NURSING 2633 STUDY GUIDE FOR MATERNAL CHILD EXAM 1.

NURSING 2633 STUDY GUIDE FOR MATERNAL CHILD EXAM 1.EDC/EDD- Estimated date of confinement/estimated delivery date Gravid- Pregnant Parity- Number of pregnancies carried to a point of viability (24 weeks) regardless of outcome Striae- Stretch marks on abdomen and thighs Braxton Hicks Contractions- False, contractions, painless, irregular, and usually relieved by walking Linea Nigra- Dark line of pigmentation from the umbilicus extending to the public area Chadwick’s sign- Deepened violet-bluish color of cervix and vaginal mucosa Amenorrhea- no menstrual flow STI- Sexually transmitted infections Hyperemesis gravidarum- persistent vomiting Leopold’s maneuver- external palpations of the maternal uterus through the abdominal wall to determine number of fetuses; presenting part, lie, and fetal attitude; degree of descent of the presenting part into the pelvis; location of point of maximal impulse (location of fetal heart tones). Colostrum- secreted during postpartum days 1 to 3. Contains IgA that provides passive immunity to the newborn. Quickening- Slight fluttering movements of the fetus felt by a woman, usually between 16 and 20 weeks. Lightening- fetal head descends into the true pelvis about 14 days before labor; “dropped”; easier breathing but more pressure on the bladder causing urinary frequency; more pronounced in patient who are primigravida Doppler- noninvasive ultrasound to measure the velocity at which RBCs travel in the uterine and fetal vessels Fetoscope- fiber optic scope used in percutaneous umbilical blood sampling (PUBS) or amniocentesis Amniocentesis- aspiration of amniotic fluid by needle insertion transabdominally into the client’s uterus and amniotic sac after 14 weeks to test for genetic abnormalities Maternal serum alpha fetal protein (MSAFP)- screening tool used to detect neural tube defects. hCG- Human chorionic gonadotropin- hormone produced by placenta LMP- Last menstrual period Menarche- First menstrual period one year after peak velocity; between 9 and 15 years old Nagele’s Rule- take the first day of the woman LMP, add seven days, subtract three months, and add one year. Fundal Height- in cm from pubic symphysis to the top of the uterine fundus after 12 weeks; relates to gestational weeks.