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Antepartal Care Flashcards

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1
Q

maternal blood begins to collect in the intervillous space of the uterine endometrium

A

12th day of pregnancy

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2
Q

O2 and other nutrients (glucose, amino acids, fatty acids, minerals, vitamins and water OSMOSES from maternal blood through CHORIONIC VILLI into the VILLI CAPILLARIES. From there, nutrients are transported to embryo

A

3rd week

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3
Q

uteroplacental blood flow

A

50 ml/minute in 10 weeks

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4
Q

Braxton Hicks contractions – _____ week – maintains ___________

A

12th; pressure

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5
Q

Functions of the Placenta:

A
  1. Oxygen
  2. Nutrition
  3. Excretion
  4. Regulate Hormones
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6
Q

compression on the vena cava when the client is in the supine position

A

Vena Cava Syndrome

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7
Q

leads to very low maternal blood pressure and low uterine contraction

A

Vena Cava Syndrome

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8
Q

reduced placental circulation

A

Vena Cava Syndrome

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9
Q

keep the patient in the ____________ position

A

LEFT lateral

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10
Q
  • fetal side
  • smooth and shiny
A

Schultz

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11
Q
  • attached to the maternal side
  • dirty, rough and dull
  • cotyledon
A

Duncan

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12
Q

Normal Amniotic Fluid:

A

800 ml – 1200 ml

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13
Q

Polyhydramnios:

A

> 2000 ml

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14
Q

Oligohydramnios:

A

< 500 ml

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15
Q

UMBILICAL CORD
- ___cm and ____ thick – TERM

A

53 ; 2 cm

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16
Q

a loose loop of cord around the neck

A

Nuchal cord

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17
Q

is a complication that occurs when the umbilical cord wraps around the fetus’ neck

A

Nuchal cord

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18
Q

Can interrupt normal blood, nutrient and oxygen exchange, resulting in the baby sustaining serious injuries such as HIE (hypoxicischemic encephalopathy) and cerebral palsy

A

Nuchal cord

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19
Q
  • gelatinous
  • monopolysaccharides
  • cord’s body and prevents pressure
A

WHARTON’S JELLY

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20
Q

associated with maternal HPN

A

Hypocoiling

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21
Q

associated with FETAL RESPIRATORY DISTRESS

A

Hypercoiling

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22
Q

Hypocoiling is associated with

A

maternal HPN

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23
Q

Hypercoiling associated with

A

FETAL RESPIRATORY DISTRESS

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24
Q

3 weeks LMP

A

5 – 50 mIU/ml

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25
4 weeks LMP
5 – 426 mIU/ml
26
5 weeks LMP
18 – 7,340 mIU/ml
27
6 weeks LMP
1,080 – 56,500 mIU/ml
28
7 -8 weeks LMP
7,650 – 229,000 mIU/ml
29
9 – 12 weeks LMP
25,700 – 288,000 mIU/ml
30
13 – 16 weeks LMP
13,300 – 254,000 mIU/ml
31
17 – 24 weeks LMP
4,060 - 165,400 mIU/ml
32
25 – 40 weeks LMP
3,640 – 117, 000 mIU/ml
33
Non-pregnant
55 – 200 ng/ml
34
presence of gram-negative bacteria
nitrites
35
detects the presence of nitrate-reducing bacteria (ie, gram-negative bacteria)
Nitrites (Nitrite test)
36
is a condition in which you have high levels of white blood cells (leukocytes) or pus in your urine (pee)
Pyuria
37
Blood Serum Tests
- CBC - serology test for syphilis - blood type and Rh - MSAFP (Maternal Serum Alpha-Fetoprotein) - Hepatitis B and C - Rubella Varicella - HIVA - PAPP-A (Pregnancy Associated Plasma Protein A)
38
Purified protein derivative
Tuberculosis Screening (Mantoux Test)
39
the tool used to measure the sound waves from the embryo/fetus
Ultrasound
40
Ultrasound is __ weeks initial diagnose
6
41
Ultrasound can confirm the _________________________ (of fetus)
presence, size and location
42
Ultrasound establish the fetus’ ________________________________________
health, sex, presentation, position
43
before the ultrasound examination, ensure the client is ______________________ at the time of the procedure.
full bladder
44
A combination of UTZ and non-stress test done during 26-28 weeks of gestation
Antepartum: Biophysical Profile
45
A combination of UTZ and non-stress test done during _________________________
26-28 weeks of gestation
45
Stress test - to be done at
32 weeks
46
AMNIOCENTESISCOLOR
Clear, Pale Yellow
47
98% predictive of fetal lung activity
LECITHIN/SPHINGOMYELIN RATIO: 2:1
48
predictors of fetal lung maturity
Phosphatidyl glycerol and Desaturated Phosphatidylcholine
49
determines abnormal RBC breakdown or may have only a very mild anemia by checking the optical density of amniotic fluid
BILIRUBIN determination
50
helps predict the likelihood of premature delivery within the next 7-14 days
Fetal Fibronectin
51
Fetal Fibronectin helps predict the likelihood of premature delivery within the next ____________
7-14 days
52
Inborn Errors of Metabolism
Down Syndrome Cystic Fibrosis Tay Sachs Disease
53
The test checks the baby’s risk for having certain genetic problems and birth defects.
Alpha-Fetoprotein
54
Alpha-Fetoprotein is usually done between _________________ of pregnancy
15 and 20 weeks
55
is a protein that a developing baby makes
Alpha-Fetoprotein
56
Complications of Amniocentesis
cramping bleeding or leaking of amniotic fluid from the needle puncture site or vagina infection miscarriage preterm labor
57
Checks for fetal heart’s acceleration
NON-STRESS TEST
58
NON-STRESS TEST is done at
26-28 weeks
59
Checks for fetal heart deceleration
STRESS TEST
60
STRESS TEST is done _______________ – near delivery
32 weeks
61
Chorionic Villus Sampling at
9-14 weeks
62
Amniocentesis at
14-16 weeks
63
TERATOGENS
1. Radiation 2. Syphilis and Toxoplasmosis 3. Lead and Mercury 4. Rubella 5. Live Vaccines 6. Herbal Supplements 7. Drugs 8. Alcohol and Tobacco
64
leads to serious fetal defects or death
Radiation
65
causes abnormalities in organs
Syphilis and Toxoplasmosis
66
causes nerve damage
Lead and Mercury
67
hearing impairment, cognitive and motor difficulty, cataracts, cardiac problem (PDA and pulmonary stenosis), IUGR, thrombocytopenia, purpura, facial defects – cleft lip/palate
Rubella
68
causes severe vasoconstriction, compromised placental flow
Cocaine
69
Vitamin B deficiency, neurological damage
Alcohol and Tobacco
70
stillbirth, low birthweights
Tobacco
71
Adequate and wellcontrolled studies in pregnant women have failed to demonstrate a risk to the fetus in the first trimester of pregnancy.
Category A
72
Category A Drug Examples
Doxylamine Folic acid Levothyroxine
73
Animal reproduction studies have failed to demonstrate a risk to the fetus, and there are no adequate and wellcontrolled studies in pregnant women, or animal reproduction studies have shown adverse effects, but wellcontrolled studies in pregnant women have shown no adverse effects to the fetus
Category B
74
Category B Drug Examples
Amoxicillin Loratadine Ondansetron
75
Animal reproduction studies have shown an adverse effect on the fetus or there are no animal reproduction studies and no wellcontrolled studies in humans.
Category C
76
Category C Drug Examples
Fluconazole Metoprolol Sertraline
77
Positive evidence of fetal risk but benefits may outweigh risks.
Category D
78
Category D Drug Examples
Lisinopril Lithium Phenytoin
79
Positive evidence of fetal risk, and risks clearly outweigh any possible benefit.
Category X
80
Category X Drug Examples
Methotrexate Simvastatin Warfarin
81
increase sweating and increase of vaginal discharges - shower is recommended than tub baths
Bathing
82
colostrum secretion begins
16 weeks
83
alters pH of the vagina
Douching
84
Shoes – moderate low heel to
minimize pelvic tilt
85
Avoid tight jeans because it
compresses lower extremities circulation
86
HEALTH PROMOTION
1. Bathing 2. Dental Care 3. Breast Care 4. Perineal Care 5. Clothing 6. Sexual Activity 7. Exercise 8. Sleep 9. Nutrition

Maternal (12 decks)

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