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Antepartum Care
Test #2
| Question | Answer |
|---|---|
| Gravida | number of pregnancies |
| Nullgravida | a woman that has never been pregnant |
| Primagravida | 1st pregnancy |
| Multigravada | a woman who has had 2 or more pregnancies |
| Parity | number of pregnancies in which the fetus was 20 wks or greater *ONLY CHANGES AFTER DELIVERY* |
| Viability | Legal definition- ability to live outside of the uterus (between 20-25wks or >500g) |
| Nullipara | no pregnancies beyond 20 weeks |
| Primapara | has completed one pregnancy with a fetus that has reached the stage of viability |
| Multipara | completed two or more pregnancies past viability |
| Stillbirth | fetus born dead after 20 weeks |
| Abortion | Medical term for birth that occurs prior to 20 weeks regardless of cause (spontaneous or elective0 |
| Term | Pregancy from 38 - 42 wks of gestation |
| Preterm | Delivery that occurs before 38wks of gestation |
| Nageles's Rule | Based on a 28 day cycle *Add 7 to first day of last menstrual period *-3 months (easier to add 9months) *add 1 yr if you used subtraction method |
| EDD | estimated date of delivery (Nageles Rule) |
| HCG | Human Chorionic Ganodotropin - pregnancy hormone secreted by fertilized egg |
| Ambivalence toward pregnancy | becomes a concern if it continues in the 3rd trimester |
| 1st trimester visits | monthly |
| 1st trimester weight gain | 2-4lbs |
| 1st trimester labs | U/A, VDRL or RPR, CBC, blood type and RH factor, Antibodies, indirect coombs, HIV testing strongly recc. |
| Immunizations during pregnancy | no live viruses-MMR, Varicella, Small Pox, |
| Calorie intake in 2nd trimester | extra 340 kcal |
| When is the period of danger to the fetus | from fertilization through the first trimester |
| Weight gain for 2nd and 3rd trimester | 11 lbs each trimester |
| Alpha-fetoprotein | measured initially between 15-21 wks, screaning for neural tube defects |
| Sullivan Glucose Screening Test | between 24-28wks, screens for gestational diabetes |
| McDonalds Rule | height of fundus in cm x 8 divided by 7 = duration in weeks (aids in duration of pregnancy and fetal growth) |
| Ultrasound fetoscope | hears fetal heart |
| fetal movements | usually felt between 16-20wks |
| Supine hypotension | fall in BP r/t decrease in venous return *turn to side * |
| Orthostatic Hypotension | caused by hormones and venous stasis |
| Pica | iron deficiency causes unusual cravings of non-food items |
| Third trimister office visits | biweekly at 28wks and weekly at 36 wks |
| Caloric intake in 3rd trimester | increases 450kcal |
| Average weight gain for pregnancy | 15-25lbs, more for underweight womean and less for overweight women |
| Group B strep | screened at 35-37wks |
| Chlamydia, gonorrhea and herpes simplex cervical smears | at 32 weeks and PRN before delivery |
| RH screen | at 7 months - RhoGam if negative |
Created by:
jas067
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