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OB Theory
Exam 1
Ch. 14
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Cards (21)
Pregnancy:
_ weeks or _ days?
40, 280
Signs of Pregnancy:
P_ - C_ F_ by the W_
P_ - S_ F_ by S_ other than women
P_ - Associated with B_?
Presumptive
,
changes
,
felt
,
women
,
probable
,
symptoms felt
,
someone
,
positive
,
baby
Presumptive Signs
Changes are S_
B_ E_ and S_
N_ and V_
Q_ - mother F_ the M_ of the fetus
F_ and U_ F_?
subjective
,
breast
enlargement
,
soreness
,
nausea
,
vomiting
,
quickening
,
feels
,
movement
,
fatigue
,
urine
frequency
Probable Signs:
Felt by E_
A_ E_
H_ sign - L_ U_ segment S_
C_ sign - B_ C_ of the V_ M_
G_ sign - S_ C_
B_ - uterus P_ with F_, F_ goes U_ and R_ B_ D_ to O_ position
B_ H_
P_ P_ test?
examiner
,
abdominal
enlargement
,
hegar's
,
lower
uterine,
soft
,
chadwicks
,
bluish
color
,
vaginal
mucosa
,
goodell
,
softened
cervix
,
ballottement
,
pushed
,
finger
,
fetus
,
up,
right
back
down
,
original
,
braxton
hicks
,
positive
pregnancy
Positive Signs:
Can only be attributed to F_
H_, F_, S_?
fetus
,
heard
,
felt
,
seen
Trimesters:
First - Weeks _ to _
Two - Weeks _ to _
Third - Weeks _ to _?
1
,
13
,
14
,
26
,
27
,
40
Gravidity and Parity:
Gravida - Women who are P_
Primigravida - _ T_ pregnant
Multigravida - _ or _ P_
Nulligravida - N_ B_ P_, _ weeks or M_
Parity - N_ of pregnancies in which fetus or fetuses reached _ weeks gestation or M_
Primipara - C_ O_ pregnancy who's reached stage of fetal V_
Multipara - C_ T_ or M_ pregnancies at _ weeks gestation or M_
Viability - C_ to L_ O_ of the uterus ( _ to _ weeks)?
pregnant
,
first
time
,
two
,
more
pregnancies
,
never
been
pregnant
,
20
,
more
,
number
,
20,
more
,
completed
one
,
viability
,
completed
two
,
more
,
20
,
more
,
capacity
,
live
outside
,
22
,
25
Terms:
Pre-term - Reached _ wks but ends before completion of _ wks (_ and _, B_ D_ D_)
Early Term - Reached _ wks _ days to _ _ wks
Full Term - _ wks to _ wks (_ before _)
Later Term - _ wks to _ wks
Post Term - _ wks and B_?
20
,
37
,
36
,
6
,
before
due date
,
37
,
0
,
38
,
6
/
7
,
39
,
40
6
/
7
,
37
,
42
,
41
,
41
6/7
,
42
,
beyond
GTPAL:
Gravidity - # of P_
Term - T_, Pregnancies delivered _ wks and B_
Pre-term - # of births after _ wks - _ wks and _ days
Abortions and miscarriages - ended L_ T_ _ wks
Living Children - # Children L_?
pregnancies
,
term
,
37
,
beyond
,
20
,
36
,
6
,
less
than
20
,
living
Naegelle's Rule:
F_ D_ of L_ - _ months plus _ days?
first
day
,
lmp
,
3
,
7
Adaptation to Pregnancy (Maternal):
A_ the pregnancy
I_ with the M_ R_
R_ P_ R_
E_ R_ with the F_ (A_ process of the M_)
1 - A_ B_ F_ of pregnancy
2 - A_ the G_ F_ as D_ from H_
3 - P_ R_ for the B_ and P_ of the C_
P_ for B_?
accepting, identifying, mother role, recording personal relationships, establishing relationship, fetus, attachment, mother, accepts biologic fact, accepts, growing fetus, distinct, herself, prepares realistically, birth, parenting, child, prepares
,
birth
Partner Adaptation to Pregnancy:
A_ the pregnancy
A_ phase
M_ phase
F_ phase
I_ with the P_ role
R_ P_ R_
E_ R_ with the F_
P_ for B_?
accepting
,
announcement
,
moratorium
,
focusing
,
identifying
,
parent
,
recording personal relationships
,
establishing relationship
,
fetus
,
preparing
,
birth
Adaptation to Pregnancy for Same-Sex Couples:
Several methods to achieve pregnancy.
A_ I_
F_ E_ I_
S_
I_ of N_ P_ P_
Examples: C_ M_ , C_ P_
I_, I_ and S_ P_?
Artificial insemination, fertile egg implantation, surrogacy, Identity, nonpregnant parent, co-mother, co-parent, include, inform, support partners
Prenatal Visit Schedule:
M_ up to _ wks
Every _ wks _ to _ wks
Every W_ after _ wks?
monthly, 28, 2, 28, 36, week, 36
Care Management:
I_ V_
P_ I_
Reason for S_C_
C_ pregnancy
R_ and S_ hx
H_ and N_ hx
M_, H_, S_, I_
F_ hx?
initial
visit
,
prenatal
interview
,
seeking
care
,
current
,
reproductive
,
sexual
,
health
,
nutrition
,
medications
,
herbs
,
substances
,
immunizations
,
family
Lab Tests:
U_, C_, and B_
R_, R_, H_, H_, G_, R_?
urine
,
cervical
,
blood
,
rubella
,
rpr
,
hiv
,
hep
b
,
glucose
,
renal
Genetic Screening:
First Trimester
M_ B_ sample collected _ to _ wks
F_ A_, D_ S_, T_
Second Trimester
Q_ sampling
A_ - N_ T_ D_
M_ B_ sample?
maternal blood
,
11
,
14
,
fetal aneuploidy
,
down syndrome
,
trisomies
,
quadruple
,
afp
,
neuro tube defects
,
maternal
blood
Prenatal Visits: Fetal Assessment:
G_ age
F_ H_ T_ and M_
F_ H_ and G_ T_
U_?
gestational
,
fetal
heart
tones
,
movement
,
fundal
height
,
genetic
testing
,
ultrasound
Immunizations:
No L_ or A_ vaccines until P_
T_ (_ to _ wks), R H_, F_ (Inactivated)?
live
,
attenuated
,
postpartum
,
tdap
,
27
,
36
,
hep b
,
flu
Nursing Interventions:
N_
K_ E_
P_ A_
E_
T_
R_ P_ C_?
nutrition
,
kegel exercises
,
physical activity
,
employment
,
travel
,
recognizing potential complications
Multifetal Pregnancy:
I_ R_ of A_ outcomes
More likely to E_ P_
S_ R_ of M_ more common
R_ for P_ L_
Modification of W_ G_ and N_ intake
S_ R_
L_ C_?
increased risk
,
adverse
,
end prematurity
,
spontaneous rupture
,
membranes
,
risk
,
preterm labor
,
weight gain
,
nutrition
,
selective reproduction
,
lifestyle changes