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OB chap 4 and 5
| Question | Answer |
|---|---|
| what does grad/gravida mean | any pregnancy, regardless of duration, including the present one |
| what is nulligravida | woman who has never been pregnant |
| what is primigravida | a woman pregnant for the first time |
| what is multigravida | a woman who is in her second or a subsequent pregnancy |
| what is age of viability | after 20 weeks of gestation |
| what does EDD stand for | estimated date of delivery |
| what is nageles rule | 1. determine first day of last normal menstrual period 2. count back 3 months 3. add 7 days 4. correct year if needed |
| what is abortion | pregnancy terminated before fetus reaches 20 weeks |
| what is preterm | pregnancy terminated after 20th week but before full term is reached |
| what is post term | pregnancy 2 weeks after EDD |
| when is full term | 37 weeks or after gestation |
| how long does the avg pregnancy last | 40 weeks or 280 days |
| what is the first trimester | first 14 weeks |
| what is the second trimester | 15-28 weeks |
| what is the third trimester | 29 weeks to delivery |
| what are some presumptive signs of pregnancy | amenorrhea, N/V, urinary frequency, fatigue, quickening, breast tenderness |
| what are some probable signs of pregnancy | uterine enlargement, pigmentation changes, goodell's sign, hegar's sign, chadwick's sign, braxton hicks, positive pregnancy tests |
| what are some positive signs of pregnancy | ultrasound, fetal heart rate heard by a medical professional, fetal movement felt by a medical professional |
| what are some effects on pregnancy and lactation while on meds | sub-therapeutic levels, plasma vol, CO, golerular filtration, decreased gastric emptying, changes in absorption and delay onset of action |
| parenteral meds may absorb more rapidly due to | increased blood flow, faster onset of action, increased levels of estrogen and preg may alter hepatic function, some drugs pass into breast milk |
| when should a lactating mother take drugs | immediately after breastfeeding |
| what is category A of meds for pregnancy | no demonstrated risk to fetus in any trimester |
| what is category B of meds for pregnancy | not shown a risk in the 2nd or 3rd trimester. no available data on effect in the 1st |
| category C of meds for pregnancy | not neg affects on fetal development, but no controlled studies are available to know the effect on preg women, risk cannot be rulled out |
| category D of meds for pregnancy | there is posible evidence of fetal damage when the drug is used during preg. the need for the drug should be carefully evaluated |
| category X of meds for pregnancy | studies in animals and humans indicate definite fetal risk, and it should not be used during preg |
| what are the psychological changes of pregnancy | body image, emotional security, cultural expectations, support from partner, whether preg is unexpected, financial situations |
| major factors that contribute to psychological changes for pregnancy | a woman's level of maturity, readiness of childbearing, hormones contribute to mood swings |
| what to assess for a pregnant adolecent | developmental and educational level, support system, age, the younger the adolescent the more difficulty one may see in considering the needs of others |
| what is the impact on the older couple for pregnancy | may enconter special problems during the labor and delivery |
| why do elderly couples adjust to pregnancy | often well educated, have achieved life experiences/ goals, ready for a lifestyle change |
| what is the impact on the single mother | emotional needs, difficulty completing tasks of preg, see preg as financial burden or may have planned for the event, social acceptance not as difficult |
| what is the impact on the single father | may or may not take on the financial responsibility, may want to participate in plans for the child, participation may not be accepted by the mother |
| what is the impact on the grandparents | may eagerly anticipate the babys arrival or feel they are not ready for their new role |
| level of involvement in babys life may be an issue based on what for grandparents | distance, relationship between parents and grandparents, role expectations, different beliefs regarding child rearing |
| what are the goals of prenatal care | ensuring a safe birth for mother and child promotion good health habits and reducing risk factors, education, physical assessment and care, preparing parents for adaptation to parenthood |
| what is the expected wt gain during pregnancy | 3 1/2lbs 1st trimester and 1lb per week until delivery |
| what occurs during the first prenatal examination | baseline VS, post OB family history, labs, pelvic exam, head to toe exam, personal info, last menstrual cycle |
| what is the goal of exercise during pregnancy | to maintain fitness, not improve fitness or lose wt |
| what is the caloric increase for pregnancy | if 300-350 calories per day |
| what is the caloric increase for breastfeeding | 500 calories per day |
| immunizations during pregnancy that are ok | tetanus booster (if not done within the last 10 yrs), flu, Hep B |
| what immunizations can a pregnant woman not have | pneumococcal, hep A, polio, measles, mumps, MMR, varicella |
| what OTC medication can a pregnancy woman not have in third trimester and why | ibuprofen because of premature closing of ductus arteriosis |
| what are the danger signs of pregnancy | headache, visual distubance or dizziness, increase systolic and diastolic BP, epigastric, abdominal or sever flank pain, burning during urination or severe backpain, angina and SOA, muscular irritability, confusion or seizures, vaginal bleeding, fever |
| what is the recommended fluid intake | 1500-2000 mL per day |
| what is pica | consumption of substances usually considered inedible and with no nutrient value |
| what is consumed with pica | cornstarch, laundry starch, clay, ice cubes |
Created by:
rmcwilliams122
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