LESSON 3 MATERNAL

Question 1

prevents the incident of preterm birth and infant mortality rate

Answer 1

prenatal care

Question 2

purposes of prenatal care

Answer 2

establish baseline data
determine the gestational age
monitor fetal development
identify patients at risk for complications
minimize complications

Question 3

number of times pregnant including present

Answer 3

gravida

Question 4

number of pregnancies that lasted more than 20 weeks regardless of outcome

Answer 4

para

Question 5

never pregnant

Answer 5

nulligravida

Question 6

1st time pregnant

Answer 6

primigravida

Question 7

2nd and subsequent pregnancy

Answer 7

multigravida

Question 8

not given birth to 20 weeks

Answer 8

nulliparab

Question 9

irth to one baby more than 20 weeks

Answer 9

primipara

Question 10

completed 2 or more pregnancies to the stage of viability

Answer 10

multipara

Question 11

conceptus to 10th week gestation

Answer 11

embryo

Question 12

10th week more

Answer 12

fetus

Question 13

capability of living, 24 weeks

Answer 13

viability

Question 14

number of living children

Answer 14

living children

Question 15

one that extends beyond th edate, after 40 weeks, after 294 days from the first day of LMP

Answer 15

postterm / postdate pregnancy

Question 16

cervical changes and unterine contractions happens 20-37 weeks

Answer 16

preterm labor

Question 17

any birth that occurs before 37 weeks

Answer 17

preterm birth

Question 18

series of processes in expelling fetus and placenta

Answer 18

labor

Question 19

presence of quickening

Answer 19

1st quickening 16-20 weeks

Question 20

UTZ screen for chromosomal defect

Answer 20

(11-13 weeks)

Question 21

UTZ for evaluation for fetal health

Answer 21

about 20 weeks

Question 22

types of pelvic

Answer 22

gynecoid- well rounded
anthropoid- narrow
platypeloid- flattened
android- male or sharp

Question 23

signs of pregnancy | PRESUMPTIVE

Answer 23

morning sickness
amenorrhea
changes in breast
fatigue
lassitude
urinary frequency
quickening

Question 24

signs of pregnancy |PROBABLE

Answer 24

chadwick’s
hegar’s
uterine enlargement 12wks
positive pregnancy
ballotment 6th-20wks
outline of the fetal body
goodel’s
souffle, contraction, braxton hicks (28 wks)

Question 25

positive fetal heartbeat

Answer 25

10 weeks doppler 16 weeks fetoscope 18-20 weeks auscultation

Question 26

naegele's rule

Answer 26

LMP add 7 days add 9 months

Question 27

age of fgestation

Answer 27

date of visit-LMP/ x weeks

Question 28

mcdonalds rules

Answer 28

FUNDIC HEIGHT (cm) x 2 / 7= EDD IN MONTHS FUNDIC HEIGHT (cm) x 8/7 = EDD IN WEEKS

Question 29

HAASE

Answer 29

If the client is 1-5 months pregnant Eg. (5 months)2 = 25 cm If the client is 6-10 months pregnant, Eg. 7 months x 5 = 35 cm

Question 30

johnson's rule

Answer 30

N= is 12 if engaged, 11 if not engaged K= is 155 (constant) FUNDIC HEIGHT (cm) – N x K = ____ grams

Question 31

goodell's sign

Answer 31

softening of the cervix

Question 32

hegar's sign

Answer 32

6 weeks (softening of the uterine segment)

Question 33

physical changes in the reproductive| uterus cervix vagina ovary breast

Answer 33

uterus: hegars sign, increase in fundal height cervix: goodells sign vagina: chadwicks, hyperemia, increase vascularity secretion (ph 3.5-6) ovary- ovulation ceases breast- tender, enlarged, colostrum at 2nd trimester

Question 34

integumentary changes|

Answer 34

stria gravidarum linea nigra chloasma/melasma pigmentation

Question 35

metabolic and endocrine weight gain- water metabolism- protein metabolism carbohydrate metabolism- fat metabolism- iron metabolism placenta- pituary-

Answer 35

weight gain- 11-13kg 1st tri 2-4lbs, 2nd tri 12-14lbs 3rd tri 8-12 lbs water metabolism- 6.5L protein metabolism- for the uterus, fetus, maternal blood carbohydrate metabolism- hormones produced by placenta hinders insulin fat metabolism- more absorbed iron metabolism- 20-40mg placenta- (E,P,HCG,HPL) pituitary- E,P > ; suppressed LH, FSH, oxytocin

Question 36

CARDIOVASCULAR physical changes heart- hematologic- circulation-

Answer 36

heart- displaced upward, systolic murmur hematologic- RBC increase, leukocytes elevated, clotting factors increase circulation- increase volume 40-50%, CO, pulse rate 10-15bpm slight decrease in BP 30% 2nd and 3rd

Question 37

Respiratory Ventiation- diaphragm-

Answer 37

Ventiation- hyperventilation, respiratory alkalosis (PCO2 lowers, Bicarbonate concentration compensate) diaphragm-enlarging uterus elevates the diaphragm

Question 38

Urinary changes ureters: dilated and elongated

Answer 38

GRF-decrease renal threshold for glucose➔glucosuria PROTEIN IN urine indiates HPN or renal problem

Question 39

HORMONE OF WOMAN, INCREASE BLOOD & VASODILATION, CLOTTING FORMATION, MAMARY GLAND, UTERINE GROWTH

Answer 39

ESTROGEN

Question 40

HORMONE OF MOTHER, maintains endometrial lining,reduces contractility of the utrus, CAUSES FLUID RETENTION-edema,anemia, muscle relxant-constipationurinary retention, varicose veinspyrosis

Answer 40

PROGESTERONE

Question 41

FIRST PLACENTAL HORMONE- SUPPORTS CORPUS LUTEUM for 3 months, positive PT 100th day of pregnancy, CAUSES morning sickness N/V, Negative results after 1-2 weeks after birth

Answer 41

HUMAN CHORIONIC GONODOTROPIN

Question 42

EXCRETED BY OVARIES CAUSES LORDOSIS, WADDLING GAIT

Answer 42

RELAXIN

Question 43

GROWTH PROMOTING AND LACTOGENIC, RESPONSIBLE for GDM

Answer 43

HUMAN PLACENTAL LACTOGEN

Question 44

RESPONSIBLE FOR THE PRODUCTION OF BREASTMILK

Answer 44

PROLACTIN

Question 45

MUSCLE RELAXANT

Answer 45

OXYTOCIN