Module 4 - Antepartal Considerations (Exam 2) 1 Flashcards Preview

Semester Three - Half Two - Nursing 212 > Module 4 - Antepartal Considerations (Exam 2) 1 > Flashcards

Flashcards in Module 4 - Antepartal Considerations (Exam 2) 1 Deck (52)
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1

Holistic Nursing Care General Considerations

  1. Age
  2. History
  3. Medications
  4. Emotional Health
  5. Medical Concerns
  6. Nutrition and Exercise
  7. Lifestyle and cultural influences

2

Subjective (presumptive) signs of pregnancy

Symptoms experienced and reported

3

Objective (probable) signs of pregnancy

Signs that suggest pregnancy

4

Diagnositc (positive) signs of pregnancy

  1. Indications percieved by CNM, NP, physician
  2. Attributable only to pregnancy

5

When does quickening happen?

16-18 weeks, for sure by 20 weeks

6

Subjective Signs of Pregnancy

  1. Fatigue
  2. Quickening
  3. Amenorrhea (no period)
  4. Breast tenderness
  5. Urinary frequency
  6. Nausea and vomiting

7

Quickening

Sensation of movement of the fetus

8

Objective Signs of Pregnancy

  1. Ballottment
  2. Skin changes
  3. Uterine enlargement
  4. Positive pregnancy test
  5. Changes in reproductive organs

9

Diagnositc Signs of Pregnancy

  1. Fetal Heart Sounds
  2. Fetal movement felt by examiner
  3. Ultrasonography

10

Diagnostic - Fetal Heart Sounds

  1. At 8-12 weeks by electronic doppler
  2. At 17-20 weeks by fetoscope

11

Diagnositc - Fetal movement felt by examiner

At approximately 20 weeks

12

Diagnostic - Ultrasonography

Fetal heart activity at ~8 weeks

13

Menstrual History

  1. Dating the pregnancy
  2. Conception ~ 2 weeks AFTER menses (28 day cycle)

14

Previous Pregnancy (Gravida) History

  1. Prenatal Course
  2. Outcomes

15

Previous Delivery (Para) History

  1. Intrapartal course
  2. Neonatal status

16

Gravida

The number of times a woman has been pregnant, regardless of duration or outcome

17

Para

The number of pregnancies that have ended at 20 or more weeks. Multifetal gestations are considered one birth.

18

G TPAL

  1. T=Term
    1. 38-42 weeks gestation
  2. P=Preterm
    1. 20-37 weeks gestation
  3. A=Abortion
    1. Either sponaneous (SAB) or elective (TAB)
  4. L=Living Children
    1. At time of assessment

19

TPAL

May describe pregnancies delivered. Multiple gestationscounted as one parous experience

OR

May describe infants born. Multple gestations are counted individually.

20

Gestational Age

Approximately 280 days or 40 weeks following the last menstrual period

21

Fertilization Age

Approximately 266 days or 38 weeks following fertilization

22

Ways to date a pregnancy

  1. Nagele's Rule
  2. Quickening
  3. Fetal Heart Tones
  4. Fundal Height
  5. Ultrasonography

23

Nagele's Rule

  1. Determine the first day of thelast normal menstrual period
  2. Subtract 3 months
  3. Add seven days

24

Demographic Risk Factors

  1. <16 or >35 years of age
  2. Low socioeconomic status

25

Social and/or personal Risk Factors

  1. Tabacco
  2. ETOH/Social illegal drug use
  3. Low pre-pregnancy weight
  4. Obesity

26

Obstetrical Risk Factors

  1. Greater than or equal to 6 deliveries of viable infants
  2. Rh sensitization
  3. Previous Fetal/neonatal death

27

Medical Risk Factors

  1. Diabetes
  2. Concurrent infections
  3. Hypertension

28

Uterine Fundal Height 10-12 weeks

Above symphysis (out of pelvis, abdominal organ)

29

Uterine Fundal Height at 16 weeks

1/2 way between symphysis and umbilicus

30

Uterine Fundal Height at 20-22 weeks

At umbilicus

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