prenatal visits and care

first prenatal labs (11)

cbc, blood type and screen, rubella, varicella, HIV, hepatitis, RPR which tests for syphillis, pap smear, chlamydia, urinalysis, urine culture

visit schedule

Every 4 weeks up to 28 weeks

Every 2 weeks from 29 to 36 weeks

Every week from 37 weeks to birth

labs at 28 weeks

Rh negative (different Rh from fetus is harmful which requires Rhogam, an immunoglobulin to protect the fetus), cbc, 1 hour glucose tolerance, hiv

Labs at 36 weeks

vaginal culture for Group Strep B--->INCREASES risk of intraamniotic infection

expected weight gain

25-35 lbs

parity

number of pregnancies in which fetus or fetuses have reached viability, not the number of fetuses born (20-24 weeks)

presumptive

felt by the client- amenorrhea (COMMON), breast enlargement

positive

screening of the fetus- visualization of fetus, fetal heart tones

probable

goodell's sign, hegar's sign, positive at home pregnancy test

10-12 week fetal screening

cell free dna- tests for genetic and neural tube defects (trisomy)

non stress test

tests for fetal movement and is NONINVASIVE, 2 accelerations over 20 min is REACTIVE, 32 weeks

BEFORE 34 weeks-->increase by 10 bpm for 10 seconds

AFTER 34 weeks--> increase by 15 bpm for 15 seconds

stress test

test for fetal movement that is determined by CONTRACTIONS

Negative (NORMAL)--> NO LATE decelerations

Positive (ABNORMAL)--> LATE decelerations with 50% of contractions

Equivocal--> INTERMITTENT LATE OR VARIABLE decelerations REQUIRES further testing