Antepartal Care
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Amennorrhea, nausea, vomitting, breast/skin changes, cervical color changes & quickening are signs of? | Presumptive indications
🗑
|
||||
| Abdominal enlargement, Goodell's sign, ballottement, Braxton Hicks contractions, palpation of fetal outline & positive pregnancy test are signs of? | Probable indications
🗑
|
||||
| Define Hegar's sign | softening of isthmus of uterine cervix, occurs early in pregnancy
🗑
|
||||
| Define Goodell's sign | softening of the cervix
🗑
|
||||
| Define ballottement | fetal head movement on exam
🗑
|
||||
| Define Braxton Hicks contractions | irregular contractions or false labor
🗑
|
||||
| When is doppler used in ausculation of the FH sounds? | 10-12 weeks
🗑
|
||||
| When is the fetoscope used in ausculation of the FH sounds? | 18-20 weeks
🗑
|
||||
| When is the embryo seen using ultrasound? | 5-6 weeks
🗑
|
||||
| When is the embryo seen using transvaginal technique? | 10 days
🗑
|
||||
| Define gravida | total # of pregnancy including the one in progress
🗑
|
||||
| Define para | birth given at least 20 weeks
🗑
|
||||
| Define term births | 38 weeks or later
🗑
|
||||
| Define preterm births | before 38 weeks
🗑
|
||||
| What are some complications in pregnancy history that may affect labor? | HTN, DM, infx or bleeding
🗑
|
||||
| What is Nagel's rule? | Last normal menstrual period minus 3 months plus 7 days
🗑
|
||||
| What are some complications in medical history that may affect labor? | Age, blood diseases, hepatitis, std, tb, gbs, anemia
🗑
|
||||
| Capacity of uterus? | 5000 ml
🗑
|
||||
| Weight of uterus during pregnancy? | 2.2 lb or 1000gm
🗑
|
||||
| How many weeks when uterus is in abdominal cavity or above symphysis pubis | 12 weeks
🗑
|
||||
| How many weeks when uterus is midway symphisis & umbilicus | 16 weeks
🗑
|
||||
| How many weeks when uterus is in xiphoid process | 36 weeks
🗑
|
||||
| How many weeks when uterus is lightening? | 40 weeks
🗑
|
||||
| When is uterine contractility (Braxton Hicks) infrequent? | 1st & 2nd trimester
🗑
|
||||
| When is uterine contractility (Braxton Hicks) more frequent & cause discomfort? | 3rd trimester
🗑
|
||||
| What happens to the uterine blood flow? | increases dramatically
🗑
|
||||
| What happens to the myometrial artery? | enter intervillous space
🗑
|
||||
| What is the reason for the myometrial artery entering the intervillous space? | exchange of O2 & CO2 from ; provide nutrients & eliminate wastes to venous system
🗑
|
||||
| What is the fx of mucus secretions? and where is the location? What is the name of the ends of the mucus? | protection from bacteria and protects baby from infx; canal of the cervix; internal & external OS
🗑
|
||||
| Define Chadwick's sign | bluish color of the vagina & labia
🗑
|
||||
| What causes bluish color? | increase level of estrogen
🗑
|
||||
| Vagina & Vulva changes - what causes the thick, white discharge? | increase glycogen=increase sloughing
🗑
|
||||
| Vagina & Vulva changes - describe acidity | discharge acidic (pH 3.5-6.0) due to increase lactic acid
🗑
|
||||
| Vagina & Vulva changes - what happens to bacteria? | bacterial growth decreases but increase in yeast infx
🗑
|
||||
| Vagina & Vulva changes - increased edema & vascularity causes? | orgasmic experience
🗑
|
||||
| Changes in ovaries - after conception, what is secreted and how many weeks? | progestrone the first 6-7 weeks
🗑
|
||||
| What does progesterone do within the uterus? | suppresses contraction of uterus & prevent tissue rejection of the fetus
🗑
|
||||
| After 7 weeks, what happens to the progesterone? | The placenta will secrete it the rest of the pregnancy.
🗑
|
||||
| Main fx of progesterone? | relaxes everything
🗑
|
||||
| What happens to the ovulation when pregnant? | It stops because of high estrogen and progesterone levels which inhibits FSH & LH
🗑
|
||||
| When does quickening occur? | 16 and 20 weeks gestation
🗑
|
||||
| When does backache develop? | 2nd trimester
🗑
|
||||
| When does dyspnea develop? | 3rd trimester
🗑
|
||||
| When does fatigue develop? | 1st trimester
🗑
|
||||
| Normal weight gain for a pregnant woman? | 25-35 lb
🗑
|
||||
| When (# weeks) does leg cramping occur? | 22
🗑
|
||||
| What causes leg cramps? | low Ca+ and or high Phosphorus
🗑
|
||||
| High levels of progesterone decrease contractility of the smooth musculature throughout the body resulting in an increase in? | Pulse Rate and Temperature
🗑
|
||||
| When (# weeks) is vaginal and rectal cultures done? Purpose? | 36 weeks, GBS (group B streptococcal)
🗑
|
||||
| At what position of the fetus is when urinary frequency happens? | descent of the fetus into the pelvis or once lightening occurs
🗑
|
||||
| Anemia is a normal finding at how many weeks of gestation? | 36 weeks
🗑
|
||||
| What promotes growth of lobes, lobules and alveoli? | progesterone
🗑
|
||||
| What stimulates mammary ductal tissue? | estrogen
🗑
|
||||
| When (timeframe) is heart pushed upward and left? | 3rd trimester
🗑
|
||||
| When (# weeks) is systolic murmur heard? What sound is normal? | after 12-20 weeks until 2 weeks PP; 3rd sound due to rapid filling of diastole
🗑
|
||||
| When (# weeks) does total blood volume increase by 45%? | 6-8 weeks of pregnancy
🗑
|
||||
| When (# weeks) does plasma volume increase? How many mL? | 32 weeks; 4700-5200 mL
🗑
|
||||
| Reason for plasma volume increase as it relates to protection? but risk in? | protects from hemorrhage but increase risk of thrombus formation
🗑
|
||||
| Reason for plasma volume increase as it relates to other body growth? | meet demands of increase uterine and breast tissues
🗑
|
||||
| What physiological changes causes plasma volume to increase? | due to vasodilation from estrogen, progesterone & prostaglandins
🗑
|
||||
| Reason for plasma volume increase as it relates to respiratory and health? | necessary to provide nutrients & O2
🗑
|
||||
| What is the reason for more blood volume as it relates to the fetus? | more blood must circulate through the mom's kidneys to remove waste from mom & fetus
🗑
|
||||
| RBC mass increase to how many mL or %? | 250-450mL (20-30%)
🗑
|
||||
| HCT decreases causing? | physiologic anemia
🗑
|
||||
| Normal range for Hgb and Hct | Hgb <10.5g/dl
Hct <33%
🗑
|
||||
| When (# weeks) does cardiac output increase and by what %? | 20-24 weeks (5-6 months), increase by 40%
🗑
|
||||
| What happens to the stroke volume and HR when CO increases? | both increases, HR increases 15-20 bpm
🗑
|
||||
| What happens to the peripheral vascular resistance (PVR) when CO increases? | PVR dialates or decreases
🗑
|
||||
| What changes happen to the respiratory at 10 weeks r/t O2, breathing, TV, & pH? | O2 consumption inc. 20%, breathes deeper, tv inc., pH inc. more alkaline
🗑
|
||||
| What does progesterone do to the airway, CO2, ventilation? | decreases airway resistance, inc sensitivity to CO2, inc. minute ventilation
🗑
|
||||
| What does estrogen do to the respiration as it r/t upper respiratory tract & congestion | inc vascularity of URT, inc. congestion & stuffiness
🗑
|
||||
| What does progesterone do to the GI tract? | relaxes GI tract muscles, slows emptying of stomach & sm. intestine
🗑
|
||||
| What does progesterone do to the colon as it r/t constipation? | dec. motility leading to constipation & making hemorrhoids worst
🗑
|
||||
| What happens to the liver & uterus at 3rd semester? | uteres lift diaphragm 4cm, prevents full lung expansion,
🗑
|
||||
| What semester has most frequency & urgency to urinate? | 1st
🗑
|
||||
| Because kidney is working so hard, what declines? | plasma creatine & urea
🗑
|
||||
| Define creatine | creatinine is broken down by the body to make energy
🗑
|
||||
| What semester does waddling gait begin? | 2nd
🗑
|
||||
| What semester stores extra Ca in bones? | 1st
🗑
|
||||
| What semester does the fetus begin using Ca? | 3rd
🗑
|
||||
| Abdomen separation is? | Diastasis Recti
🗑
|
||||
| What hormone prepares breasts for lactation? | prolactin
🗑
|
||||
| What hormone enlarges gland & BMR at 1st trmester? | thyroid gland
🗑
|
||||
| What hormone dec. but able to meet fetal demands for Ca & Phos? | parathyroid glands - regulates Ca & Phos
🗑
|
||||
| What does Ca & Phos do? | inc, absorption offrom GI
🗑
|
||||
| What happens to the pancreas at 1st trimester? | insulin production inc. due to glucose levels
🗑
|
||||
| What happens to the insulin at 3rd trimester? | inc. 30%
🗑
|
||||
| What happens if there is too much resistance to insulin at 3rd trimester? | hperglycemial
🗑
|
||||
| Fx of aldosterone? | overcome Na wasting & maintain Na level with large blood volume
🗑
|
||||
| Define chorion | outer layer of the placenta
🗑
|
||||
| When does heart develop? | 5-8 weeks
🗑
|
||||
| When is fetal stage? | `9-12 weeks
🗑
|
||||
| When does fetus begin to move and what oocurs with the fetus? | 13-16 weeks; makes urine & mec
🗑
|
||||
| When can you hear FHT? | 17-28 weeks
🗑
|
||||
| When is surfactant produced? | 20 weeks
🗑
|
||||
| When does vernix & laguno occur? | 21-24 weeks
🗑
|
||||
| Least amount of weeks that a fetus can survive? | 29-32
🗑
|
||||
| How many grams by 33-36 weeks? | 2-2.5g
🗑
|
||||
| What week 2 plus lbs, first viable? | 28
🗑
|
||||
| What week 2mm tubular heart | 2
🗑
|
||||
| What week resembles a human being? | 8
🗑
|
||||
| What week lung maturity? | 36
🗑
|
||||
| What week 1 plus lbs, lanugo, quickening | 20
🗑
|
||||
| When does increased vaginal discharge occur? | 1st
🗑
|
||||
| When does dyspnea, constipation, hemorrhoids occur? | 2 & 3
🗑
|
||||
| When does heartburn occur? | 2 & 3
🗑
|
||||
| When does nasal stuffiness and epistaxis occur? why? | 2 & 3; due to blood excess
🗑
|
||||
| When does faintness occur? is it dangerous or discomfort? cause? | 2 & 3; discomforts; low BG
🗑
|
||||
| What are danger signs r/t head? | severe headache, dizziness, blurred vision, double vision, elevate temperature
🗑
|
||||
| What are danger signs r/t extremities? | edema of hands, face, legs & fee
🗑
|
||||
| What are danger signs r/t abdominal? | abdominal pain; persistent vomiting,
🗑
|
||||
| What are leg cramps r/t? | xchange of electrolytes
🗑
|
||||
| What are danger signs r/t urinary system? | oliguria, dysuria
🗑
|
||||
| What are danger signs r/t preclamsia? | muscular irritability, convulsions
🗑
|
||||
| What are danger signs r/t digestive system? | epigastric pain
🗑
|
||||
| What are possible causes of danger signs r/t placenta | placenta previa, abruptio
🗑
|
||||
| What are possible causes of danger signs r/t BP? | preeclampsia or PIH, pregnancy induced hypertension, eclampsia
🗑
|
||||
| What are possible causes of danger r/t kidney? | UTI, pylonephritis (back pain that goes up)
🗑
|
||||
| What are possible causes of danger r/t fetus? | SROM, premature labor
🗑
|
||||
| What type of spontaneous abortion when vaginal or spot bleeding occurs? | threatened
🗑
|
||||
| What type of spontaneous abortion when membranes rupture and cervix dilates? | inevitable
🗑
|
||||
| What type of spontaneous abortion when some products of conception have been expelled but some remain? | incomplete abortion
🗑
|
||||
| What type of abortion when products of conception die and no spontaneous bleeding or evacuation occurs? | Missed abortion
🗑
|
||||
| What may need to be done for a missed abortion? | may need dilation & curettage
🗑
|
||||
| What type of abortion when all products of conception & tissue is passed | complete abortion or miscarriage
🗑
|
||||
| What are s/s of ectopic pregnancy? | pain, bleeding, low BP, shock
🗑
|
||||
| When is ultrasound best done? determines? | 14-16 weeks; size and dates
🗑
|
||||
| When is the placenta assessed during pregnancy and why? | later in pregnancy to detect location if she's bleeding
🗑
|
||||
| What does modes B in ultrasound show? | brightness shows density
🗑
|
||||
| What does modes M in ultrasound show? | movement, can see fetus swallowing, hear valves closing
🗑
|
||||
| What does CST - Contraction Stress Test measure? aka? | ultrasound for FHR and toco for uterine contractions, late decels with contractions; Oxytocin Challenge Test
🗑
|
||||
| When is daily movement log test performed? | after 20 weeks
🗑
|
||||
| What test is performed for Rh disease or pH? | cordocentesis
🗑
|
||||
| What test is performed for high risk pregnancy or genetic? | chorionic villus sampling
🗑
|
||||
| Total weight gain in pregnancy? | 25-35 lbs
🗑
|
||||
| How much weight gained 1st trimester? Then 2nd & 3rd? | 2-3 lbs; 1lb/wk
🗑
|
||||
| Intrauterine Growth Restriction is associated with? | preeclampsia
🗑
|
||||
| What is an example of a prenatal high risk factor? | multiparity >3
🗑
|
||||
| Which semester is uncertainty & ambivalence? | 1st
🗑
|
||||
| What occurs psychologically at 2nd trimester | fetus as primary focus, body image, changes in sexuality
🗑
|
||||
| What occurs psychologically at 3rd trimester | Vulnerability, increasing dependence, preparation for birth
🗑
|
||||
| s/s of recent cocaine use r/t skin, blood, respiratio | diaphoresis & cellulitis (red patches-dirty needles being used), high BP, irregular respirations
🗑
|
||||
| s/s of recent cocaine use r/t uterus and fetus | sudden onset of severely painful contractions, fetal tachycardia,
🗑
|
||||
| Anxiety, depression, panic attacks, sleeplessness, anorexia is defined as? |
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
jjcarmelbeach
Popular Nursing sets