Antepartum, Intrapartum, Complications Exam Prep Questions and Correct Answers

Nagele's Rule 1st day of last period + 7 days - 3 months GTPAL Gravida, Term, Preterm, Abortions, Living How often does a mother have prenatal care? Every 4 weeks until 28 weeks, then every 2 weeks at 30-36 weeks, then every week until delivery. Amniocentesis needle puncture of the amniotic sac to withdraw amniotic fluid for analysis Purpose of Late Amniocentesis To determine lung maturity Purpose of Early Amniocentesis To detect genetic anomalies, sex. May be done if abortion is considered or to prepare parents. Non-stress test (NST) Ultrasound record movement, doppler measures fetal HR, assess fetal well being. A "Reactive" result is 2 or more acceleration with 15bpm lasting 15 seconds for 20 min with a return to baseline Biophysical Profile (BPP) Method for evaluating fetal status during the antepartum period based on five variables originating with the fetus: fetal heart rate, breathing movements, gross body movements, muscle tone, and amniotic fluid volume. Goodell's sign softening of the cervix Chadwick's sign Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased vascular congestion. Oligohydraminos < 500 mL of amniotic fluid, is associated with uteroplacental insufficiency, fetal renal abnormalities, low-birth-weight infants, and surgical birth. Hydramnios > 2000 mL amniotic fluid, associated with maternal diabetes, neural tube defects, chromosomal deviations, malformations of the CNS and/or GI tract that prevent normal swallowing of fluid by the fetus. Hedgar's sign softening of the lower uterine segment