Antepartum Assessment
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| show | First visit by 3 months,Then every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then every week until delivery (avg 12-13 visits)
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| show | 1. General Health History. 2. Obstetrical history (current & past pregnancies & due date). 3. Physical Exam. 4. Laboratory tests
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| Terms used for determination of due date include EDC, EDD and EDB what do they stand for? | show 🗑
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| Date of Last Normal Menstrual Period (LNMP) is important because | show 🗑
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| show | Start with First Day of Last Normal Menstral Period (LNMP) and subtract 3 months then add 7 days.
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| show | Gravida
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| show | Para - includes stillbirths and live births
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| show | Abortion - elected or spontaneous. Not viable before this stage
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| Abbreviation for Living Children | show 🗑
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| Another name for spontaneous abortion (SAB) | show 🗑
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| show | elective AB (EAB), therapeutic AB (TAB), voluntary interruption in pregnancy (VIP)
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| When doing an OB history and counting the number of Gravida (Gr) don't forget to count | show 🗑
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| show | One - Para means birth, one birth for a set of twins, triplets, ect.
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| show | T-term deliveries (Pa), P-preterm deliveries(B4 37 wks), A-abortions(AB), L-living children (LC)
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| During the Physical Exam of the initial prenatal visit a pelvic exam is done for what reasons, if indicated. | show 🗑
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| show | 12
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| If pregnant woman is Rh-, check for ____ | show 🗑
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| show | porphyria, hemoglobinuria, bilirubinemia, alkaline urine, metabolic alkalemia, proteus infection
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| Rubella titer lab testes for hemagglutination-inhibition (HAI test) what ratio indicates woman is immune | show 🗑
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| A pregnant woman who tests positive for HepB surface antigen (HbsAg), the infant who test positive are given ____ soon after birth followed by first dose of hepB vaccine | show 🗑
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| show | True - those who are at risk are ENCOURAGED and those who are not at risk are OFFERED
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| A client of African descent should be screened for ____ | show 🗑
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| show | 100 lbs - needs nutritional counseling
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| Weight depends on body build, generally a prepregnant weight over ____ lbs should be evaluated | show 🗑
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| ____ is diagnosed when a pregnant woman over 20 wks develops high blood pressure (two separate readings taken at least 6 hours apart of 140/90 or more)- AND - 300 mg of protein in a 24-hour urine sample (proteinuria), and pitting edema can be significant | show 🗑
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| show | 135/85. BP greater than 140/90 requires immediate consideration
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| show | essential hypertension, renal disease, pre-gestational hypertension, apprehension or anxiety assoc with pregnancy, exam, or other crisis. If over 20 wks - considered pre-eclampsia
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| show | gestational diabetes mellitus (GDM), low renal threshold for glucose, if over 140, check for ketones.
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| The ultrasonic Doppler devise can detect fetal heartbeat on average at ___ - ____ wks gestation | show 🗑
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| show | Quickening
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| show | True
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| In general, weight gain is between ____ - ____ lbs | show 🗑
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| How is weight distributed by trimester | show 🗑
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| Sudden, excessive weight gain is a sign of ____, may be brought on by pregnancy induced hypertension (PIH) | show 🗑
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| show | blood pressure
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| show | decreases
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| show | increase of 30mm systolic and 15mm diastolic
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| show | False - it is common. but may also be a sign of gestational diabetes and need to be retested
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| T/F proteinuria (albuminuria) is a sign of pregnancy induced hypertension | show 🗑
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| How soon can fetal heart activity be seen by a sonogram | show 🗑
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| show | 14-16 wks
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| show | 18-20 weeks
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| show | fundal heigth
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| show | McDonald's
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| possible reasons for fundal heigth less than expected | show 🗑
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| show | Multiple pregnancy, hydraminos (>amniotic fluid) and molar pregnancy (an anomalous growth containing a nonviable embryo which implants and proliferates within the uterus)
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| normal hematocrit ____ - ____% | show 🗑
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| The triple screen is performed between weeks ____ and include what | show 🗑
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| show | higher levels = neural tube defect, underestimated gestational age, and multiple gestation. lower levels = Down syndrome and trisomy 18
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| What does higher than normal hCG measure | show 🗑
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| show | down syndrome
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| show | gestational diabetes melitus (GDM) if plasma glucose level is over 140mg/dL
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| What is the possible cause of sudden gush of fluid from vagina | show 🗑
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| show | abruptio placentae, placenta previa, lesions of cervix or vagina, or bloody show
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| What is the possible cause of abdominal pain | show 🗑
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| possible cause for temp above 101 | show 🗑
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| possible cause for dizziness, blurring of vision, double vision, spots before eyes | show 🗑
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| show | hyperemesis gravidarum (severe form of morning sickness)
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| possible cause for severe headache | show 🗑
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| possible cause for edema of hands, face, legs and feet | show 🗑
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| show | preeclampsia, eclampsia
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| show | preeclampsia, eschemia in major abdominal vessle
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| possible cause for oliguria | show 🗑
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| show | urinary tract infection
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| possible cause for absence of fetal movement | show 🗑
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| administration of ____ prevents Rh sensitization | show 🗑
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| RhoGam works by preventing ____ immunity by providing passive immunity | show 🗑
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| show | 28 weeks prenatally or within 72 hrs of delivery if baby is Rh+ or after SAB, TAB, ectopic pregnancy or amniocentesis
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| When to contact the care provider using the kick counts or cardiff count to ten method | show 🗑
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| T/F the ultrasound/sonogram is used as a routine test to determin gender | show 🗑
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| show | 15 bpm lasting 15 seconds in a 20 min time period, if nonreactive indicates fetus is at risk or asleep - so stimulate fetus with sound or vibration and feed mother
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| show | fetal breathing movement, fetal movement of body or limbs, fetal tone by extension and flexion, and amniotic fluid volume
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| How is the biophysical profile scored? What score indicates a healthy fetus? | show 🗑
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| show | contraction stress test
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| show | asphyxia
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| show | heart rate
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| ____ or breast stimulation is used to stimulate a contraction for the contraction stress test | show 🗑
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| show | genetic disorders (triple test), fetal health and fetal lung maturity (L/S ratio and PG level)
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| show | 35 weeks, indicates that the risk of respiratory distress syndrome is very low
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| Presence of ____ (PG) is associated with fetal lung maturity | show 🗑
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| ____ conjugate Distance from the lower posterior border of the symphysis pubis to the sacral promontory; may be obtained by manual measurement. | show 🗑
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| show | gestation
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| ____ a woman who has never been pregnant | show 🗑
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| show | obstetric conjugate
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| ____ inflammation of the parametrial layer of the uterus | show 🗑
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| ____ is labor that occures after 42 wks gestation | show 🗑
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| ____ is a woman who is pregnant for the first time | show 🗑
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| ____ is a woman who has given birth to her first child (past the point of viability), whether or not the child is living or was alive at birth | show 🗑
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| ____ the normal duration of pregnancy | show 🗑
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| ____ factors is any findings that suggest the pregnancy may have a negarive outcome, either for the woman or her unborn child | show 🗑
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| show | amniocentesis
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| show | Chorionic villus sampling
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| ____ a technique for directly observing the fetus and obtaining a sample of fetal blood or skin | show 🗑
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| show | percutaneous umbilical blood sampling (PUB's)
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| ____ a surface-active mixture of lipoproteins secreted in the alveoli and air passages that reduces surface tension of pulmonary fluids and contributes to the elasticity of pulmonary tissue | show 🗑
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| ____ is high-frequency sound waves directed through a transducer. The ultrasonic sound waves reflect underlying structures of varying densities and allow various fetal tissues, bone and fluids to be identified | show 🗑
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