NURS 4628 – Special Populations: Pregnancy & Prenatal Care (Module 1, Week 2)

Fill-in-the-blank flashcards covering key concepts of conception, fetal development, maternal physiologic changes, prenatal care, nutrition, obstetric calculations, common discomforts, screening tests, and major pregnancy complications.

Fertilization is typically completed within ____ hours after the sperm meets the egg.

24

Implantation normally occurs between ____ and ____ days after conception.

6 \text{ and } 10

Implantation in the ____ (rather than the fallopian tube) is vital to prevent ectopic pregnancy.

fundus of the uterus

During the 1st trimester, a fetal heartbeat can usually be detected after week ____.

5

Quickening—the first fetal movements felt by the mother—usually occurs between ____ and ____ weeks.

17 \text{ and } 20

By the end of the 3rd trimester the fetus normally turns ____-down in preparation for birth.

head

Fundal-height measurement in centimeters roughly equals gestational age in weeks between ____ and ____ weeks.

18 \text{ and } 32

____ sign refers to bluish discoloration of the cervix and vaginal mucosa in pregnancy.

Chadwick

Softening of the cervix in early pregnancy is called ____ sign.

Goodell

Pregnancy increases oxygen consumption and causes chest breathing to replace ____ breathing.

abdominal

Pregnancy-related ____ (shortness of breath) is common due to increased respiratory demand.

dyspnea

In pregnancy, gastrointestinal slowing can cause ____ and hemorrhoids.

constipation

Gallbladder stasis in pregnancy can predispose to ____ formation.

gallstone

Increased glomerular filtration rate (GFR) can lead to mild physiologic ____ in urine.

proteinuria

Dependent edema in late pregnancy usually improves when the woman lies on her ____ side.

left

Hyperpigmentation of the face during pregnancy is called ____ (mask of pregnancy).

melasma

The dark line running from the symphysis to the umbilicus is the ____ ____.

linea nigra

Pregnancy hormones relax pelvic joints and can cause the abdominal muscles to separate, a condition termed ____ ____.

diastasis recti

Using Naegele’s Rule, the expected due date equals LMP minus 3 months, plus ____ days, plus 1 year.

7

The 5-digit obstetric shorthand GTPAL stands for Gravidity, ____ births, Preterm births, Abortions, and Living children.

Term

Routine glucose screening for gestational diabetes is performed between ____ and ____ weeks’ gestation.

24 \text{ and } 28

Group B Streptococcus (GBS) screening is recommended at – weeks of gestation.

35 \text{ and } 37

Recommended immunizations in pregnancy include influenza vaccine and ____ booster.

Tdap

Normal total weight gain in the 1st trimester is approximately – lb (1–2 kg).

2.2 \text{ and } 4.4

Caloric needs rise by about ____ kcal/day in the 2nd trimester and 450 kcal/day in the 3rd trimester.

340

Adequate ____ acid intake is crucial to prevent neural tube defects.

folic

Consumption of non-food substances such as clay or ice is termed ____.

pica

Daily fetal movement counting begins in the 3rd trimester; fewer than ____ movements in 2 hours warrants evaluation.

10

____ sampling is a biochemical test done at 9–14 weeks; amniocentesis is performed after 14 weeks.

Chorionic villus

A Non-Stress Test (NST) assesses fetal heart rate accelerations in the absence of ____.

contractions

Gestational diabetes is first diagnosed in the ____ or 3rd trimester.

2nd

Shakiness, sweating, and confusion in a diabetic pregnant woman suggest ____glycemia.

hypo

Iron-deficiency anemia is the most common type in pregnancy and can ____ the workload of the heart.

increase

Severe, persistent nausea, weight loss, and ketonuria describe ____ ____ (HG).

hyperemesis gravidarum

Unilateral pain, delayed menses, and vaginal spotting may indicate an ____ pregnancy.

ectopic

Placenta ____ presents with painless, bright-red bleeding and a low-lying placenta.

previa

Premature separation of the placenta before delivery is called placental ____.

abruption

Hypertension after 20 weeks with proteinuria is termed ____.

preeclampsia

The mnemonic for preeclampsia features P-Proteinuria, R-Rising BP, and E-____.

Edema

HELLP syndrome stands for Hemolysis, Elevated Liver enzymes, and Low ____ count.

Platelet

Rh-negative mothers receive ____ at 28 weeks and after delivery of an Rh-positive infant to prevent isoimmunization.

RhoGAM

Vaginal bleeding with a closed cervix defines a ____ abortion (threat to pregnancy).

threatened

Cervical insufficiency may be treated with placement of a cervical ____.

cerclage

Magnesium sulfate is administered intrapartum primarily for ____ prophylaxis in severe preeclampsia.

seizure

Falling blood pressure, cool clammy skin, and thready pulses in a pregnant trauma patient suggest ____.

hypovolemic shock