Chapter 4 - Antepartum Care

Question 1

Iron-deficiency anemia (Hgb + Hct)

Answer 1

hemoglobin less than 11g/dL

hematocrit less than 33%

Question 2

hematocrit + norm range in women

Answer 2

% of RBC in blood

For women, 35.5 to 44.9%

Question 3

Pseudo Anemia

Answer 3

hemodilution: decr Hgb + Hct

- due to incr in plasma volume greater than incr in RBC

Question 4

Respiratory changes

Answer 4

40-50% incr in minute ventilation

-r/t incr in tidal volume fr 35 to 50%

Question 5

incr in E + P + prostaglandins results w resp system being…

Answer 5

• dyspnea
• nasal + sinus congestion
• epistaxis (nosebleed)

Question 6

hyperpigmentation is caused by

Answer 6

E + P stim incr melanin deposition

Question 7

types of hyper pigmentation

Answer 7

linea nigra

melasma (mask of pregnancy)

Question 8

presumptive signs of pregnancy [SUBJECTIVE]

Answer 8

• amenorrhea
• n/v
• breast change
• fatigue
• incr frequency of urination
• quickening (18-20 wk)

Question 9

probable signs of pregnancy [OBJECTIVE]

Answer 9

• chadwick
• goodell
• hegar
• uterine/abdominal growth
• hyperpigmentation
• ballottement
• pos preg test results

Question 10

positive signs of pregnancy [DEFINITIVE]

Answer 10

• auscultatn of FHR (10-12 wk w doppler)
• observtn/palpatn of fetam mvmt
• sonographic visualizatn (cardiac mvmt at 4-8 wk)

Question 11

chadwick’s sign

Answer 11

bluish-purple coloration of vaginal mucosa, cervix, + vulca

-6-8 wk

Question 12

goodell’s sign

Answer 12

softening of cervix + vagina w increased leukorrheal discharge
-8 wks

Question 13

hegar’s sign

Answer 13

softening of lower uterine segment

-6 wks

Question 14

ballottement

Answer 14

light tap on the cervix causes fetus to rise in amniotic fluid then rebound to the original position

Question 15

Para

Answer 15

number of BIRTHS after 20 wks

-both live + still birth

Question 16

primigravida

Answer 16

1st pregnancy

Question 17

multigravida

Answer 17

pregnant for atleast a second time

Question 18

T in GTPAL

Answer 18

number of TERM infants born

-bw 38-42 wks

Question 19

P in GTPAL

Answer 19

PRETERM

-born bw 20-37 6/7 wks

Question 20

ABCDE’S of abuse

Answer 20

Alone (ur not alone)
Belief (i believe u)
Confidentiality (confidential but mandatory reporting laws)
Documentations (pics + verbatim)
Education (resources + TRO)
Safety (warn neighbors + friends for signs of absue to call 911)

Question 21

Warning signs of FIRST trimester

Answer 21

• abdominal cramp/pain» threatened abortion, UTI, appendicitis
• vaginal spotting» threatnd abortn
• absence of FHR» abortn
• dysuria, freq, urg» UTI
• prolonged N/V» hyperemesis gravidarum

Question 22

hyperemesis gravidarum may lead to…

Answer 22

can lead to dehydration, weight loss, and electrolyte imbalances

Question 23

recommended wt gain for UNDERWEIGHT

Answer 23

28-40 lb total

1-1.3/wk

Question 24

recommended wt gain for NORMAL BMI

Answer 24

25-35 lb total

0.8-1/wk

Question 25

recommended wt gain for OVERWEIGHT

Answer 25

15-25 lb total | 0.5-0.7/wk

Question 26

recommended wt gain for OBESE

Answer 26

11-20 lb total | 0.4-0.6/wk

Question 27

quickening

Answer 27

first feeling of fetal mvmt | -18-20 wk

Question 28

1 hr glucose challense

Answer 28

recommended btw 24-28 wk

Question 29

Warning signs of SECOND trimester

Answer 29

- absence of fetal mvmt>> fetal distress or death | - vaginal bleeding>> infection, friable cervix, placenta previa, abruptio placenta, PTL

Question 30

leopold's maneuver

Answer 30

ID the position of fetus in utero | -

Question 31

when is GBS screening done

Answer 31

35-37 wks

Question 32

Rhogam [Rho(D) Immune Globulin]

Answer 32

admin prophylactically at 28 wk for RH- | -if RH+ bb, then given w/in 72 hr after delivery

Question 33

S/S of PTL

Answer 33

- rhythmic lower abdominal cramping or pain - lower backache - pelvic pressure - leaking of amniotic fluid - incr vaginal discharge

Question 34

S/S of HTN disorders

Answer 34

- severe headache that doesn't respond to usual relief measures - visual changes - facial or generalized edema

Question 35

CVS testing

Answer 35

10-13 wk

Question 36

quad screening

Answer 36

16-18 "all hail every infant" -AFP, HCG, ESTIOL, INHIBIN A"

Question 37

high AFP may indicate

Answer 37

risk for neural tube defect

Question 38

low AFP + low ESTIOL may indicate

Answer 38

down syndrome

Question 39

rhogam is admin...

Answer 39

28 wks then after birth if bb is positive

Question 40

rpr

Answer 40

screening for syphilis | -2nd trimester