Gravida Correct Answer pregnant woman
Primigravida Correct Answer pregnant for the first time
Parity Correct Answer the number of viable pregnancies
Pre-term Correct Answer 20 weeks to 36 weeks and 6 days
Viability Correct Answer capacity to live outside the uterus (22-25 weeks)
GPTAL Correct Answer Gravida, Pre-term, term, abortion, living
Abortion Correct Answer <20 weeks
Signs of pregnancy: Presumptive (Subjective) Correct Answer - breast tenderness, amenorrhea, fatigue
Signs of pregnancy: Probable Correct Answer - pregnancy test, hegar, ballotments, goodell sign, Chadwick
Signs of pregnancy: Positive Correct Answer - heart beat, visualization, palpating movement
Palmar erythema (PUPPS) Correct Answer itchy hands/ feet abnormal
- topical steroid
Linea Nigra Correct Answer a dark line appearing on the abdomen and extending from the pubis toward the umbilicus
striae gravidarum Correct Answer stretch marks
Cardiac output Correct Answer increases by 30-50%
-Bp should stay about the same (highest when sitting)
- HR increases 15-20
- murmurs can be present
Muskuloskeletal Correct Answer - increased risk of falls
- back pain
- relaxed to prepare for birth Neurological Correct Answer - postural hypotension
- headache
- carpal tunnel syndrome
GI Correct Answer PICA
- GERD
- heartburn
- gums bleeding (soft tooth brush)
Endocrine Correct Answer -Estrogen/ progesterone - oxytocin (stimulate labor)
Naegeles rule Correct Answer -subtract 3 months from the LMP then add 7 days and 1 year
Trimesters Correct Answer First: 1-13 weeks
Second: 14-26 weeks
Third: 27-40 weeks
Initial visit Correct Answer - confirm pregnancy - surgical hx (breast implants, abd surgery)
- Hx of smoking
- Hx drug use - use of herbal medications
- family hx
- mental health screening (PPD)
- partner violence
Respiratory system Correct Answer -SOB
renal system Correct Answer -UTI (dilated vessels) - empty bladder, hygiene, water
PICA Correct Answer - monitor iron (H&H)
Labs Correct Answer Hemoglobin: >11 Hematocrit: >33
GBS: 35-37 weeks
1 HR GTT: 24-28 weeks (not fasting) (>130)
3 Hr GTT: (fasting)
RH factor Correct Answer - mom is negative
- given 26-30 weeks of pregnancy - 72 hrs after birth if baby has positive blood type