Newborn/Maternal l2

Gravida

Number of all pregnancies

Term

Born at 37 weeks or more

Pre-term

Born before 20 weeks

Abortion

Miscarriage, abortion, still births, etc

Living

All living children

When does prenatal care begin?

Before (planning) or during pregnancy

How often would a pregnant pt visit the OB from conception to 28 weeks

Every four weeks

How often are OB visits during the 29-36 week period

Every 2-3 weeks

How often will a 37 week pregnant PT visit the OB until birth

Every week

What would the G factor be for someone who is birthing twins for their first pregnancy

1

How do you calculate EDD?

LMP - 3 months + 7 days

What makes naegales rule (LMP - 3 months + 7 days) less effective?

Lactation, irregular periods, BC

What is Naegle’s rule?

EDD

Chadwicks sign

Bluish vagina and vulva (Increase in circulation)

Goodells sign

Soft cervix and vagina

Hegar sign

Soft Uterus

Braxton Hicks contractions

Painless, uncomfortable, irregular cramping (contractions)

Antepartum

Before birth

Intrapartum

During Birth

Post partum

After birth

When does prenatal care begin?

If suspicions occur, before pregnancy (trying to conceive) and throughout the pregnancy

When is it best to educate the pregnant PT?

During prenatal visit

What do you assess during prenatal care visit?

Intention, access to care, health history (smoking), sex hx, mentrual hx, contraceptive hx, surgical aboprtions, family hx (b/p, dm, down syndrome, sickle cell anemia) immunizations, blood type, psychosocial (present father, support, financial support, home status, culture, coping), Physical (V/S, Genitals, pelvic exam)

What types of ultrasound are used during pregnancy

Intravaginal and abdominal

Which topics would a nurse discuss with a patient receiving preconception care?

Intention, use of teratogenic medications, healthy weight and glycemic control

In which trimester and category would an obstetrician utilize a transvaginal ultrasound to assess cervical length?

A transvaginal ultrasound is performed, if indicated, during the third trimester to assess the cervical length as a predictor for preterm labor.

Uterine souffle

soft, blowing sound heard over the uterus during auscultation. (blood moving to the dilated arties of the uterus)

Funic souffle

soft, swishing sound heard as the blood passes through the umbilical cord vessels.

Human placental lactogen (hPL)

Produced by the placenta. It affects glucose and protein metabolism and has a diabetogenic effect—meaning it allows increased glucose to stimulate the pancreas and to increase the insulin level.

Prenatal

Monitoring, care, and management of issues arising during pregnancy.

Intrapartum

Intrapartum care includes continuous presence and support of the parents by a labor and delivery nurse or doula during the birth process.

Which prenatal tests are routine and occur during the second trimester?

ultrasound

blood glucose screen

serum alpha-fetoprotein

Serum alpha-fetoprotein

A test conducted during the second trimester to identify a neural tube or chromosomal defect in the fetus.

Which actions are accomplished by the hormone progesterone?

Inhibits uterine activity

Stimulates sodium secretion
Maintains the endometrium for implantation

Promotes development of the secretory ducts of the breasts for lactation

Which condition would cause a pregnant patient to feel faint, lightheaded, dizzy, and agitated?

Supine hypotension syndrome

Which source of weight gain, other than the fetus, accounts for the greatest number of kilograms/pounds acquired during a pregnancy?

Extravascular fluids

Which weight range would the obstetric nurse recommend to an overweight pregnant female carrying twins who asks what her recommended weight gain should be?

31 to 50 lbs

Which nutritional requirement is appropriate for caloric intake during lactation?

330 to 400 calories more than the nonpregnant female’s recommended dietary allowance (RDA)

Which factor would be the basis for determining exercise levels during all trimesters of pregnancy?

Maternal cardiac status and fetoplacental reserve