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MC Test #1 > Block 4 Prenatal care > Flashcards

Block 4 Prenatal care Flashcards

(90 cards)

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1
Q

Antepartum=

A

prenatal.

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2
Q

intrapartum=

A

during birth

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3
Q

postpartum=

A

after the birth

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4
Q

what are the four major goals of prenatal care?

A

promote and teach good health habits, educate, physical care, prepare parents for respinsibilites of parenthood

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5
Q

what are the three goals of preconception care?

A

good nutrition. up to date immunizations. adequate intake of folic acid.

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6
Q

what are the five objectives of the physical exam?

A

evaluate general health. baseline weight and vitals. evaluate nutrition status. identify current problems. determine due date

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7
Q

a mother goes to prenatal visits every four weeks until how many weeks?

A

28 weeks(7 months)

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8
Q

the mother goes to prenatal visits every 2-3 weeks when she is this far along..

A

29-36 weeks

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9
Q

a mother goes to prenatal visits every week at this stage..

A

37 weeks to birth

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10
Q

what seven routine assessments are done at EACH prenatal visit?

A

vitals signs and weight. urinalysis. blood glucose. fundal height. fetal heart rate. nutrition intake. any problems.

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11
Q

what is the normal fetal heart rate?

A

110-160

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12
Q

gravida=

A

number of pregnancies

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13
Q

nulligravida=

A

never been pregnant

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14
Q

primigravida-

A

first pregnancy

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15
Q

multigravida=

A

multiple pregnancies

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16
Q

para=

A

number of births after 20 weeks gestation

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17
Q

the average pregnancy is how many days?

A

280 days

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18
Q

What is the calculation called to determine a mothers EDD?

A

nageles rule

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19
Q

How is nageles rule calculated?

A

first day of last menstrual period, minus three months, plus seven days.

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20
Q

how long is each trimester?

A

13 weeks

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21
Q

what does splitting the pregnancy into trimesters and counting weeks do for the mother?

A

provide an anticipatory guide

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22
Q

what are the seven presumptive signs of pregnancy?

A

amenorrhea. nausea. breast tenderness. deepening pigmentation. urinary frequency. fatigue and drowsiness. quickening.

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23
Q

quickening=

A

movement felt by the MOTHER

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24
Q

where is the deepening pigmentation found during pregnancy?

A

nipples, face, abdomen

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25
What are the seven probable signs of pregnancy?
goodells sign. chadwicks sign. abdominal enlargement. Braxton hicks. abdominal striae. positive pregnancy test.
26
goodells sign=
softening of the cervix
27
chadwicks sign=
purplish blue tint
28
what are the three positive signs of pregnancy?
audible fetal heartbeat. fetal movement felt by the examiner. ultrasound.
29
when can the fetal heartbeat be heard by a Doppler?
as early as 10 weeks gestation
30
What happens to the fetal heart rate as birth approaches?
it slows down a little bit.
31
Which test is a highly reliable test in pregnancy?
RIA(radioimmunoassay test)
32
this is essential to maintain pregnancy
hormones
33
what is the most striking change in pregnancy to the endocrine system?
the addition of the placenta as a temporary endocrine organ.
34
what is the primary rule of the endocrine system during pregnancy?
to produce estrogen and progesterone to maintain pregnancy.
35
this becomes a temporary abdominal organ
uterus
36
this part of the reproductive system changes in color during pregnancy
cervix
37
this is formed to prevent ascent of organisms into the uterus
the mucous plug
38
which three things happen to the vagina during pregnancy?
increased blood supply causes it to have a bluish purple color(chadwicks). vaginal secretions increase. higher glycogen level which promotes candida albicans to grow.
39
candida albicans=
yeast infection
40
pre-milk=
colostrum
41
these two hormone prepare the breasts for lactation
estrogen and progesterone
42
these secrete a substance to lubricate the nipples
tubercles of montgomery
43
what is pre-milk high in and low in?
high in protein, fat soluble vitamins, and minerals. low in calories, fats, and sugars.
44
increased estrogen does this to the respiratory system.
can cause edema or swelling of the mucous membranes of the nose, pharynx, mouth, and trachea.
45
women may complain of these three things regarding the respiratory system(not dyspnea)
nasal stuffiness. epistaxis. voice changes
46
what happens to the blood volume during pregnancy?
it increases
47
what does the blood volume increase provide for during pregnancy?(3 things)
exchange of nutrients, oxygen, waste of the placenta. expanded maternal tissue. reserve for blood loss at birth.
48
what happens to the pulse rate during pregnancy?
it increases
49
what happens to the BMR during pregnancy?
it increases
50
when does supine hypotension syndrome happen?
when a women is laying flat on her back.
51
what is being compressed in supine hypotension syndrome and by what?
the inferior vena cava is being compressed by the uterus.
52
reduced blood flow returned from the heart=
poor venous return
53
three symptoms of supine hypotension syndrome
faintness. lightheadedness. dizziness.
54
what four things can pregnancy cause to the cardiovascular system?
orthostatic hypotension. palpitations. dilutional anemia. increased clotting factors in the 2nd and 3rd trimester.
55
Hct normal does what during pregnancy
decreases
56
what can the normal Hct be in a pregnant female?
33% instead of 36%
57
what two effects does pregnancy have on the GI system?
appetite and thirst may increase. delay in gastric emptying and intestinal movement.
58
progesterone causes.... and leads to....
caueses ureters to lose tone and leads to urinary stasis
59
urinary stasis leads to
UTI
60
these glands become more active in pregnancy
sweat and sebaceous glands
61
what three posture changes occur in pregnancy?
low back aches. waddling gait. change in center of gravity.
62
normal Hct=
36%-48%
63
normal Hct in pregnancy=
33%-46%
64
interventions concerning safety should be apart of...
prenatal education
65
normal weight gain for pregnancy=
25-35lbs.
66
gaining more weight requires....
investigation
67
how much should calories be increased by during pregnancy?
300
68
these three nutrients will need to be increased in a pregnant woman.
protein. calcium. iron
69
four foods that contain adequate calcium
milk. green leafy vegetables. salmon. legumes.
70
four foods that contain adequate folic acid
liver. beef. dark green leafy vegetables. potatoes.
71
why does the mother need more iron during pregnancy
because the baby takes it and uses it for the first three to six months of life
72
nutritional considerations for the adolescent during pregnancy.
still growing and needs increased nutrition
73
nutritional considerations for sodium during pregnancy
no restrictions just watch
74
nutritional considerations for vegetarians
need to worry about protein. they need to get their protein from tofu or soy
75
pica=
eating things like clay and starch
76
how many increased calories should be consumed during lactation
500
77
what is the goal of exercise during pregnancy?
maintenance of fitness, not improvement or weight loss.
78
elevated temperature can impact the fetus how?
impact fetal circulation and cardiac function
79
when should exercise be avoided in pregnancy
in hot and humid weather
80
these two activities should be avoided in pregancy
scuba diving and sky diving(high altitudes)
81
intensity of exercise should be modified based on what test?
the talk test
82
what are eight common discomforts in pregnancy?
fatigue. constipation. hemorrhoids. vaginal discharge. backache. varicose veins. leg cramps. edema.
83
what can constipation be from in pregnancy?
iron
84
what should be done if someone has varicose veins?
elevate the legs due to slow venous return
85
what are the three developmental stages of the father?
announcement. adjustment. focus
86
announcement stage=
when the pregnancy is confirmed
87
adjustment stage=
planning for the child
88
focus stage=
active plans for participation in labor and the birth process
89
we need to include the father to what extent?
to the extent that the father and mother desire
90
this influences the roles of fathers
cultural values

MC Test #1 (3 decks)

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