Term
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Definition
A woman who is pregant,
or has been pregnant |
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Term
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Definition
| Pregnancy, regardless of outcome |
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Term
| A woman who has never been pregnant- G0 |
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Definition
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Term
| A woman who is pregnant for the first time, or has had 1 pregnancy, G-1 |
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Definition
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Term
| A woman who has had two or more pregnancies- G2, G3, etc |
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Definition
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Term
| The number of pregnacies in which fetuses reach age of viability and are alive or stillborn |
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Definition
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Term
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Definition
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Term
Nullapara
Primipara
Multipara |
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Definition
No viable pregnancies
1 viable pregnancy
At least 2 viable pregnancies |
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Term
Define:
Preterm
Term
Post- Term |
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Definition
20- 37 weeks
38-42 weeks
Beyond 42 weeks |
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Term
What hormone does a pregnancy test detect the presence of?
And what test is most popular? |
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Definition
HCG
(Human Chorionic Gonadotropin)
ELISA Test |
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Term
| Presumptive Signs of Pregnancy |
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Definition
"Changes felt by a woman"
Amenorhhea
Fatigue
N/V
Breast Changes
*All subjective data and can be cause by something else |
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Term
| Probable Signs of Pregnancy |
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Definition
Pregnancy Test
*Observable or more objective signs |
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Term
| Positive Signs of Pregnancy |
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Definition
FHT
Examiner palpating fetal movements
Visualiztion of fetus (ultrasound)
*Signs attributed ONLY to the presence of a fetus |
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Term
1. Normal Length of Pregnancy
2. 1st Trimester
3. 2nd Trimester
4. 3rd Trimester |
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Definition
1. 10 months or 40 weeks
2. 1-13 weeks
3. 14-26 weeks
4. 27-40 weeks |
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Term
| Formula for Nagele's Rule |
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Definition
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Term
Practice EDC:
July 10
April 7
June 8 |
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Definition
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Term
| _______ &_______ increase in 1st semester |
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Definition
| Estrogen and Progesterone |
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Term
Size of uterus at:
7 weeks
10 weeks
12 weeks |
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Definition
Hen egg
Orange
Grapefruit |
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Term
A woman should start showing at __ weeks
The fundus should be at the level of the _______ at 22-24 weeks |
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Definition
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Term
| What would increase and decrease fundal height? |
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Definition
Increase: Too much amniotic fluid
Decrease- IUGR
(interuterine growth retardation) |
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Term
How to properly measure fundal height
During 2nd and 2rd trimesters; fundal height in cm= ________ |
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Definition
Use proper tape measure
Have patient empty bladder
Measure from symphysis pubis to fundus
Weeks of pregnancy |
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Term
Uterine walls are _1_ during pregnancy and after _2_ month muscle stretch and distend--
Walls get _3_ |
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Definition
1. Thicker
2. 5th
3. Thinner |
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Term
| Define Braxton Hicks contractions |
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Definition
-Irregular painless contractions intermittently throughout pregnancy
-Stop will walking or exercise
-Do NOT increase in intensity or frequency |
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Term
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Definition
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Term
| When should a pregnant woman be evaluated for labor? |
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Definition
When labor pains are every 10 minutes for more than 1 hour
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Term
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Definition
Feeling fetal movement
Fluttering |
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Term
| Uterine blood flow increases __ fold during pregancy |
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Definition
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Term
List Cervical Changes
*Define bloody show |
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Definition
Glandular tissue and secretions increase
Friability increase
Formation of mucous plug (Operculum)
*When the operculum is excreted during labor |
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Term
Changes in Vagina during pregnancy
Define Leukorrhea |
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Definition
Bluish color due to increase vascularity
Extra discharge (Leukorrhea)
-A white or slightly gray mucoid discharge with a faint musty odor (due to cervical stimulation and increase of estrogen and progesteron)
*Should never be pruritic or blood stained |
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Term
pH of vaginal secretions__-__
This makes them more vulnerable to ______ ________ |
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Definition
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Term
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Definition
Size increase, nodular
Nipples and areola darken
Montgomery's Tubercles: Sebaceous glands on aerolas around nipples that enlarge to provide lubrication during breast feeding
-Colostrum may start as early as 16 weeks- normally toward the end of pregnancy |
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Term
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Definition
| Very concentrated, low volume breats milk that has a laxative effect |
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Term
Cardiovascular Changes
(including HR, BP |
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Definition
-Slight hypertrophy from increase volume and output
-HR increase by 10-15bpm
-BP- 1st Trimester- Prepregnancy levels, 2nd- decrease of 5-10, 3rd- return to 1st trimester level
-Increase venous pressure |
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Term
| What postion is best for blood pressure and edema? |
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Definition
Lying on the left side
(Takes pressure off the vena cava) |
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Term
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Definition
-Increase by 1500ml
-1000ml of plasma= 450 RBC's
-Increase begins at 10-12 weeks, peaks at 32-34 weeks, and decreases at 40 weeks
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Term
Define Physiologic Anemia
Give pregancy H&H normals |
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Definition
-Plasma increase exceeds increase in RBC's
- Hgb > 11
-HCT> 33% |
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Term
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Definition
Increase in 2nd Trimester and Peak during 3rd
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Term
| *Fact* There is a greater tendency for blood coagulation problems during pregnancy |
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Definition
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Term
Describe Respirtory Changes
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Definition
-O2 requirements increase
-Flared Rib Cage
-Breathing changes from abdominal to thoracic
-Increased vascularity- leads to nasal stuffiness, nosebleed, voice changes, impaired hearing/ ear aches, etc |
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Term
| Changes to Urinary System |
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Definition
-Increase frequency in 1st and 3rd
-Increase risk of bladder infection
-Smaller bladder
-Glycosuria- spills over into urine when lower than 160-180
-Proteinuria is NOT normal
-Increased GFR |
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Term
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Definition
-Increase in skin thickness, fat, hyperpigmentation
-Incr. hair and nail growth, sweat, acne, temperature
-Linea nigra (line from umbilicus to pubic bone)
-Stretch marks- striae |
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Term
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Definition
-Relaxed pelvic joints d/t relaxin- waddling gate
-Postural changes
- Shoulder slump
- Diastasis recti adbominis |
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Term
Neurological System Changes
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Definition
-Compression or pelvic nerves- decrease sensation in legs
- Dorsolumbar lordosis
-Carpal tunnel is worse
-Acroesthesia- increase sensitivity to pain
- HA
-Faintness/syncope
-Hypocalcemia- muscle cramps/tetany |
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Term
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Definition
-Inc. appetite
-Gingivitis, Ptylism
-Dec. gastric acid
-Heartburn
- HRF gallstones
- Tough to diagnose appendicitis |
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Term
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Definition
-Possible inc. in activity and thyroid
-BMR increases
-Hypothyroidism may cause spontaneous abortions |
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