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