GTPAL correct answers gravida, term births, preterm births, abortions, living children
Naegele's Rule correct answers add 7 days to LMP, subtract 3 months, add 1 year
Fetal Heart Tracing correct answers Noted as absent, minimal, moderate, or marked; needs to be
reactive (2, 15 over baseline for 15 sec in 20 min)
amniotic fluid correct answers fluid within the amniotic sac that surrounds and protects the fetus
the baby drinks this and it helps to cushion the fetus
Weight gain during pregnancy correct answers 25-35 pounds for normal weight women, up to 5
pounds in first trimester
11-20 lbs for overweight women
medically induced abortion correct answers Mifepristone methotrexate misoprostol
Notify hcp of any fever
gestational hypertension correct answers potentially life-threatening disorder that usually
develops after the 20th week of pregnancy and is characterized by edema and proteinuria
Monitor by and administer mag
Quickening correct answers the first movement of the fetus in the uterus that can be felt by the
mother
stages of labor correct answers 1st: dilating stage 3 phases: Latent (0-3cm) Active (4-7cm)
Traditional (8-10cm w/ urge to push)
2nd stage: delivery
,3rd: placental delivery
4th: recovery- primary goal to prevent hemorrhage from uterine atony, 1st void within 1 hour and
then q2-3 hrs, Rhogam
meconium aspiration syndrome correct answers abnormal inhalation of meconium (first stool)
produced by a fetus or newborn
Airway obstruction
Pneumonia
Suctioning if airway obstruction
Administer O2
Administer surfactant if needed
fetal head compression correct answers what is the cause of early deceleration FHR
umbilical cord compression correct answers A complication of oligohydramnios which can
present as late/variable decelerations; Requires continuous fetal monitoring at birth
Turn patient on side with knees to chest
Smoking during pregnancy can cause... correct answers premature death, still birth, deformities
and low birthrate
Fundal height measurement correct answers -after the uterus reaches a position that is palpable
above the umbilicus
-tape measure is placed with zero mark on the anterior aspect of the symphysis pubis
-the measurement is taken at the palpable fundus (top) of the uterus
-measurement in centimeters should = approx weeks of pregnancy (plus of minus 2-3 cm)
placenta previa s/s correct answers Painless vaginal bleeding in 7th month
, Positive pregnancy signs correct answers fetal skeleton on xray, fetal presence on ultrasound,
fetal HR present, when the examiner palpates fetal movement.
placental abruption correct answers Premature separation of the placenta from the uterine wall
after 20 weeks' gestation and before the fetus is delivered.
Painful, dark red bleeding
Rigid uterus
May need C-section
preeclampsia correct answers a complication of pregnancy characterized by hypertension,
edema, and proteinuria
preeclampsia risk factors correct answers 1. *Primip in age extremes (< 19/> 40 yo)*
2. *First pregnancy/new partner*
3. *Pt/family hx of preeclampsia*
4. ↑ trophoblastic tissue
-Twins or more
-Hydatidiform mole
5. Poor outcome pregnancy
-Intrauterine growth restriction (IUGR)
-Placental abruption
-Fetal death
6. Periodontal disease
7. Obesity
8. Preexisting medical or genetic conditions
-Chronic HTN, Renal Dx, Type 1 DM, Collagen Dx
9. Thrombophilias
-Antiphospholipid antibody syndrome