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Flashcards in Antepartal Care for Concepts Deck (39):
0

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

Client history and a complete physical assessment

1

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

Client history

2

The number of times a woman has been pregnant

Gravida

3

The number of births that occurred after 20 weeks gestation

Para

4

A woman who is pregnant for the first time

Primigravida

5

A woman who has been pregnant multiple times

Multigravida

6

A woman who has never given birth after 20 weeks gestation

Nullipara

7

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

Multipara

8

Spontaneous or induced termination of a pregnancy before 20 weeks gestation

Abortion

9

Loss of baby after 20 weeks

Stillbirth

10

What does GTPAL stand for?

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

11

What is the difference between original recording and GTPAL?

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

12

When do you do pelvic exam?

Last

13

When is fundal height the most accurate?

22-34 weeks

14

Softening of the cervix

Goodell's sign

15

Midstream specimen used to dip for glucose and protein

Urinalysis

16

Tests for hematocrit, hemoglobin, and WBC

Complete blood count (CBC)

17

Tests for gonorrhea and chlymydia

GC culture

18

More common in people of African American or Mediterranean descent

Sickle cell

19

Tests for German measles

Rubella titer

20

What can contracting German measles during pregnancy lead to?

Microcephaly which leads to retardation

21

Tests for syphilis

VDRL

22

Can syphilis, chlymydia, and gonorrhea be treated?

Yes

23

What do you do to test for Rh incompatibility?

Blood type

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