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Diagnosis of Pregnancy
Lecture 2 Cont. A
13
Nursing
Undergraduate 3
04/10/2016

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Cards

Term
What is the 5 digit system for Gravidity and Parity?
Definition
1. gravida
2. term-para
3. preterm
4. abortions-spontaneous or therapeutic
5. living children
Term
What is gravida and different types?
Definition
A woman who is pregnant

a. nulligravida-never been pregnant
b. multigravida-2 or more pregnancies
c. primigravidas-first pregnancy
Term
What is parity and different types?
Definition
Number of births after 20 weeks gestation

a. doesn’t matter if born alive or stillborn
b. nullipara-never completed a pregnancy
c. multipara-completed 2 or more births at
more than 20 weeks gestation
d. primipara-completed one birth > 20 weeks
e. not the number of fetuses born
Term
What is preterm birth?
Definition
birth before 37 weeks gestation
Term
What is postdates birth?
Definition
birth after 42 week of gestation
Term
What is viability?
Definition
The capacity to live outside the uterus

a. somewhere between week 22-24
b.fetus greater than 500 gms
Term
What are the two types of preganancy tests?
Definition
1. hCG-human chorionic gonadotropin
2. ELISA-enzyme linked immunosorbent assays
Term
What are the components of ELISA-enzyme linked immunosorbent assay pregnancy tests?
Definition
a. color change with hCG bonding
b. result as fast as 5 minutes
c. detect hCG in 7-9 after conception
Term
What are the components of hCG-human chorionic gonadotropin pregnancy test?
Definition
a. production starts with implantation
b. found in blood 6 days after conception
c. in urine by day 26
d. level rises until peak at day 60-70 in pregnancy
then falls-lowest level at 100-130 days
Term
What is Nagele’s Rule for the estimating the date of delivery?
Definition
First day of LMP→subtract 3 months→add 1 week
Term
What are classical presumptive indicators of pregnancy?
Definition
a. amenorrhea
b. quickening (mom feels baby move)
c. breast changes
d. N & V-weeks
e. urinary frequency
f. fatigue
Term
What are classical probable indicators of pregnancy?
Definition
a. Goodwell’s sign
b. Chadwick’s sign
c. Hegar’s sign-weeks
d. + pregnancy test (serum)
e. + pregnancy test (urine)
f. Braxton-Hicks contractions
g. abdominal enlargement
h. ballottement
i. palpable fetal outline
Term
What are classical positive indicators of pregnancy?
Definition
a. visualization of fetus on U/S-weeks 5-6
b. fetal heart tones by U/S-week 6
c. fetal heart tones by Doppler-weeks 10-17
d. FHT by stethoscope-weeks 17-19
e. fetal movements palpated-weeks 19-22
f. visibility-late pregnancy
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