preg induces hyperparathyroidism,a reflection of increased fetal requirements for calcium and vitamin D. The peak level of parathyroid hormone occurs between 15 and 35 wks of gest, when the fetal skeleton needs it. calcium and magnesium metabolism.
interventions to prevent preeclampsia; Admin this per physician's orders to decrease hyperreflexia and minimize risk of seizure activity. iv magnesium (Have calcium gluconate or calcium chloride on the unit to be available if needed as an antidote for magnesium sulfate toxicity.)
is the drug of choice in the prevention and treatment of seizure activity caused by severe preeclampsia or eclampsia Magnesium sulfate ;After the loading dose, transient lowering of the arterial BP may occur secondary to relaxation of smooth muscle
how much wgt gain a week in second trimester 1 lb wk
if more than 1 lb per wk in third trimester, what would you suspect perclamsia of DM; ck edema and urine for protienurea
During the third trimester albumin and globulin are present in the fetus. The only immunoglobulin that crosses the placenta is immunoglobulin G (IgG)
___is not produced by the fetus; however, colostrum, the precursor to breast milk, contains large amounts of this and can provide passive immunity to the neonate who is breastfed. IgA basic antibody
The fetus produces ___ by the end of the first trimester. These are produced in response to blood group antigens, gram-negative enteric organisms, and some viruses. IgM basic antibody
Maternal immunoglobulin ____ does not cross the placenta. M (IgM) basic antibody
____ is the mental disharmony or disconnect a person may feel when having both positive and negative feelings regarding the same thing such as pregnancy ambivalence
Created by: troop27



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