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NUR 435 Exam 1 > Week 1- Pregnancy > Flashcards

Week 1- Pregnancy Flashcards

(59 cards)

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1
Q

1st Trimester

A

1-13 weeks

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2
Q

2nd Trimester

A

14-26 weeks

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3
Q

3rd Trimester

A

27- 40 weeks

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4
Q

Length of Pregnancy

A

40 weeks
280 days
+/- 2 weeks

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5
Q

Presumptive Signs of Pregnancy

A 
Amenorrhea
N/V
Increased urination 
Fatigue 
Quickening
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6
Q

Probable Signs of Pregnancy

A

Goodell sign- softening of vagina
Chadwick sign- bluing of the cervix
Heharsign - softening of the cervix
Baxton Hicks Contractions- occurs late in pregnancy
Ballottement- can feel the head in vagina!
+ pregnancy test

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7
Q

Positive Pregnancy Sign

A

Ultrasound visualization
Fetal heart tones
X ray visualization
Fetal movement felt by a physician

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8
Q

Role of Amniotic Fluid

A 
Maintain body temp
Cushions fetus
Allows movement 
Baby swallows 
Last tri: practices breathing movement
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9
Q

Placenta

A

Completed growth by 12th week

Releases HCG

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10
Q

HCG

A 
Hormone released by placenta 
Detected 7-10 after conception 
Pregnancy indicator 
Causes N/V 
2x as high in twins
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11
Q

HPL

A

Must be present for fetal growth

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12
Q

Progesterone

A

Maintains pregnancy
Maintains lining of the uterus
Decreases contractibility
Stimulates breast feeding

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13
Q

Estrogen (Estroil)

A

Stimulate uterine growth
Helps with breast feedings
Stimulates contractions

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14
Q

Gravida

A

A woman who is pregnant

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15
Q

Gravidity

A

Pregnancy

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16
Q

Multigravida

A

2+ pregnancies

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17
Q

Multipara

A

Competed 2+ pregnancies

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18
Q

Para

A

Given birth X amount of times

Trips to delivery room, twins= 1

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19
Q

Nulligravida

A

Never been pregnant

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20
Q

Nullipara

A

Never completed a pregnancy

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21
Q

Parity

A

of pregnancies reaching viability

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22
Q

Post Date

A

Over 42 weeks gestation

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23
Q

Preterm

A

20-37 weeks

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24
Q

Primigravida

Study These Flashcards
A

Pregnant for the first time

25
Primipara
Completed one pregnancy and reaching viability
26
Term
Beginning of week 38 til end of 42
27
Viability
Capacity to live outside the uterus 22-42 weeks > 500 grams
28
Low birth weight
<2500 grams
29
Mother Weight gain
Gain 25-30lbs GRADUALLY | Gain a couple lbs a month
30
Supplements
Follic acid is extremely important during the 1st trimester | Could have neruo defects w/o
31
PICA
WERID cravings
32
Prime age for pregnancy
16-35 for least amount of complications
33
Exercise
Moderate No more than usual STAY HYDRATED - dehydration= contractions
34
Health Concerns
NO DRUGS NO ALCOHOL NO SMOKING Limited caffeine
35
Chorion
Fetal side of the placenta | Contains major umbilical cord blood vessels
36
Amnion
Becomes the covering of the umbilical cord | Covers chorion on the fetal surface of placenta
37
Umbilical cord
3 vessels 2 arteries 1 vein
38
Wharton Jelly
Covers umbilical cord and protects from compression
39
Fetal Heart Rate
110-160
40
Quickening
20 weeks 1st time mom will feel movement | 16-17 weeks for 2nd or more
41
Body Adaptations
``` Increased BP, CO, BV Increased respirations Increased renal output Difficulty sleeping Heartburn Backaches N/V Derm changes ```
42
Fundal height
Grows 1 cm each week
43
Maternal Mortality
Increased over last 10 years
44
Major cause of maternal mortality
Embolism Hemorrhage Pregnancy related HTN Infection
45
Infant Mortality
6.14 deaths per 1000 in 2010
46
American American Infant Mortality
Almost 2X as high | 11.46 per 1000
47
African American Maternal Mortality
Highest maternal rates | 3-4 times more than white Americans
48
African American Infant Mortality
Nearly twice as high compared to all races
49
Mature Lungs
Formed at about 35 weeks | L/S Ratio is 2:1
50
Fetal Hemoglobin
Carries 20-30% more | Concentration of Hgb is 50% more than mother
51
After 42 Weeks Gestation
Everything falls apart Uterus become a hostile environment Fluid level decreases After 41 weeks chance of a still birth DRAMATICALLY goes up
52
Bollottement
Around 30th week can feel something bounce of your finger
53
Quickening
20 weeks 1st time mom can feel it | 16/17th week 2+ time mom can feel it
54
Montgomery's Tubules
White spots around the nipples
55
Colostrum
Full of antibodies and nutrients | Can last up to 4-6 hours without refrigerating
56
Ultrasonography
Fetal status and gestational age determiniation
57
Amnocentesis
Help rule out birth defects | Around 15-20 weeks
58
MSAFP
Screens for down syndrome, spina bifida, neural tube defects
59
Congenital Twins
2x as likely as monozygotic twins

NUR 435 Exam 1 (6 decks)

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