yawa Flashcards by Christine Casandra

PREVENTS THE INCIDENCE OF PRETERM BIRTH AND THE INFANT MORTALITY RATE.

prenatal care

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purposes of prenatal care

-establish a baseline data
-determine the gestational age
-monitor fetal development
-identify patients at risk of complications
-minimize complications

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Assessment and History Taking

● Vital signs
● Urinalysis
● Blood serum for screening of chromosomal disorder or neural defects
● Test for STD’s (eg. Syphilis)
● Glucose test (FBS, PPBS, OGTT)
● Anti-Rh (Rhesus) titer
● GBS screening (Group B streptococcus)

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No. of pregnancies, including: present pregnancy, miscarriage or abortion, twins or triplets as one

gravida

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No. of pregnancies that has passed 20 weeks, alive, twins or triplets count as one

para

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No. of born at term: > 37th week gestation, alive or stillborn, twins or triplets as one

term

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No or preterm infants (born <37th week), alive or stillbirth

pre-term

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No. of spontaneous miscarriages or therapeutic abortions (infant born before 20th week), count with gravidity, twins and triplets count as one

abortion

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No. of living children, twins or triplets count individually

live birth

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No. of multiple pregnancies, twins or triplets count as one

multiple birth

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PRESENCE OF QUICKENING (1st quickening-

16-20 weeks

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ULTRASOUND screen for chromosomal defects

11-13 weeks

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ULTRASOUND evaluation for fetal health

about 20 weeks

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TYPES OF PELVIC

gynecoid
anthropoid
platypelloid
android

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well rounded with wide pubic arch

gynecoid

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narrow

anthropoid

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flattened

platypelloid

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MALE OR A SHARP PUBIC ARCH

android

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signs of pregnancy
presumptive felt by mom

Morning Sickness
Amenorrhea
Changes in breast
Fatigue
Lassitude
Urinary Frequency
Quickening

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bluish discoloration of the vaginal wall

Chadwick’s

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softening of the lower uterine segment

Hegar’s

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Uterine enlargement

12 weeks just above the symphysis pubis

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softening of the cervix

Goodell’s

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Ballotment

6th to 20th week

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POSITIVE FETAL heartbeat

=10 weeks by Doppler =16 weeks by fetoscope =18-20 weeks by auscultation

POSITIVE FETAL movement

Usually after 20weeks-felt by the examiner

Signs of Pregnancy PROBABLE Think Baby

CHUPBOGS

checks possible date of confinement or EDD

Naegele’s Rule

makes use of tape measure to know uterine growth and estimated fetal growth

McDonald’s Method and Rule

use to determine the length of fetus in cm

HAASE’s Rule

use of fetal weight

Johnson’s rule

COLOSTRUM at

2nd trimester

reddish, slightly depressed streaks

Stria Gravidarum

line of dark pigment

linea nigra

the mask of pregnancy, brownish patches of pigment

cloasma or melasma

Pigmentation –melanocyte- stimulating hormone – elevated from ——- month of pregnancy

2nd month

Weight gain

11-13 kgs

HORMONE OF WOMAN, INCREASE BLOOD & VASODILATION, CLOTTING FORMATION, MAMARY GLAND, UTERINE GROWTH

estrogen

HORMONE OF MOTHER, maintains endometrial lining,reduces contractility of the uterus, CAUSES FLUID RETENTION- edema,anemia, muscle relxant-constipationurinary retention, varicose veinspyrosis

progesterone

FIRST PLACENTAL HORMONE- SUPPORTS CORPUS LUTEUM for 3 months, positive PT 100th day of pregnancy, CAUSES morning sickness N/V, Negative results after 1-2 weeks after birth

HUMAN CHORIONIC GONODOTROPIN

EXCRETED BY OVARIES CAUSES LORDOSIS, WADDLING GAIT

relaxin

GROWTH PROMOTING AND LACTOGENIC, RESPONSIBLE for GDM

human placental lactogen

CAUSES MELASMA, LINEA NIGRA

melanocyte stimulating hormone

RESPONSIBLE FOR THE PRODUCTION OF BREASTMILK

prolactin

MUSCLE RELAXANT

oxytocin

checks the presentation

fundal grip

checks the fetal back

umbilical grip

engagement Checks the inlet of the pelvis

pawlik’s grip

fetal attitude -degree of flexion

pelvic grip

fetal attitude -degree of flexion

pelvic grip

OF TIMES PREGNANT INCLUDING PRESENT

GRAVIDA

OF PREGNANCIES THAT LASTED MORE THAN 20 WEEKS REGARDLESS OFOUTCOME

PARA

NEVER PREGNANT

NULLIGRAVIDA

1ST TIME pregnant

PRIMIGRAVIDA

2ND AND SUBSEQUENT pregnancy

MULTIGRAVIDA

NOT GIVEN BIRTH TO 20 WEEKS

NULLIPARA

BIRTH TO ONE BABY MORE THAN 20 WEEKS

PRIMIPARA

COMPLETED 2 OR MORE PREGNANCIES TO THE STAGE OF VIABILITY

MULTIPARA

BEFORE

ANTE

GESTATION

PREGNANCY

CONCEPTUS TO 10TH WEEK GESTATION

EMBRYO

10TH WEEK TO TERM

FETUS

CAPABILITY OF LIVING, 24 WEEKS

VIABILITY

OF LIVING CHILDREN

LIVING CHILDREN

ONE THAT EXTEND BEYOND THE DATE, AFTER 40 WEEKS, AFTER 294 DAYS FROM THE FIRST DAY OF LMP

POSTTERM POSTDATE PREGNANCY

CERVICAL CHANGES AND UTERINE CONTRACTIONS HAPPENS 20-37 WEEKS

PRETERM LABOR

ANY BIRTH THAT OCCURS BEFORE 37 WEEKS

PRETERM BIRTH

SERIES OF PROCESSES IN EXPELLING FETUS AND PLACENTA

LABOR

yawa Flashcards

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