Prenatal and Antepartum Flashcards

1
Q

DFMC

A

daily fetal movement count

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2
Q

AF

A

amniotic fluid

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3
Q

AFV

A

amnitoic fluid volume

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4
Q

AFI

A

amniotic fluid index

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5
Q

LBW

A

low birth weight

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6
Q

PUBS

A

percutaneous umbilical blood sampling

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7
Q

CVS

A

chorionic villus sampling

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8
Q

NTD

A

neural tube defect

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9
Q

FHR

A

fetal heart rate

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10
Q

IUGR

A

intrauterine growth retardation

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11
Q

AFP

A

alpha-fetoprotein

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12
Q

EFM

A

external fetal monitoring

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13
Q

NST

A

nonstress test

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14
Q

CST

A

contraction stress testing

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15
Q

ROM

A

rupture of membranes

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16
Q

PROM

A

premature rupture of membranes

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17
Q

Kick count

A

mother counts fetal movements for 2 hr 2-3 times/day or until 10 movements

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18
Q

Ultrasound

A

used to estimate amount of AF; AFI < 5 cm-oligohydramnios, 5-19 cm- normal, >20 cm-polyhydramnios

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19
Q

Biophysical profile

A

ust to evaluate pregnancy; consists of monitoring fetal tone, AFI, nonstress test, and fetal breathing movements
Normal 8-10
Suspicious-6,
Abnormal-less than 6

20
Q

Amniocentesis

A

check for congenital abnormalities, lung development, dx of fetal, hemolytic dx

21
Q

PUBS

A

used for genetic analysis, infection, intrauterine transfusion, need 1-4 mL blood

22
Q

CVS

A

done at 10-12 wks, can do transabdominal or transcervical

23
Q

AFP

A

blood test dra1n at 15-22 wks, check for neural tube defects and down syndrome screening

24
Q

Non-stress test

A

non invasive high rate of false positives due to fetal sleep cycle. done in semi-flower’s

25
Q

Contractions stress test

A

used to detect fetal compromise w/ stress. provides early warning than NST w/ fewer false positives. more time consuming

26
Q

Nipple stimulation

A

warm moist wash clothes to both breast, massage one nipple for 10 min. if no contractions, ty stimulating both

27
Q

Oxytocin stimulation

A

pitocin infused IV to achieve 3 contractions in 10 min (mix 10 units in 1000 mL of IV fluid via pump at 0.5 milliunits/minute)

28
Q

Cardiovascular

A

pulse increase, increase blood volume by 1500 mL, decrease in BP, physiologic anemia b/c of pregnancy

29
Q

Respiratory

A

inc O2 requirement,diaphragm displaced by 4 cm (SOB), sinus trouble-stuffiness, epistaxis, sinus pressure, respiratory rate increase

30
Q

Renal

A

urinary frequency, inc risk of UTI, glycosuria (glucose in urine), proteinuria (protein in urine)

31
Q

Integumentary

A

pigmentation
mask of pregnancy-chloasma
linea nigra - dark line goes up belly
striae gravidarum-stretch marks

32
Q

Muscoloskeletal

A

pelvis tilts forward
waddles
umbilicus flattens or pops out

33
Q

Neuro

A
sensory changes in legs
lightheadness
cramps in legs
headaches
carpal tunnel syndrome
34
Q

GI

A

N/V constipation hemorrhoids gums bleed easily indigestion development of gallstones

35
Q

Chadwick’s sign

A

cervix takes on bluish color

36
Q

Goodell’s sign

A

cervical softening

37
Q

McDonald’s sign

A

easy flexion of fundus on cervix

38
Q

Heger’s sign

A

7-8 wks isthmic softening

39
Q

Braun von Fernwald’s sign

A

softening & slight fullness of fundus near area of implantation

40
Q

Braxton Hicks

A

practice run of contractions that are irregular and start after 4th month

41
Q

Presumptive signs of pregnancy

A
Amenorrhea
N/V
Breast changes & tenderness
Urinary frequency
Fatigue
(observations of client)
42
Q

Probable Signs of Pregnancy

A
Ballottement
Quickening
\+ home pregnancy test
Goodell's Chadwick's
Hegar's
Braxton Hicks
(finding of health provider)
43
Q

Positive signs of pregnancy

A

FHR: Doppler 8-12 wks; Fetoscope 16-20 wks
Ultrasound
Palpated fetal movement

44
Q

Danger signs to report

A
fever
visual disturbances
leakage of fluid
swelling face, fingers, sacrum
severe headache
epigastric pain
persistent vomiting
abdominal cramping
change infetal movemnt
vaginal spotting/bleeding
painful urination
45
Q

Symptoms of preterm labor

A

backache
pelvic pressure
cramps