Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

SEM 1 > W2: Prenatal Concept/ Antepartum Care > Flashcards

W2: Prenatal Concept/ Antepartum Care Flashcards

(87 cards)

Start Studying
1
Q

Preconception care

A

identifying and modifying risk factors in individuals considering pregnanvy in order to improve their health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

8 Components of Preconception Care

A

Folic Acid
Healthy Body Weight
Mental Health
Physical Activity
Smoking
Immunizations
Nutrition
Environmental Hazards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Folic Acid

A

reduces risk of neural tube defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Healthy Body Weight

A

high/low BMI can negatively affect pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Mental Health

A

premature birth
birth weight
breastfeeding initiation
coginitive & emotional development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Physical Activity

A

decrease risk of chronic conditions
weight
mental health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Smoking

A

less negative effects on pregnancies
maternal health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Immunizations

A

adverse pregnancy outcomes
prevent infections from being transmitted to fetus
protection durign early infancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Nutrition

A

overall health
optimize maternal & fetal health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Environmental Hazards

A

complex to verify but should be done

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Conception and Implantation Phases

A

unfertilized oocyte
fertilized oocyte
two cell stage
four-cell stage
eight cell stage
morula
blastocyte
embryo hatches
vlastocyte rotates and impants into endometrium of uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

6 functions of the placenta

A

respiratory - O2 and CO2
excretory - waste products
endocrine- functions as an endocrine - secretes 4 pregnancy hormones (human chorionic gonadotropin, estrogen, progesterone, human placental lactogen)
nutrition: mother- fetus
storage- carbs, protein, Ca, Fe for fetal needs
barrier- from harmful substances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CHEAP.TORCHES acronym

A

C:chickepox & shingles
H: hepatitis B, C, D, C, E
E: enterovirus + poliovirus
A: aids
P: parovirus B19 (5th disease)
T: toxoplasmosis
O: other -group B streptococcus listeria, candida
R: rubella
C: cytomegalovirus
H: herpes simplex virus
E: sexually transmitted- gonorrhea, chlamydia
S: syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Antepartum:

A

prenatal period (conceptio - onset of labor)

AKA antenatal, prenatal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Intrapartum

A

period from onset of true labour - delivery of baby & placenta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

post partum

A

6 week period: delivery of placenta - body returning to pre-pregnancy state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

First trimester

A

1-14 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Second trimester

A

14-28 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Third trimester

A

28-40 weeks/delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Gravida

A

a person who is pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Gravidity

A

pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

nulligravida

A

a person who has never been pregnany and is not pregnant currently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

primigravida

A

a person who is pregnant for the first time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

multigravida

A

a person who has had 2+ pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
parity
number of pregnancies where the fetus has reached 20 weeks gestation
26
nullipara
person who has not completed a pregnancy beyond 20 weeks
27
primipara
one pregnancy reaching 20 weeks
28
multipara
2+ pregnancies reaching 20 weeks
29
viability
capacity to live outside the uterus
30
Infants born at __ - ___ weeks of gestations infants are considered to be on the threshold of viability
22, 25
31
pre-term
20 - 36 + 6 w
32
late pre-term
34- 36+6 w
33
term
37 - 40 + 6w
34
early term
37 - 38 + 6w
35
full term
39 - 40 + 6w
36
late term
41st w
37
post-term
after 42w
38
GTPAL Score: Amy is pregnant for the first time
1, 0, 0, 0, 0
39
GTPAL Score: Amy carries her pregnancy to term, new born survies
1, 1, 0, 0, 0
40
GTPAL Score: Amy is pregnant with second child
2, 1, 0, 0, 0
41
GTPAL Score: Amy has a child, her current pregnany ends in a miscarriage at 10 weeks
2, 1, 0, 1, 1
42
GTPAL Score: Amy has one child, she is pregnant for the third time and gives birth to twins at 36 weeks
3, 1, 2, 1, 3
43
What does GTPAL Score stand for
gravidity term pre-term Abortion Living children
44
earliest biochemical marker of pregnancy
human chorionic gonadotropin (hCG)
45
Technology used for home pregnancy tests
ELISA, enzyme linked immunoabsorbent assay
46
Presumptive Signs of Pregnancy
cessation of menses nausea and vomiting frequent urination breast, chest tenderness skin changes quickening fatigue
47
Probable Signs of Pregnancy
enlargement of abdomen braxton hicks (end of 1st tri) skin changes (striae, increased pigment) positive pregnancy test hegar's test goodell's sign chadwick's sign
48
hegar's sign
palpable softening of lower uterine segment @ 6 weeks
49
goodell's sign
softening of cervix @ 8 weeks
50
chadwick's sign
blue-violet hue form congestation on vulva, vagina, cervix, vaginal opening @ 6-8 weeks
51
Positive Signs of Pregnancy
fetal heart heard -4-8w w/ ultrasound -10-12w w/ doppler fetal movement (18-20w) visualization of fetus (5-6w)
52
Adaptations: Uterus
changes in size, shape, position hegar's sign changes in contractility goodell's sign changes r/t fetal presense (ballotement) - displacement of abdominal structures
53
Adaptations: Vagina & Vulva
chadwick's sign leukorrhea
54
Adaptations: Breasts
fullness, heavtt heightened sensitivity (tingling, pain) areaola more pigmented mongomery tubercules colostrum
55
Adaptations: Cardiovascular System
slight change in diastolic pressure -slight decrease mid-preg, return to normal by end blood volume increases hemoglobin level decreases hematorcrit decreases RBC mass increase cardiac output increases --- all mainly due to increased fetal demand
56
Adaptations: Respiratory System
oxygen consumption increases changes from abdominal-thoracic breathing (diaphragm displaced) increases vascularization in upper tract d/t estrogen nasal & sinus stuffiness, nosebleeds, voice changes
57
Adaptations: Renal System
increased GFR increase frequenct & nocturemia (pressure on bladder) dilation of ureters & renal pelvis increase pylonephiritis
58
Adaptations: endocrine system
thyroid- enlarge, tt4 inc adrenal- cortisol & aldosterone inc pituitary- gland enlarges, prolactin inc pancreas- glucose for growth hyperglycemia & hyperinsulinemia after eating (insulin resistance) potential for gestation diabetes
59
Adaptations: GI system
morning sickness due to hCG constipation gas, discomfort risk of gallstones heartburn hiatus hernia mouth, gum soreness/bleeding hemarroids
60
Adaptations: Musculoskeletal System
lumbar lordosis as uterus enlarges & moves upwards & outwards relaxation of motility of pelvic joints (waddle) rectis abdominous, diastasis recti umbilicus protrudes
61
Adaptations: neurological system
lightheadedness, fainting carpal tunnel sensory changes in the legs headaches decrease attention, concentration, memory
62
Adaptations: Integumantary system
chloasma linea negra striae gradrium (stretch marks)- reduced conenctive tissue strength d/t elevated steroid levels thicker hair
63
Determining date of delivery
nagele's rule add 7 days to 1st day of LMP substract 3 months from that date
64
fundal height
measures size of uterus from pubic symphysis to fundus 22-34w mcdonald's method: using a tape measure
65
Quickening
awareness of fetal mocements by pregnant person 16-22 weeks
66
hormones of pregnancy
HPL HCG Estrogen Preogesterone oxytocin prolactin relaxin
67
HPL
metabolism regulation-free up glucose for fetus use insulin resistance
68
HCG
proliferation of uterus & causes cessation of menstruation
69
estrogen
increases at end of pregnancy for labor maintains, controls, stimulates the production of other pregnancy hormones ensures developmnt of fetal organs growtth & function of placenta maternal breast tissue growth (lactation)
70
progesterone
!! maintains pregnancy growth of blood vessels nutrients for erly embryo thickening of endometrium for implantation establish placenta prevents uterus from contracting until labor prevents lactation until PP strengthen pelvic muscles for labor
71
oxytocin
produced by hypothal. secreted py posterior pituitary induced uterine contractions for labor letdown reflex during lactation
72
prolactin
produced by anterior pituitary essential for milk production
73
relaxin
produced by corpus luteum then placenta after 6-8 weeks relaxes pelvic muscles/joint for birth
74
An infant has a lpw birth weight when they weigh ___
2500g or less
75
BMI Classification
<18.5 = underweight 18.5 - 24.9 = normal 25-29.9=overweight >30= obese
76
per week weight gain for each BMI category
underweight= 0.5 normal= 0.4 overweight= 0.3 obese= 0.2
77
total weight gain range for each bmi category
underweight= 12.5-18 normal= 11.5-16 overweight= 7-11.5 obese= 5-9
78
Foods to avoud during pregnancy
blue cheese unpasteurized milk raw/undercooked eyes raw/undercooked meat shark/sword fish (mercury) limit intake of tuna & mackerel limit coffee intake (lbw) no alcohol limit intake of liver (to much vit A)
79
Common Discomforts during pregnancy
nausea/vomiting heartburn breast tenderness vaginal d/c, bleeding headaches nosebleeds gingivitis abdominal pain/cramping fatigue constipation urinary frequency backpain skin changes pytalism quickening pica
80
Prenatal Visit Frequency
1x per month until 28w q2w 28-36w 1x week 37-40w
81
Normal Fetal Heart Rate: Pregnancy
160-170 bpm (early) 110-160 bpm (late)
82
Screening: 1st Trimester
PAP CBC HIV urine culture rubella titre ABO & RH typing STI ultrasound NT, B-hCG, PAPP-A - Aneuploidy= increased NT , inc B-hCG, reduced PAPP-A
83
Screening: 2nd Trimester
quadruple screen: blood test - alpha fetal proteins (AFP), h-CG, unconjugated estriol (UE), inhibin-A (placental hormone) ultrasoung (getational age, growth, abnormalities, heart)
84
Ultrasound
1st Trimester: assess gestational age, number of fetuses, assess for problems (ectopic, bleeding) 2nd/3rd: gestational age, level of amniotic fluid, location of placenta, identify presentation, cause of bleeding, fetal death
85
amniocenthesis
part of amniotic fluid is taken to test for genetic disorders, congentical abnormalities
86
Screening: 3rd trimester
gestational diabetes group b streptococcus fetal health (fetal movement counts, NST, CST, ultrasound)
87
6 practices for culturally safe, humble, trauma-informed perinatal care
cultural safety + humility self-determination trust through relationship respect anti-indigenous reacism strength & resilience based practice

SEM 1 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions