Antepartal Care for Concepts Flashcards

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0
Q

A screening tool that helps identify factors that may detrimentally effect the course of the pregnancy physically or psychologically

A

Client history

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1
Q

What do you do on the client’s initial visit?

A

Client history and a complete physical assessment

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2
Q

The number of times a woman has been pregnant

A

Gravida

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3
Q

The number of births that occurred after 20 weeks gestation

A

Para

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4
Q

A woman who is pregnant for the first time

A

Primigravida

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5
Q

A woman who has been pregnant multiple times

A

Multigravida

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6
Q

A woman who has never given birth after 20 weeks gestation

A

Nullipara

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7
Q

A woman who has given birth after 20 weeks gestation multiple times

A

Multipara

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8
Q

Spontaneous or induced termination of a pregnancy before 20 weeks gestation

A

Abortion

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9
Q

Loss of baby after 20 weeks

A

Stillbirth

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10
Q

What does GTPAL stand for?

A
G- gravida
T- term (38-42 weeks)
P- preterm
A- abortions
L- living children
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11
Q

What is the difference between original recording and GTPAL?

A

Original counted twins and triplets as one pregnancy and one birth and GTPAL counts it as one pregnancy and 2-3 births & terms

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12
Q

When do you do pelvic exam?

A

Last

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13
Q

When is fundal height the most accurate?

A

22-34 weeks

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14
Q

Softening of the cervix

A

Goodell’s sign

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15
Q

Midstream specimen used to dip for glucose and protein

16
Q

Tests for hematocrit, hemoglobin, and WBC

A

Complete blood count (CBC)

17
Q

Tests for gonorrhea and chlymydia

18
Q

More common in people of African American or Mediterranean descent

19
Q

Tests for German measles

A

Rubella titer

20
Q

What can contracting German measles during pregnancy lead to?

A

Microcephaly which leads to retardation

21
Q

Tests for syphilis

22
Q

Can syphilis, chlymydia, and gonorrhea be treated?

23
Q

What do you do to test for Rh incompatibility?

24
When Rh is negative what can you do?
Give Rhogam
25
When do you administer the Rhogam?
28 weeks
26
How often to you visit the doctor in the first 6 months?
Once a month
27
How often do you visit the doctor from the 7th month to week 36?
Every two weeks
28
How often do you visit the doctor from week 36 until the onset of labor?
Once a week
29
Systematic abdominal exam to determine fetal position
Leopold's maneuvers
30
When do you do Leopold's maneuvers?
After 30 weeks
31
How often do you test urine?
Every visit
32
How often is hematocrit checked?
16, 28, and 36 weeks
33
How often do you check antibody titers on an Rh negative mom?
24, 28, 32, and 36 weeks
34
When do you do a glucose tolerance test?
28 weeks
35
How does the GTT work?
50 grams of glucola then check in an hour
36
What should the glucose level be after an hour in a GTT?
130-140 mg/dL
37
When do you test for group beta strep?
36 weeks
38
If GBS is positive how do you treat it and how long do they have to stay after delivery?
Treat with antibiotics and keep for 48 hours to watch baby