NURS 3730 Test 1 (Antepartum 2 Week
4) Complete Answers
nullipara - ANSWER-woman who has not completed pregnancy with a fetus or
fetuses who have reached 20 weeks
ex - 3 spontaneous abortions at 14 weeks still is nullipara
primigravida - ANSWER-woman who is pregnant for the first time
primipara - ANSWER-woman who has completed one pregnancy with a fetus or
fetuses who have reached 20 weeks
postdate or postterm - ANSWER-pregnancy that goes beyond 42 weeks of gestation
preterm - ANSWER-pregnancy that has reached 20 weeks of gestation but before 37
weeks of gestation. 36 weeks and 6 days is still considered preterm
term - ANSWER-pregnancy from beginning of week 37 to the end of week 42
gestation
viability - ANSWER-capacity to live outside the uterus, no clear limits 22-25 is
threshold, most hospitals use 24 weeks
GTPAL (what does each stand for?) - ANSWER-G - gravida (how many times a
woman has been pregnant no matter the outcome)
T - Term (how many deliveries 37+weeks, includes post term)
P - Preterm (how many delieveries between 20-36wks 6days)
A - Abortions (Spontaneous, eptopic, or induced before 20 weeks)
L - Living ( how many living children)
P in gravida/para - ANSWER-includes both term and preterm births.
do twins count as P2 or P1? - ANSWER-P1
estimated date of delivery Nagele's Rule - ANSWER-calculate estimated date of
delivery or due date
use first dat of last normal menstrual period
subtract three months
add seven days
which months have 31 days? - ANSWER-January, March, May, July, August,
October, December
which months have 30 days? - ANSWER-April, June, September, November,
(February has 28)
initial prenantal exam - ANSWER-vital signs
,height and weight BMI
assess for supine hypotension
vaginal/pelvic/bimanual exam
abdomen and fetus
- always be supportive, unhurried, and explain what will happen and use of
equipment. also help with relaxation and breathing techniques
obstetric history - ANSWER-number of pregnancies
number of births
number of abortions (spontaneous and induced)
length of previous gestations
weight of infants at birth
labor experiences - type of birth, location of births, names of providers
types of anesthesia and any difficulties with anesthesia during child birth and other
surgeries
maternal complications (HTN, diabetes, infections, bleeding, psychologic
complications
infant complications
methods of infant feeding in past and plan for this time
special concerns
gynecologic history - ANSWER-history of STDs and treatment
history of contraceptives
pregnancy with IUD in place - ANSWER-this is rare, but can lead to ectopic
pregnancy, infections, and preterm births
as soon as pregnancy is confirmed, IUD should be removed by provider
a woman with signs of infection with an IUD should have intensive antibiotic
treatment and uterine evacuation
medical and surgical history - ANSWER-age, race, and ethnic background
childhood disease and immunizations
chronic illnesses (HTN, Asthma, diabetes, heart disease, renal disease, lupus)
previous illness, surgical procedures, and injuries (particularly pelvis and back)
previous infections - hepatitis, STDs, TB, group B strep
history and treatment of anemia - blood transfusion
bladder and bowel functions - problems or changes
amount of caffeine and alcohol consumed per day
tobacco of any form (years and daily amount)
prescription, OTC, Illicit drugs (name, dose, frequency)
complimentary and alternative therapies
appetite, general nutrition, Hx of eating disorders
contact with pets (particularly cats - toxoplasmosis infection)
allergies and drug sensitivities
occupation and related risk factors
blood pressure in pregnancy - ANSWER-make sure to use the same arm, same
position, and same sphygmomanometer. have woman seated with arm horizontal at
heart level. document what arm used, pressures obtained, and type used. manual
and automatic may be different. BP decreases in first and second trimester and
, should normalize at the third trimester. a BP of 140/90 or higher may indicate
preeclampsia and requires additional eval
pulse in pregnancy - ANSWER-60-90 for mother. anxiety hyperthyroidism and
infection can cause tachycardia
monitor apical pulse for murmurs
assess pedal pulses for perfusion problems
respirations in pregnancy - ANSWER-16-24
tachypnea may mean infection or cardiac disease
BBS should be clear, chest expansion symmetrical
temperature in pregnancy - ANSWER-97.8-99.6 - if higher assess for infection
dependent edema - ANSWER-normal due to the venous congestion due to occlusion
of the inferior vena cava from uterus
varicosities in pregnancy - ANSWER-in the vulva or rectum (hemorrhoids) due to
venous congestion due to the occlusion of the inferior vena cava from the uterus
complications of obesity in pregnancy - ANSWER-hypertension, gestational
diabetes, postpartum hemorrhage, poor labor progression, C-Section delivery,
anesthesia complications, wound infection, birth of large for gestational age infants
-tests of fetal wellbeing important in the third trimester
abdomen during pregnancy - ANSWER-assess contour size and muscle tone, fundal
height should be measured if the fundus is palpable above the symphysis pubis.
fetal heart tones + rate - ANSWER-should be counted , auscultated and recorded if
pregnancy is advanced enough. should be able to hear in most pregnancies around
12 weeks. maybe earlier for skinner mothers, later for more overweight mothers. (10-
12 weeks by doppler, 18-20 by fetoscope)
rate should be 110-160
heart tones best heard between the fetus shoulders
deep tendon reflexes in pregnancy - ANSWER-biceps, patellar, ankle. should be 1+
or 2+ and equal bilaterally >2+ and clonus may be related to elevated BP and a sign
of preeclampsia
signs of hyperreflexia + how to test - ANSWER-can indicate cerebral edema in
preeclampsia
dorsiflex the foot towards the shin
in normal patients - the foot should let down immediately
if clonus- the food will spasm as it lets down - count the spasms.
carpal tunnel in pregnancy - ANSWER-when edema presses on the medial nerve.
causes pain in hands and wrist. splinting helps - should resolve by 3 months
postpartum
initial lab testing in pregnancy - ANSWER-CBC - esp HgB and HcT and WBC
4) Complete Answers
nullipara - ANSWER-woman who has not completed pregnancy with a fetus or
fetuses who have reached 20 weeks
ex - 3 spontaneous abortions at 14 weeks still is nullipara
primigravida - ANSWER-woman who is pregnant for the first time
primipara - ANSWER-woman who has completed one pregnancy with a fetus or
fetuses who have reached 20 weeks
postdate or postterm - ANSWER-pregnancy that goes beyond 42 weeks of gestation
preterm - ANSWER-pregnancy that has reached 20 weeks of gestation but before 37
weeks of gestation. 36 weeks and 6 days is still considered preterm
term - ANSWER-pregnancy from beginning of week 37 to the end of week 42
gestation
viability - ANSWER-capacity to live outside the uterus, no clear limits 22-25 is
threshold, most hospitals use 24 weeks
GTPAL (what does each stand for?) - ANSWER-G - gravida (how many times a
woman has been pregnant no matter the outcome)
T - Term (how many deliveries 37+weeks, includes post term)
P - Preterm (how many delieveries between 20-36wks 6days)
A - Abortions (Spontaneous, eptopic, or induced before 20 weeks)
L - Living ( how many living children)
P in gravida/para - ANSWER-includes both term and preterm births.
do twins count as P2 or P1? - ANSWER-P1
estimated date of delivery Nagele's Rule - ANSWER-calculate estimated date of
delivery or due date
use first dat of last normal menstrual period
subtract three months
add seven days
which months have 31 days? - ANSWER-January, March, May, July, August,
October, December
which months have 30 days? - ANSWER-April, June, September, November,
(February has 28)
initial prenantal exam - ANSWER-vital signs
,height and weight BMI
assess for supine hypotension
vaginal/pelvic/bimanual exam
abdomen and fetus
- always be supportive, unhurried, and explain what will happen and use of
equipment. also help with relaxation and breathing techniques
obstetric history - ANSWER-number of pregnancies
number of births
number of abortions (spontaneous and induced)
length of previous gestations
weight of infants at birth
labor experiences - type of birth, location of births, names of providers
types of anesthesia and any difficulties with anesthesia during child birth and other
surgeries
maternal complications (HTN, diabetes, infections, bleeding, psychologic
complications
infant complications
methods of infant feeding in past and plan for this time
special concerns
gynecologic history - ANSWER-history of STDs and treatment
history of contraceptives
pregnancy with IUD in place - ANSWER-this is rare, but can lead to ectopic
pregnancy, infections, and preterm births
as soon as pregnancy is confirmed, IUD should be removed by provider
a woman with signs of infection with an IUD should have intensive antibiotic
treatment and uterine evacuation
medical and surgical history - ANSWER-age, race, and ethnic background
childhood disease and immunizations
chronic illnesses (HTN, Asthma, diabetes, heart disease, renal disease, lupus)
previous illness, surgical procedures, and injuries (particularly pelvis and back)
previous infections - hepatitis, STDs, TB, group B strep
history and treatment of anemia - blood transfusion
bladder and bowel functions - problems or changes
amount of caffeine and alcohol consumed per day
tobacco of any form (years and daily amount)
prescription, OTC, Illicit drugs (name, dose, frequency)
complimentary and alternative therapies
appetite, general nutrition, Hx of eating disorders
contact with pets (particularly cats - toxoplasmosis infection)
allergies and drug sensitivities
occupation and related risk factors
blood pressure in pregnancy - ANSWER-make sure to use the same arm, same
position, and same sphygmomanometer. have woman seated with arm horizontal at
heart level. document what arm used, pressures obtained, and type used. manual
and automatic may be different. BP decreases in first and second trimester and
, should normalize at the third trimester. a BP of 140/90 or higher may indicate
preeclampsia and requires additional eval
pulse in pregnancy - ANSWER-60-90 for mother. anxiety hyperthyroidism and
infection can cause tachycardia
monitor apical pulse for murmurs
assess pedal pulses for perfusion problems
respirations in pregnancy - ANSWER-16-24
tachypnea may mean infection or cardiac disease
BBS should be clear, chest expansion symmetrical
temperature in pregnancy - ANSWER-97.8-99.6 - if higher assess for infection
dependent edema - ANSWER-normal due to the venous congestion due to occlusion
of the inferior vena cava from uterus
varicosities in pregnancy - ANSWER-in the vulva or rectum (hemorrhoids) due to
venous congestion due to the occlusion of the inferior vena cava from the uterus
complications of obesity in pregnancy - ANSWER-hypertension, gestational
diabetes, postpartum hemorrhage, poor labor progression, C-Section delivery,
anesthesia complications, wound infection, birth of large for gestational age infants
-tests of fetal wellbeing important in the third trimester
abdomen during pregnancy - ANSWER-assess contour size and muscle tone, fundal
height should be measured if the fundus is palpable above the symphysis pubis.
fetal heart tones + rate - ANSWER-should be counted , auscultated and recorded if
pregnancy is advanced enough. should be able to hear in most pregnancies around
12 weeks. maybe earlier for skinner mothers, later for more overweight mothers. (10-
12 weeks by doppler, 18-20 by fetoscope)
rate should be 110-160
heart tones best heard between the fetus shoulders
deep tendon reflexes in pregnancy - ANSWER-biceps, patellar, ankle. should be 1+
or 2+ and equal bilaterally >2+ and clonus may be related to elevated BP and a sign
of preeclampsia
signs of hyperreflexia + how to test - ANSWER-can indicate cerebral edema in
preeclampsia
dorsiflex the foot towards the shin
in normal patients - the foot should let down immediately
if clonus- the food will spasm as it lets down - count the spasms.
carpal tunnel in pregnancy - ANSWER-when edema presses on the medial nerve.
causes pain in hands and wrist. splinting helps - should resolve by 3 months
postpartum
initial lab testing in pregnancy - ANSWER-CBC - esp HgB and HcT and WBC
