Ch. 14

• 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