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Chapter 4
Chapter 4
62
Nursing
Undergraduate 2
06/05/2012

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Term
The prenatal phase of pregnancy?
Definition
Antepartum
Term
The phase of pregnancy meaning during birth?
Definition
Intrapartum
Term
The phase of pregnancy that means after birth?
Definition
Postpartum
Term
The major goals of prenatal care?
Definition
- ensure a safe birth for mother and child
- teach health habits that may be continued after pregnancy
- educate in self-care for pregnancy
- provide physical care
- prepare parents for the responsibilities of parenthood
Term
What preconception care can be done to reduce the incidence of congenital anomalies?
Definition
taking folic acid
Term
What is the recommended schedule for prenatal visits in an uncomplicated pregnancy?
Definition
- conception to 28 weeks: q4 weeks
- 29-36 weeks: q2-3 weeks
- 37 week to birth: weekly
Term
Total number of pregnancies?
Definition
Gravida
Term
A woman who has never been pregnant?
Definition
Nulligravida
Term
A woman is is pregnant for the first time?
Definition
Primigravida
Term
A woman who has been pregnant before?
Definition
Multigravida
Term
A woman who has given birth to one or two children who have reached at least 20 weeks?
Definition
Para
Term
A woman who has given birth to her first child past 20 weeks?
Definition
Primipara
Term
A women who has given birth one or two children past 20 weeks?
Definition
Multipara
Term
A women who has not given birth to a child past 20 weeks?
Definition
Nullipara
Term
Termination of pregnancy before viability ?
Definition
Abortion
Term
Prenatal age of the fetus as calculated from date of conception; approximately 2 weeks less then gestational age?
Definition
Fertilization Age
Term
A fetus that has reached 20 weeks?
Definition
Age of Viability
Term
What is the TPALM System?
Definition
- Term
- Preterm
- Abortions
- Living
- Multiplies
Term
How to use Nagele's rule?
Definition
The first day of LNMP, count backward 3 months, an then add 7 days
Term
Pregnancy is divided up into 13 week parts called?
Definition
Trimesters
Term
Fetal movement felt by the mother?
This is usually seen in week 16 to 20?
Definition
Quickening
Term
Softening of the cervix and the vagina caused by increased vascular congestion?
Definition
Goodell's sign
Term
Purplish or bluish discoloration of the in cervix, vagina, and vulva by increased vascular congestion?
Definition
Chadwick's sign
Term
Softening of the lower uterine segment?
Definition
Hegar's sign
Term
Flexing the body of the uterus against the cervix?
Definition
McDonald's sign
Term
Irregular, painless uterine contractions that begin in the second trimester?
Definition
Braxton Hicks contractions
Term
A maneuver by which the fetal part is displaced by a light tap of the examining finger on the cervix and then rebounds quickly?
Definition
Ballottement
Term
Palpation after the 24th week?
Definition
Fetal outline
Term
stretch marks?
Definition
Abdominal striae
Term
When can a fetal heart be detected with a Doppler?
Definition
10 weeks
Term
What is normal term fetal heart rate?
Definition
low 110-120
high 150-160
Term
The placenta produces what hormones?
Definition
- progesterone
- hCG
- estrogen
- hPL
Term
What is the most common cause of vaginal discharge?
Definition
Bacterial Vaginosis (BV)
Term
What hormones are produce that prepare the breast lactation?
Definition
- estrogen
- progesterone
Term
What hormones prepare the breasts for lactation?
Definition
Estrogen
Progesterone
Term
What gland is used during lactation?
Definition
Montgomery
Term
At the last few months of pregnancy, a thin yellow fluid may be expressed from the breasts?
Definition
Colostrum
Term
Colostrum contains what?
Definition
- high in protein, vitamins, and minerals
- low in calories
- contains moms antibodies to diseases for first 2 to 3 days
Term
Oxygen consumption increases by what during pregnancy?
Definition
15%
Term
The expanded uterus exerts upward pressure on her diaphragm, causing it to rise how much?
Definition
4cm (1.6in)
Term
Fetus descends into the pelvis?
Definition
Lightening
Term
Increased estrogen during pregnancy can cause?
Definition
- edema
- swelling of mucous membranes (nose, pharynx, mouth, trachea)
- nosebleeds
- earaches
Term
What happens to blood during pregnancy?
Definition
hypervolemia, 45% greater
Term
The increase in blood during pregnancy is for?
Definition
- exchange of nutrients, oxygen, waste products within the placenta
- needs of expanded maternal tissue
- reserve for blood loss during birth
Term
What increases with the heart?
Definition
Cardiac Output, increased 10-15bpm
Term
This may occur if the women lives on her back causing the heavy uterus to compress her inferior vena cava, reducing the amount of blood returned to her heart?
Definition
Supine Hypotension Syndrome
Term
Sx of supine hypotension syndrome?
Definition
- faintness
- lightheadedness
- dizziness
- agitation
Term
Treatment for supine hypotension syndrome?
Definition
- turning the pt (left)
- a small towel rolled under one hip if pt must lay flat
Term
What clotting factors increase during the second and third trimesters?
Definition
VII,VIII, X, and plasma fibrinogen
Term
The increased clotting factors during pregnancy put the pt at risk for?
Definition
thrombophlebitis
Term
How much should a women gain during pregnancy?
Definition
- normal weight women: 25-35 lbs
- underweight women: 28-40 lbs
- overweight women: 11-25 lbs
- obese women: 11-20 lbs
Term
How much should a women carrying twins gain?
Definition
- normal weight: 37-54 lbs
- overweight: 31-50 lbs
- obese: 25-42 lbs
Term
How many calories should a women who is pregnant eat?
Definition
increased of about 300 kcal/day
Term
What is the recommended protein intake?
Definition
60g/day
Term
What is the recommended calcium intake?
Definition
1200mg/day
Term
What is the recommended iron intake?
Definition
30mg/day
Term
What is the recommended folic acid intake?
Definition
400mcg (0.4mg)/day
Term
What is the recommended fluid intake?
Definition
8-12 8oz glasses
Term
If a women drinks caffeine while she is pregnant how much water should she drink?
Definition
2 cups of water for 1 caffeine beverage, should try to limit to 2 cups
Term
Should Na be restricted during pregnancy?
Definition
No, but foods high in Na should be avoided
Term
The number of years between the onset of menses and the date of conception?
Definition
Gynecological Age
Term
What is more common in the pregnant adolescent?
Definition
inadequate weight gain and nutrient deficits
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