Antepartum

Question 1

Pregnancy Trimesters

Answer 1

1st: 1-12 weeks
2nd: 13-27 weeks
3rd: 28-40 weeks

Question 2

Diagnosing Signs of Pregnancy (3)

Answer 2

1. presumptive (general)
2. probable
3. positive

Question 3

Presumptive signs of pregnancy

Answer 3

 cessation of menses, N/V, Breast changes, urinary frequency, fatigue, elevation of body temp, leakage of colostrum(breast milk), increased saliva
 “Quickening”- mother’s perception of fetal movement

Question 4

Probable signs of Pregnancy

Answer 4

Piskaceks sign, Goodells sign, Chadwicks sign, Hegars sign, McDonalds sign, uterine souffle, ballotment

Question 5

Positive signs of pregnancy

Answer 5

auscultation of feta heart tones, visualization of fetus, fetal movement felt by mother

Question 6

Piskacek’s sign

Answer 6

asymmetry of uterus, one side is rough

Question 7

Goodell’s sign

Answer 7

softening of the cervix

Question 8

Chadwick’s sign

Answer 8

blue color or cervix and other lady parts

Question 9

Hegar’s sign

Answer 9

softening and compressing of uterine isthmus (inferior/posterior)- lower portion of uterus

Question 10

McDonald’s sign

Answer 10

flexing of the uterus against cervix

Question 11

Uterine Souffle

Answer 11

blowing sound from increased blood flow, palpation of fetal outline

Question 12

Ballotment

Answer 12

fetal movement witnessed by palpation

Question 13

Naegele’s Rule

Answer 13

To date pregnancy: first day of last period +7 days, -3 months

Question 14

Uterine Size

Answer 14

8 weeks= egg, 10 weeks=orange, 12 weeks= grapefruit

Question 15

Fundus

Answer 15

top of uterus, farthest fro cervix

Question 16

Isthmus

Answer 16

lower portion of uterus, nearest cervix

Question 17

Gravida

Answer 17

G= total number of pregnancies ever

Question 18

Parity

Answer 18

P= anything that goes past 20 weeks

Question 19

Term

Answer 19

T= anything that goes past 38 weeks

Question 20

Pre-term

Answer 20

p= anything between 20-38 weeks

Question 21

Micropreme

Answer 21

born between 23-27 weeks

Question 22

Abortions

Answer 22

A= anything before 20 weeks (dead or alive)

Question 23

Living

Answer 23

L= number of children currently alive

Question 24

Cardiovascular changes

Answer 24

cardiac hypertrophy, upward displacement, increased blood volume/output, increased pulse, cardiac arrhythmias, increased vascularity

Question 25

Respiratory changes

Answer 25

increased oxygen requirements/chest expansion, upward displacement, more vascular and congested increased tidal volume and capacity; decreased reserve and residual volume

Question 26

Renal changes

Answer 26

increased pressure on bladder, urine flow slows, UTI common, glomerular filtration rate/renal blood flow increases, decreased BUN/Creatinine, glucose present normally in urine

Question 27

Skin changes

Answer 27

increased skin thickness and subdermal fat, hyperpigmentation, increased hair and nail growth, increased sweat, increased circulation, stretch marks

Question 28

Neuromuscular changes

Answer 28

 center of gravity shifts, Lordosis (curve/hump), abd weakens and separates, increased headaches, syncope, muscle cramps, numbness

Question 29

GI changes

Answer 29

appetite changes, absorption increases, decreased gastric motility, increased salvation

Question 30

Nutrition Recommendations

Answer 30

 4 servings fruits/veggies  4 servings whole wheat  4 servings milk  3 servings protein Folic acid 400mcg Calcium 1200-1500mgm

Question 31

Weight gain

Answer 31

average person= 25-35lbs overweight= 15-25lbs underweight= 30-40lbs twins= 35-45lbs

Question 32

Rubin’s 4 Developmental Tasks of Pregnancy

Answer 32

1. safety through pregnancy, labor, and birth 2. acceptance of child to others 3. acceptance and commitment of role by mother 4. learning to give on behalf of child

Question 33

Prenatal Care: 1st trimester (1-12 weeks)

Answer 33

visits every 4 weeks 1. early assessment and intervention; dating of pregnancy 2. physical exam 3. lab tests 4. initial interview 5. edcuation, counseling

Question 34

Prenatal Care: 2nd trimester (13-27 weeks)

Answer 34

visits every 4 weeks 1. routine assessment (urine, weight, bp, fundal height, fetal heart rate) 2. quad test, ultrasound

Question 35

Prenatal Care: 3rd trimester (28-40 weeks)

Answer 35

36 weeks= every week 1. 28 week H&H, glucose, Rhogam, 2. GroupB strep 36 weeks 3. stress test 4. biophysical profile

Question 36

Biophysical Profile (BPP)

Answer 36

``` ultrasound measuring 4 criteria of fetal wellbeing • amniotic fluid level • fetal breathing • fetal tone • fetal movement ```