Week 2- flashcards

1
Q

how are the trimesters split up

A

first 1-12 weeks
second 13-28
this 29-40

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2
Q

T/F you can get the rubella vaccine when pregnant

A

no it is a live vaccine

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3
Q

what is the longest prenatal visit

A

the first one

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4
Q

what happens during the first prenatal visit

A

relationship established, focus on education for overall wellness, detection/prevention fo possible problems, CHH, physical, lab tests, head to toe, pelvic examination.

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5
Q

what does GTPAL stand for

A

gravidity, term, preterm, abortions, living

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6
Q

what is gravida and para

A

gravida represents the number of pregnancies including the current one and para represents a how many viable offspring (20 weeks or more)

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7
Q

what is technically to term

A

over 37 weeks

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8
Q

preterm is

A

greater than 20 but less than 37

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9
Q

how often do you visit the doctor when pregnant

A

every 4 weeks up to 28 weeks, every 2 weeks from 29-36, and every week from 37 to birth, after 40 weeks twice a week

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10
Q

what is done a the follow up visits

A

interview, VS, urine dip, weight, assess uterus

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11
Q

if mom is GBS positive then she will

A

get antibiotics during labor, penicillin every 4 hours until delivery. keep the baby an extra 24 hours if the delivery was too fast to deliver antibiotics.

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12
Q

what ares some first trimester discomforts

A

urinary frequency, fatigue, N/V, breast tenderness, constipation, nasal stuffiness, bleeding gums, nose bleeds, cravings, leukorrhea

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13
Q

second trimester discomforts

A

backache, varicosities of the vulva and legs, hemorrhoids, flatulence

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14
Q

third trimester discomforts

A

SOB, heartburn/indigestion, dependent edema, Braxton hicks contractions.

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15
Q

what factors influence the onset of labor

A

uterine stretch, progesterone withdrawal, increased oxytocin sensitivity, increased release of prostoglandins

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16
Q

what are some premonitory signs of labor

A

Cervical changes (cervical softening, possible cervical dilation)
Lightening
Increased energy level (nesting)
Bloody show
Braxton Hicks contractions
Spontaneous rupture of membranes

17
Q

what are signs of true labor

A

contractions are regular, get closer to gather, contraction strength becomes stronger with time, construction discomfort starts in the back and and radiates around the front, contractions continue no matter what the activity level is, stay home until contractions are 5 minutes apart last 45-60 seconds and are strong enough that conversation is not possible

18
Q

what are signs of false labor

A

irregular contractions, which are frequently weak and get better with walking or position change. drink fluids and walk

19
Q

what are the five _ affecting labor

A

passenger, pathway, powers, position, psychologic response

20
Q

how is station rated

A

+3 to -3, engaged is when it is in line with the ischial spine which is 0 then plus 1,2,3

21
Q

what factors regarding passenger effect labor

A

size of the fetal head, bones in the skull, fontanelles, and molding, fetal lie, fetal attitude, fetal positions nd fetal station

22
Q

how can fetal position be abbreviated

A

Occipital
Anterior
Posterior

23
Q

what are the three parameters to contractions

A

frequency, duration, and intensity