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Maternal Child Nursing Care
Chapter 9
49
Nursing
Undergraduate 2
10/03/2010

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Term
CARE
Definition
Communication, advocate, respect, enable
Term
Eustress
Definition
normal, healthy level of stress
Term
Femicide
Definition
The death of a woman resulting from an act of violence against that woman. Leading cause of pregnancy-associated death.
Term
RADAR
Definition
Routinely screen every patient; Ask directly, kindly, & nonjudgmental manner; Document your findings; Assess the patient's safety; Review options and provide referrals.
Term
Preterm labor & delivery
Definition
prior to the 37th completed week of pregnancy
Term
Two classic symptoms of preeclampsia
Definition
HTN with proteinuria
Term
teratogens
Definition
substance that adversely affects fetal development
Term
Amenorrhea
Definition
absence of menses
Term
Pseudocyesis
Definition
False pregnancy
Term
Piskacek Sign
Definition
uterine asymmetry with a soft prominence on the implantation side; may also be associated with uterine tumors.
Term
Hegar sign
Definition
Softening of the lower uterine segment may also be caused by pelvic congestion.
Term
Goodell sign
Definition
Softening of the tip of the cervix; may also be associated with infection, hormonal imbalance or pelvic congestion.
Term
Chadwick sign
Definition
Violet-bluis color of the vaginal mucosa and cervix; may also be associated with pelvic congestion, infection, or a hormonal imbalace.
Term
Braxton-Hicks sign
Definition
intermittent uterine contractions; may also be associated with uterine fibroids or other tumors.
Term
Ballottement
Definition
passive movemetn of the engaged fetus; may be due to uterine tumors or cervical polyps instead of the presence of a fetus.
Term
Estimated date of birth (EDB) or Estimated Date of Delivery (EDD).
Definition
Based on last menstrual period (LMP) with 28 day cycle.
Term
Naegele's Rule
Definition
add 7 days then subtract 3 months from the date of patient's last normal menstrual period (LMP)
Term
Gravid
Definition
state of being pregnant; gravida is a pregnant woman; gravidity relates to the number of times the woman has been pregnant
Term
Nulligravida
Definition
describes the woman who has never experienced pregnancy
Term
primigravida
Definition
describes the woman who is pregnant for the first time
Term
secundigravida
Definition
woman who is pregnant for the second time (seldom used)
Term
Multigravida
Definition
describes a woman who is pregnant for the third (or more) times.
Term
Parity
Definition
Refers to the number of pregnancies carried to a point of viability (500 g at birth or 20 weeks gestation).
Term
GTPAL
Definition
Gravida, term pregnancies, preterm deliveries, abortions, living children
Term
Chemical pregnancy
Definition
when a home pregnancy test confirms presence of hCG, but a late and often heavy mentrual period follows. Thought to affect 30-50% of all pregnancies. Conception probably occurred but for some reason the pregnancy was unable to continue and develop into a viable embryo.
Term
Seroconversion
Definition
The process whereby an individual develops antibodies in response to an infection and subsequently tst postiive when screened, due to the presence of the antibodies.
Term
Diethylstilbestrol (DES)
Definition
a non steriodal, synthetic estrogen that is several times more potent than natural estrogens.
Used in 1930-1970 to reduce the likelihood of spontaneous abortion or preterm delivery.
Term
Fundal height
Definition
indication of uterine size & should correlate with fetal growth. cm = weeks pregant.
Term
Leopold Maneuvers
Definition
a four-part clinical assessment to determine lie, presentation, and position of the fetus.
Term
Engagement
Definition
Whent he largest diameter of the presenting part reaches or passs through the maternal pelvic inlet.
Term
Normal fetal HR
Definition
120-160 bpm
Term
non-stress test (NST)
Definition
fetal montitoring for evaluation of fetal heart rate in response to fetal movement and/or uterine activity. A reactive test is desirable.
Term
pediculosis
Definition
pubic lice
Term
hydramnios
Definition
increase in the volume of amniotic fluid
Term
diagonal conjugate
Definition
the distance between the anterior surface of the sacral prominence and the anterior surface of the inferior margin of the sypmysis pubis.
Term
True conjugate (conjugate vera)
Definition
measurement between the anterior surface of the sacral prominence and the posterior surface of the inferior margin of the symphysis
Term
ischial tuberosity diameter
Definition
measurement of transverse diameter of the outlet
Term
Neonaticide
Definition
killing of a baby within the first 24 hours of birth
Term
DEEPER CARE
Definition
Diet
Exercise
Education
Play
Expectations
Relaxation
Communication
Attitude
Respect
Emergencies
Term
Presumptive Signs of Pregnancy
Definition
Experienced by Patient
Amenorrhea
N/V
Frequent Urination
Breast Tenderness
Preception of fetal movement
Skin changes including striae gravidarum
Fatigue
Term
Probable Signs of Pregnancy
Definition
Observed by examiner
Abdominal enlargement
Piskacek Sign
Hegar Sign
Goodell Sign
Chadwick Sign
Braxton-Hicks sign
Positive pregnancy test
Ballottement
Term
Positive signs of pregnancy
Definition
Fetal heartbeat
Visualizatoin of the fetus
Fetal movements palpated by the examiner
Term
Antenatal Period
Definition
The first day of teh last normal menstrual period and ends when labor begins.
280 days, 40 weeks, 10 lunar months, 9 calendar months.
Term
Lie of the Fetus
Definition
Where the fetal spine in relation to the maternal spine
Term
Longitudinal lie
Definition
The maternal spine is always longitudinal. If the fetal spine is parallel to the maternal spine, the fetus is in a "longitudinal lie"
Term
Transverse lie
Definition
The fetal spine lies horizontally across the maternal spine, the fetus is in a transverse lie
Term
Obliquie lie
Definition
If the fetal spine lies obliquely acreoss the maternal spine
Term
Presentation
Definition
Refers to the fetal part that would be delivered first in a vaginal birth.
Term
Engagement
Definition
If the presenting part is fixed (ie you are unable to move it) when palpating the maternal abdomen, the presenting part is said to be engaged.
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