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352-OB/Geriatrics Midterm > Antepartum > Flashcards

Flashcards in Antepartum Deck (36):
1

Pregnancy Trimesters

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

2

Diagnosing Signs of Pregnancy (3)

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

3

Presumptive signs of pregnancy

 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

4

Probable signs of Pregnancy

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

5

Positive signs of pregnancy

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

6

Piskacek’s sign

asymmetry of uterus, one side is rough

7

Goodell's sign

softening of the cervix

8

Chadwick's sign

blue color or cervix and other lady parts

9

Hegar's sign

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

10

McDonald's sign

flexing of the uterus against cervix

11

Uterine Souffle

blowing sound from increased blood flow, palpation of fetal outline

12

Ballotment

fetal movement witnessed by palpation

13

Naegele's Rule

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

14

Uterine Size

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

15

Fundus

top of uterus, farthest fro cervix

16

Isthmus

lower portion of uterus, nearest cervix

17

Gravida

G= total number of pregnancies ever

18

Parity

P= anything that goes past 20 weeks

19

Term

T= anything that goes past 38 weeks

20

Pre-term

p= anything between 20-38 weeks

21

Micropreme

born between 23-27 weeks

22

Abortions

A= anything before 20 weeks (dead or alive)

23

Living

L= number of children currently alive

24

Cardiovascular changes

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

25

Respiratory changes

increased oxygen requirements/chest expansion, upward displacement, more vascular and congested

increased tidal volume and capacity; decreased reserve and residual volume

26

Renal changes

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

27

Skin changes

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

28

Neuromuscular changes

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

29

GI changes

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

30

Nutrition Recommendations

 4 servings fruits/veggies
 4 servings whole wheat
 4 servings milk
 3 servings protein

Folic acid 400mcg
Calcium 1200-1500mgm

31

Weight gain

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

32

Rubin’s 4 Developmental Tasks of Pregnancy

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

33

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

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

34

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

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

35

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

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

36

Biophysical Profile (BPP)

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