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NSG 355- Antenatal Care
Terms in this set (37)
changes felt by the woman
what are "presumptive" signs of pregnancy?
signs that are attributed only to the presence of a fetus
what are "positive" signs of pregnancy?
-uterus: hegar sign
-cervix: mucous plug, Goodell's sign, Chadwick's sign
examples of reproductive system changes that occur during the first trimester:
-hegar sign= softening of the lower uterine segment that is classified as a probable sign of pregnancy; palpated during bi-manual examination
-goodell's sign= softening of the cervix; probable sign of pregnancy occurring during the second month
-chadwick's sign= violet blush vaginal mucous membrane and cervix that is visible from about the 4th week of pregnancy; caused by increased vascularity
what is hegar sign?
what is goodell's sign?
what is chadwick's sign?
using a "wheel"/Nagele's rule
(1st day of LMP -3 mos. + 7 days + 1 year)
how do we typically estimate due date?
total # of pregnancies of any duration
what is "gravidity"
# of births:
-Early (37 0/7 weeks-38 6/7 weeks)
-Full (39 0/7 weeks- 40 6/7 weeks)
-Late (41 0/7 weeks-41 6/7 weeks)
-Post-term (42 0/7 weeks- beyond)
what is "term"
# of births: 20 0/7 weeks-36 6/7
what is "preterm"
birth before the completion of the 20th week (or weighing less than 500g)
what is "abortion"
# of children currently living
what is "living"
Gravidity, Term, Preterm, Abortion, Living
what does GTPAL stand for
glucose, ketones, protein, and bacteria
what do obstetric urine tests look for
HGB: 12-16 g/dL
what is the normal range for H/H during the 1st trimester
a chromosomal abnormality
what does an increase in nuchal translucency suggest
-braxton hicks contractions
examples of reproductive changes that occur during the 2nd trimester:
-supine hypotensive syndrome/femoral venous pressure
-increased o2 consumption/SOB
-bladder and ureter pressure
-nasal stuffiness/nose-bleeding (epistaxis)
what other physiological changes are likely to occur during the 2nd trimester?
15-20 weeks (2nd trimester)
at what point during the pregnancy are a quad marker screening and amniocentesis performed?
24-28 weeks (3rd trimester)
at what point during the pregnancy is a glucola screening performed?
what does a glucola test screen for
-musculoskeletal (recti diastasis; recti abdominis separates to make room for abdominal contents)
-braxton hicks contractions
-supine hypotensive syndrome
what physiological changes are likely to occur during the 3rd trimester of pregnancy?
-striae (stretch marks; caused by separation of the underlying connective tissue)
-palmar erythema (pinkish-red, mottled, or blotchy skin on palmar surface of hands; caused by increased estrogen levels)
-chloasma (AKA melasma; blotchy brownish hyperpigmentation of the skin on the cheeks, nose, and forehead)
-linea ligra (pigmented line that extends from the symphysis pubis to the top of the fundus in the midline)
what integumentary system changes can occur during the 3rd trimester of pregnancy
28-32 weeks (3rd trimester)
at what point during the pregnancy would Rh immunoglobulin be administered to a mom who requires it?
35-37 weeks (3rd trimester)
at what point during the pregnancy would a group beta strep test be performed on the mom?
50% not colonized/ 50% colonized
if a neonate is born to a GBS colonized mom, what are the chances of the baby becoming colonized with GBS?
98% asymptomatic/ 2% become septic,acquire pneumonia, or meningitis
if a neonate is born to a GBS colonized mom, AND becomes colonized with GBS at birth, what are the chances that the newborn will be asymptomatic/become septic
the process of fetal development within the womb
occuring before childbirth
occuring during labor and delivery
birth that occurs between 20 0/7- 36 6/7 weeks of gestation
define "preterm/premature labor"
birth that occurs after 42 weeks of gestation
define "post-term birth"
the birth of a baby after 20 weeks and 1 day of gestation or weighing 350 g that does not show any sign of life
a woman who has never been pregnant and is currently not pregnant
a woman who is pregnant for the first time
a woman who has had 2 or more pregnancies
a woman who has not completed a pregnancy beyond 20 weeks of gestation
a woman who has completed one pregnancy with a fetus or fetuses who have reached at least 20 weeks gestation
a woman who has completed two or more pregnancies to 20 weeks of gestation or more
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