Shared Flashcard Set

Details

OB Test 1
A&P of Pregnancy
46
Nursing
Undergraduate 4
02/12/2010

Additional Nursing Flashcards

 


 

Cards

Term
Define Gravida
Definition

A woman who is pregant,

or has been pregnant

Term
Gravidity
Definition
Pregnancy, regardless of outcome
Term
A woman who has never been pregnant- G0
Definition
Nulligravida
Term
A woman who is pregnant for the first time, or has had 1 pregnancy, G-1
Definition
Primigravida
Term
A woman who has had two or more pregnancies- G2, G3, etc
Definition
Multigravida
Term
The number of pregnacies in which fetuses reach age of viability and are alive or stillborn
Definition

Parity

 

*Twins count as 1

Term
Age of Viability
Definition
22-24 weeks
Term

Nullapara

Primipara

Multipara

Definition

No viable pregnancies

1 viable pregnancy

At least 2 viable pregnancies

Term
Define:
Preterm
Term
Post- Term
Definition
20- 37 weeks
38-42 weeks
Beyond 42 weeks
Term

What hormone does a pregnancy test detect the presence of?

 

And what test is most popular?

Definition

HCG

(Human Chorionic Gonadotropin)

 

ELISA Test

Term
Presumptive Signs of Pregnancy
Definition

"Changes felt by a woman"

Amenorhhea

Fatigue

N/V

Breast Changes

 

*All subjective data and can be cause by something else

Term
Probable Signs of Pregnancy
Definition

Pregnancy Test

 

*Observable or more objective signs

Term
Positive Signs of Pregnancy
Definition

FHT

Examiner palpating fetal movements

Visualiztion of fetus (ultrasound)

 

*Signs attributed ONLY to the presence of a fetus

Term

1. Normal Length of Pregnancy

 

2. 1st Trimester

3. 2nd Trimester

4. 3rd Trimester

Definition

1. 10 months or 40 weeks

2. 1-13 weeks

3. 14-26 weeks

4. 27-40 weeks

Term
Formula for Nagele's Rule
Definition
EDC= LMP- 3 months+ days
Term

Practice EDC:

July 10

April 7

June 8

Definition

April 17

Jan 14

March 15

Term
_______ &_______ increase in 1st semester
Definition
Estrogen and Progesterone
Term

Size of uterus at:

7 weeks

10 weeks

12 weeks

Definition

Hen egg

Orange

Grapefruit

Term

A woman should start showing at __ weeks

 

The fundus should be at the level of the _______ at 22-24 weeks

Definition

14

 

umbilicus

Term
What would increase and decrease fundal height?
Definition

Increase: Too much amniotic fluid

Decrease- IUGR

(interuterine growth retardation)

Term

How to properly measure fundal height

 

During 2nd and 2rd trimesters; fundal height in cm= ________

Definition

Use proper tape measure

Have patient empty bladder

Measure from symphysis pubis to fundus

 

Weeks of pregnancy

Term

Uterine walls are _1_ during pregnancy and after _2_ month muscle stretch and distend--

Walls get _3_

Definition

1. Thicker

2. 5th

3. Thinner

Term
Define Braxton Hicks contractions
Definition

-Irregular painless contractions intermittently throughout pregnancy

-Stop will walking or exercise

-Do NOT increase in intensity or frequency

Term

True Labor =

 

*Big deal*

Definition
CERVIX CHANGES
Term
When should a pregnant woman be evaluated for labor?
Definition

When labor pains are every 10 minutes for more than 1 hour

 

Term
Define quickening
Definition

Feeling fetal movement

Fluttering

Term
Uterine blood flow increases __ fold during pregancy
Definition
20
Term

List Cervical Changes

 

*Define bloody show

Definition

Glandular tissue and secretions increase

Friability increase

Formation of mucous plug (Operculum)

 

*When the operculum is excreted during labor

Term

Changes in Vagina during pregnancy

 

Define Leukorrhea

Definition

Bluish color due to increase vascularity

Extra discharge (Leukorrhea)

 

-A white or slightly gray mucoid discharge with a faint musty odor (due to cervical stimulation and increase of estrogen and progesteron)

*Should never be pruritic or blood stained

Term

pH of vaginal secretions__-__

This makes them more vulnerable to ______ ________

Definition

4-6.5

Yeast infections

Term

List Breast Changes

 

Definition

Size increase, nodular

Nipples and areola darken

Montgomery's Tubercles: Sebaceous glands on aerolas around nipples that enlarge to provide lubrication during breast feeding

-Colostrum may start as early as 16 weeks- normally toward the end of pregnancy

Term
Define Colostrum
Definition
Very concentrated, low volume breats milk that has a laxative effect
Term

Cardiovascular Changes

(including HR, BP

Definition

-Slight hypertrophy from increase volume and output

-HR increase by 10-15bpm

-BP- 1st Trimester- Prepregnancy levels, 2nd- decrease of 5-10, 3rd- return to 1st trimester level

-Increase venous pressure

Term
What postion is best for blood pressure and edema?
Definition

Lying on the left side

(Takes pressure off the vena cava)

Term
Changes in Blood Volume
Definition

-Increase by 1500ml

-1000ml of plasma= 450 RBC's

-Increase begins at 10-12 weeks, peaks at 32-34 weeks, and decreases at 40 weeks

 

Term

Define Physiologic Anemia

 

Give pregancy H&H normals

Definition

-Plasma increase exceeds increase in RBC's

- Hgb > 11

-HCT> 33%

Term
Describe WBC increase
Definition

Increase in 2nd Trimester and Peak during 3rd

 

Term
*Fact* There is a greater tendency for blood coagulation problems during pregnancy
Definition
Term

Describe Respirtory Changes

 

Definition

-O2 requirements increase

-Flared Rib Cage

-Breathing changes from abdominal to thoracic

-Increased vascularity- leads to nasal stuffiness, nosebleed, voice changes, impaired hearing/ ear aches, etc

Term
Changes to Urinary System
Definition

-Increase frequency in 1st and 3rd

-Increase risk of bladder infection

-Smaller bladder

-Glycosuria- spills over into urine when lower than 160-180

-Proteinuria is NOT normal

-Increased GFR

Term
Changes in Integument
Definition

-Increase in skin thickness, fat, hyperpigmentation

-Incr. hair and nail growth, sweat, acne, temperature 

-Linea nigra (line from umbilicus to pubic bone)

-Stretch marks- striae

Term
Musculoskeletal Changes
Definition

-Relaxed pelvic joints d/t relaxin- waddling gate

-Postural changes

- Shoulder slump

- Diastasis recti adbominis

Term

Neurological System Changes

 

Definition

-Compression or pelvic nerves- decrease sensation in legs

- Dorsolumbar lordosis

-Carpal tunnel is worse

-Acroesthesia- increase sensitivity to pain

- HA

-Faintness/syncope

-Hypocalcemia- muscle cramps/tetany

Term

GI Changes

 

Definition

-Inc. appetite

-Gingivitis, Ptylism

-Dec. gastric acid

-Heartburn

- HRF gallstones

- Tough to diagnose appendicitis

Term
Endocrine Changes
Definition

-Possible inc. in activity and thyroid

-BMR increases

-Hypothyroidism may cause spontaneous abortions

Supporting users have an ad free experience!