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Sibling response - ANSWER-1yr - Unaware
Toddlers - Clingy, regress in toilet/eating
3-4yrs - Like to hear their birth story, listen/feel baby
School age - Clinical interest; Will ask a lot of ?'s
Adolescents - difficulty accepting parents sexuality
Teens - Undisturbed, Preoccupied with self
Initial Prenatal visit - ANSWER-In 1st trimester w/monthly visits until 28wks
>28 weeks appts every 2 weeks
>36 weeks appts every week until birth
Centering Pregnancy - ANSWER-Care model with group prenatal care;
Shifts from provider center to mother-centered
GBS culture - ANSWER-Done at 35 - 37wks gestation
MSAFP/Quad Screen - ANSWER-Done at 15-20 wks (16-18wks ideal)
,Screens for NTD/Down syndrome
1-hr Glucose - ANSWER-Initial visit for women w/risk factors
Repeated at 24-28 wks if initial is Negative
3-hr Glucose - ANSWER-Must have 2 elevated readings for diagnosis
Fundal height - ANSWER-18 - 32 wks gestation / Ht in cms matches GA
Stable or decreased Fundal height - ANSWER-Indicates IUGR
Excessive increase - ANSWER-Indicates multifetal gestation or hydramnios
Quickening - ANSWER-"Feeling of Life" Occurs at 16 - 20 wks gestation;
Multiparas may feel as early as 14 wks
Severe vomiting (1st Trimester) - ANSWER-Hyperemesis
Chills/fever, Burning on urination, Diarrhea
(1st Trimester) - ANSWER-Possible Infection
, Pregnancy lasts ___ calendar months or
___ lunar months
___ weeks, ___ days - ANSWER-9 Calendar months or 10 lunar months (40wks,
280 days)
1st Trimester - ANSWER-weeks 1 - 13
2nd Trimester - ANSWER-weeks 14 - 26
3rd Trimester - ANSWER-weeks 27 - 40
Nagele's Rule - ANSWER-LMP + 7 days + 9 calendar months
Presumptive signs of pregnancy - ANSWER-breast changes
amenorrhea
nausea/vomiting
urinary frequency
fatigue
quickening