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number of pregnancies


number of deliveries after 24 weeks gestation (viable)


loss of pregnancy before 24 weeks (age of viablility)

preterm delivery

delivery after 24 weeks but before 38 weeks

term delivery

delivery between 38-42 weeks

posterm delivery

delivery after 42 weeks

every 4 weeks

office visits during the first 28 weeks of pregnancy

every 2 weeks

office visits during weeks 29-36

every week

office visits after 36 weeks until delivery

normal pregnancy weight gain

25-35 lbs

weight gain for 1st trimester

3-4 lbs.


never pregnant


never delivered an infant after 24 wks


Gravida, Para/term,preterm, abortion, live birth

Naegele's Rule

1st day of LMP, -3mos,+7days = EDB


most favorable shaped pelvis for vaginal delivery.


diagnostic for syphilis

Rh factor

diagnostic for Rh negative blood in pregnancy


Complete blood count/Hemoglobin levels

what we look for in urinalysis

absent protein and glucose

Gonorrhea and Clamida

Dx Vaginal smear

Pap smear

DX for HPV

Glucose screening

done at 28 weeks

HPL (human placental lactogen)

a hormone, produced by the placenta. It is an insulin antagonist thereby decreasing the metabolism of glucose.

Presumptive signs of pregnancy

amenorrhea/ breast changes/ nausea/ urinary freq./fatigue/abdominal enlargement/quickening

Probable signs of pregnancy

Postive preg. test/ballotment/uterine changes


rebounding of the fetus d/t pressure from a finger during exam

Chadwick's sign

"Color of Cervix" -a bluish/purplish color of cervix/vagina d/t increased blood supply (estrogen)

Hegar's sign

softening of lower uterus

Goodell's sign

"Good and Soft" -softening of the cervix allowing it to thin and dilate

Positive signs of pregnancy

"postively baby" -fetal hr/visualization of fetus/fetal movement


Fetal heart rate


ultrasound/ done in heavier women and preg. women less than 12 weeks

McDonald's method

method that measures gestational age between 18 & 30 wks. Measure in cm from symphosis pubis to top of fundus.

supine hypotensive syndrome

aka vena cava syndrome/Baby and placenta put pressure on vena cava and abdominal aorta which causes decreased blood flow to heart and dramatically decreases bp (causes light headedness)

pregnancy effects on renal system

urinary frequency/ nocturia/ stress incontinence/ uti/ GFI & Tubular absorption increases

pregancy effects on GI

n&v up to 12 wks/ gerd (d/t progesterone) /constipation (decreased peristalsis)

linea nigra

dark line on abdomen from umbilicus to pubis


"mask of pregnancy", darkening of forehead, cheeks, and around the eyes

striae gravidarum

"stretch marks", when underlying connective tissue separates during rapid growth


hormone that stimulates contractions, let-down reflex


1 hour Glucose tolerance test/ done at 28 wks/results must be < 132

intervention for N & V

5-6 small meals/avoid fried, spicy food/drink liquid seperate from meal

intervention for vaginal discharge

clean front to back DAILY/apply corstarch to keep dry/ only cotton panties/ watch for foul smelling, colored discharge

intervention for fatigue

get 8-10 hours of sleep daily/ relaxaton techniques

inverventions for constipation

increase fluids/ increase fiber/ avoid lg. amts of cheese/ exercise/ bowel training

Catagory A

drugs w/ no risk to fetus (eg. Tylenol or Benedryl)

Catagory X

drugs that cause absolute fetal abnormalities (eg MMR vaccine)

hydatiform mole

proliferation and degeneration of the chorion/ aka "molar pregcy." or "gestational trophablastic disease"/ CARCINOGENIC

Abruptio placentae

premature separaton of placenta/ risks fetal death d/t massive maternal hemorrhage/ can be related to direct trauma

Threatened abortion

bleeding w/ no associated symptoms, cervix closed.

ectopic pregnancy

implanted outside uterus/ bleeding emergency

10 times every 12hrs

# of times a baby should move

notes on multiple pregnancies

at risk for: preeclampsia,gestational diabetes,preterm labor/ delivery depends on presentation of fetus's


TX for Rh negative/given at 28 wks gestation & within 72 hrs of delivery./usually effects 2nd pregnancy

ABO incompatability

mother is type O blood and fetus is A, B, or AB/causes jaundice in newborn w/i 24 hrs.

indirect Coomb's test

test given to determine Rh factor

risks for Gestational diabetes mother

placental abruption/hypoglycemia, respiratory distress/macrosomia (large baby)/preeclampsia/ketoacidosis/polyhydramnios (too much amniotic fluid)/ stillbirth

HELLP syndrome

preeclampsia with liver damage/ Stands for: Hemolysis, Elavated liver enzymes, and low platelet count (less than 100K)/ ** will NOT do epidural if low platelets!

major sign of preeclampsia and eclampsia

swelling in hands & face

habitual abortion

caused by incompetent cervix/ mom has hx of spontaneous abortions/ dilates too soon

treatment for habitual abortion

CERCLAGE: drawstring procedure sews cervix shut at 16 weeks until 37 weeks.

group beta strep vaginal culture

done at 36 weeks to determine presence of group b strep/ If positive, 2 series of antibiotics given.


needle aspiration of amniotic fluid to check for anomolies/ must for mothers 35 yrs. old and older/ (L/S ratio should be 2:1)

inevitable abortion

cervix dilates prematurely, causes spontaneous abortion. NO treatment.

placenta previa

PAINLESS, bright red bleeding/ can be partial, marginal, or complete/ must do c-section to save baby..MOST COMMON CAUSE OF BLEEDING IN 3RD TRIMESTER

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