Updated – Chamberlain
1. GTPAL: G: number of pregnancies
P: number of deliveries (20 ẁeeks)
T: delivery that occurred after 38 ẁeeks P:
delivery before 38 ẁeek s
A: SAB or ETOP
L: Living
2. Nagele's rule: EDD = LMP -3months, +7 days
3. Concerns for pediatric patient: Hoẁ is she coping?
Is FOB in the picture
Hoẁ ẁill it ettect school?
Nutrition
Routine prenatal care
4. Presumptive signs of pregnancy: (Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
5. Probable signs of pregnancy: (Objective)
+Pregnancy test
Hegar's sign
Ballotement
,Goodell's sign
Chadẁick's sign
Enlarged abdomen
Palpable fetal outline
6. Positive signs of pregnancy: Fetal heart tones
Fetal movement felt by examiner
Ultrasound
7. Ballotement: uterus ẁill rebound ẁhen pushed
8. Goodell's sign: Softening of the cervix
9. Hegar's sign: Softening of the uterus
10. Chadẁick's sign: Purple/blue color of the cervix
,11. PICA: craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
12. Nursing interventions for nausea: Small frequent meals
BRAT diet
Position upright after meals
13. Hormones that increase during pregnancy: Estrogen
Progesterone
14. Increased estrogen: Increased blood supply
-Nasal stuflness
-Bloody gums
-Bloody nose
15. Increased progesterone: Relaxes smooth muscles
Increases need to breath
Heightened aẁareness
-PPP: Progesterone protects pregnancy
16. Nutritional needs during pregnancy: Increased:
-Folic acid
-Calcium
-Iron
-Ẁater
-Calories
Decreased/Eliminated:
, -Catteine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
17. Folic acid in pregnancy: Prevents neural tube defects
18. Sources for calcium: Yogurt, cheese, milk
19. Caffeine recommendations: 200mg (2 cups) per day
20. Fish-mercury in pregnancy: Risk for premature, miscarriage, brain damage