Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Nursing > 102-Antepartum > Flashcards

102-Antepartum Flashcards

(65 cards)

Start Studying
1
Q

HR with pregnancy

A

Increases 15-20 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

WBC with pregnancy

A

Increase to about 15,000 sometimes (normal 5-10,000) due to hormones, stress, exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hyper coagulation

A

Fibrinogen increases by 50% with pregnancy to decrease risk for PP hemorrhage but increase DVT risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ptyalism

A

Increased saliva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Optimal positivism for urinary function and circulation

A

Left lateral recumbent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Chloasma

A

Hyper pigmentation on darker skinned pregnant women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Linea nigra

A

Darkened (hyper pigmentation) through umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Striae gravidarum

A

Stretch marks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Presumptive diagnosis

A

Woman perceives own pregnancy (subjective)

Nausea/vomiting, amenorrhea, fatigue, urinary freq, breast changes, quickening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Probable diagnosis

A

Provider perceived (objective)

Chadwick’s sign, goodells sign, uterine and abdominal growths skin hyper pigmentation, positive pregnancy tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Positive diagnosis

A

Objective but ONLY attributed to fetus

FH auscultation (fetus HR), fetal movement and palpation noted by provider, ultrasound visitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Fetal heart rate can be felt when? (Positive diagnosis)

A

4-8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Chadwick’s sign

A

Bluish color of vaginal mucosa (probable sign of pregnancy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Goodells sign

A

Softening of cervix (probably sign of pregnancy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Nageles rule

A

How to calculate estimated due date:

Last noted monthly period (LNMP) - 3 months + 1 week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

1st trimester

A

First day LMP-12 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

2nd trimester

A

13-27 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

3rd trimester

A

28-40 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Term gestation

A

37-42 weeks

Most babies born either 3 weeks before or 2 weeks after due date

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Gravida

A

times pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Para

A

pre term births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

T

A

term births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

A

A

abortions (including miscarriages under 20 weeks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

L

A

living children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
GTPAL
Way to identify patients gravida and para (jargon)
26
Nullgravida
Never pregnant before
27
Primigravida
First time ever pregnant
28
Multigravida
Pregnant 2+ times
29
Why is folic acid important before and during pregnancy
Prevents neural tube defect
30
Prenatal visits conception-28 weeks
Every 4 weeks
31
Prenatal visits 29-36 weeks
Every 2 weeks
32
Prenatal visits 37 weeks- birth
Every week
33
Normal pregnancy weight gain
25-35 lbs
34
Transnational ultrasound
Used in 1st trimester to confirm pregnancy and calculate age (probe into vagina)
35
Transabdominal ultrasound
2 & 3 trimesters Anatomical survey of fetus, further evaluation
36
When is maternal blood drawn
15-20 weeks gestation
37
Quad screen
At 15-20 weeks gestation this screens for Down syndrome (low AFP) and neural tube defects (high AFP)
38
Kick counts
Daily fetal movement count after 28 weeks 4 movements in one hour or 10 in 2 hours
39
Nonstress test
Assess fetal well being, FH accelerates in respect to movement= adequate oxygenation
40
Vibroacoustic stim test
Confirm non-reactive NST (nonstress test)
41
What is the biophysical profile
Assessment of 5 parameters for fetal well being (NST and US)
42
What are the 5 parameters for fetal well being in the biophysical profile
1. NST 2. Fetal breathing movements 3. Gross body movements 4. Fetal tone 5. Amniotic fluid (fluid around baby)
43
Iron deficiency hgb/hct ranges
Hgb
44
Gestational trophoblastic disease
Aka hydatiform mole Benign proliferating growth placenta trophoblasts; nonviable pregnancy
45
Gestational trophoblastic disease assessments
Vaginal bleeding, hyperemesis due to EXCESSIVE HCG levels **can develop into cancer
46
How to prevent antibodies in Rh- women
Rhogam injections at 28 weeks or abdominal trauma/procedures
47
What does practitioner do for incompetent cervix?
Cerclage placement -pursued string suture to reinforce cervix
48
Nursing care after cerclage placement for incompetent cervix
Monitor: uterine activity, vaginal bleeding/leaking fluid, infection, and administer tocolytics
49
What does it mean when a mom is sensitized
Develops antibodies against Rh
50
Placenta previa
Placenta implanted in low segment of uterus over cervix- requires c-section, 20 weeks found usually and usually migrates to correct spot as uterus grows
51
Clinical mani placenta previa
Painless, BRIGHT RED uterine bleeding Mom at risk for: hemorrhage and hypovolemic shock Fetus at risk for: anemia, hypoxia, death
52
Main nursing actions for placenta previa
Insert large bore IV cath to anticipate blood transfusion, corticosteroids as ordered for fetal lung maturation, monitor CBC (h/h), clotting
53
Abruptio placenta
Partial or total separation of placenta after 20 weeks and before delivery (3 trimester); leading cause of maternal and fetal death
54
Clinical manifestations abruptio placenta
DARK RED bleeding, severe abdominal pain, contractions, uterine tenderness
55
Nursing actions for abruptio placenta
Mom must deliver, palpate uterus (tenderness, distention), hypotension-tachycardia-administer O2 (hypovolemic shock), CBC &clotting
56
Main clinical mani of preeclampsia
BP, edema, quiet environment, bed rest in recumbent position, anticonvulsant (mag sulfate), anti hypertensive
57
HELLP syndrome
Complication of severe preeclampsia H- hemolysis (anemia/jaundice) E- elevated L- liver enzyme (epigastric pain, nausea/vomiting) L- low P- platelets (abnormal bleeding and clotting)
58
Syncope
fainting
59
Polyhydroamnios
Increased amniotic fluid
60
Oligohydramnios
Decreased amniotic fluid
61
Newborn macrosomia
Large birth weight- common morbidity of GDM (gestational diabetes mellitus)
62
Infections that complicate pregnancy
TORCH ``` T- toxoplasmosis (cat litter) O- other (hep B) R- rubella C- cytomegalovirus H- herpes simplex ``` (* can all cross placenta and have teratogenic to fetus)
63
Group B streptococcus (GBS)
A symptomatic bacteria colonizing rectum vagina cervix and urethra. 35-37 weeks gestation Penicillin
64
Chorionic villus sampling (CVS)
Tests placental tissue for fetal abnormalities (cyst. fibrosis, down); 10-12 weeks Low risk for fetal loss/bleeding from procedure
65
Amniocentesis
Diagnose genetic disorders, lung maturity, hemolytic disease fetus, intrauterine infection Needle through abdomen to get amniotic fluid 2/3 trimester Less favorable than CVS (expensive, risk, later term)

Nursing (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions