NUR 230 Antepartum Overview Unit 1 | Verified study
complete Solutions | A+ Graded | Spring 2026 | 100%
correct
Antepartum Overview
Unit 1
Pregnancy The goal of maternity care is a safe and healthy baby and mother.
terminology and Terminology notation Gestation- age
of pregnancy
Trimester- segment of pregnancy (13 weeks).
Antepartum- total time of pregnancy.
Intrapartum- labor and birth
Postpartum- return to pre-pregnancy state (6 weeks post-delivery).
Gravida- pregnant woman
Nulligravida- woman who never experienced a pregnancy.
Multigravida- woman who has had multiple pregnancies.
Gravidity- number of pregnancies (regardless of outcome).
Para- number of viable deliveries (at least 20 weeks’ gestation).
Term- 38 to 42 weeks gestation.
Viability- currently 22 to 24 weeks gestation.
Notation using the 5-digit system: Assessing gravidity GTPAL.
G- Gravidity
T- Total number of term births.
P- Total number of preterm births.
A- Total number of abortions (spontaneous or elective). L- Total number of
living children.
Knowledge check
A patient presents to the clinic for her first prenatal appointment. She states
that she has 2 living children, both born at 39 weeks, and she has had one
miscarriage. Which of the following would be her correct GTPAL? 4-2-0-1-2
Signs of pregnancy terminology
Presumptive signs- subjective changes reported by the woman that could be
caused by other conditions.
1
, Presumptive signs examples: Quickening, fatigue, amenorrhea, breast
changes, N/V, and urinary frequency.
Probable signs- objective indicators assessed by the examiner which strongly
suggest pregnancy but could also possibly be due to another condition.
Probable signs examples: Goodell’s sign- softening of the cervix, positive
pregnancy test- hCG in urine or serum, Ballottement- movement of the
fetus when the examiner pushes the cervix Hegar sign- softening of the
lower uterine segment, Braxton hicks, uterine enlargement.
Positive signs- can see (ultrasound or radiograph), hear (doppler, monitor,
ultrasound fetal heartbeat) or feel (Leopald’s maneuver) a fetus.
Positive signs examples: Chadwick’s sign- cervix and vagina become deep
blue violet color, auscultation of fetal heart rate by 12 weeks, fetal
movement felt by examiner at 18 weeks, fetal visualization by ultrasound
at
6 weeks.
Initial nursing The initial prenatal OB appointment, generally between 8 and 12 weeks, will examination &
lab include a complete medical interview, a thorough physical exam, and lab tests to tests check for
overall health and identify any risk factors for pregnancy, birth, or fetal complications.
Initial medical interview
The initial client assessment should consist of a complete health history and a
complete physical assessment including the following:
OB/GYN history
Medical and family history
Social, experimental, and drug/alcohol history
Review symptoms
Immunizations
Medications and allergies
Determine expected date of delivery (EDD)
Urinary or blood human chorionic gonadotropin (hCG) to diagnose a
pregnancy.
**To determine the Expected Date of Delivery (EDD), use Naegele’s Rule: Take the
date of the last menstrual period, add 7 days to that date, and count back 3 months.
Naegele’s rule practice
If a client’s first day of their last period is January 12th, what is their estimated
due date?
October 19th of the next year.
A patient presents to the clinic for her first prenatal appointment. She states
her LMP was 1/31/13. Which of the following would be her correct EDD?
11/7/13
Physical exam
2
complete Solutions | A+ Graded | Spring 2026 | 100%
correct
Antepartum Overview
Unit 1
Pregnancy The goal of maternity care is a safe and healthy baby and mother.
terminology and Terminology notation Gestation- age
of pregnancy
Trimester- segment of pregnancy (13 weeks).
Antepartum- total time of pregnancy.
Intrapartum- labor and birth
Postpartum- return to pre-pregnancy state (6 weeks post-delivery).
Gravida- pregnant woman
Nulligravida- woman who never experienced a pregnancy.
Multigravida- woman who has had multiple pregnancies.
Gravidity- number of pregnancies (regardless of outcome).
Para- number of viable deliveries (at least 20 weeks’ gestation).
Term- 38 to 42 weeks gestation.
Viability- currently 22 to 24 weeks gestation.
Notation using the 5-digit system: Assessing gravidity GTPAL.
G- Gravidity
T- Total number of term births.
P- Total number of preterm births.
A- Total number of abortions (spontaneous or elective). L- Total number of
living children.
Knowledge check
A patient presents to the clinic for her first prenatal appointment. She states
that she has 2 living children, both born at 39 weeks, and she has had one
miscarriage. Which of the following would be her correct GTPAL? 4-2-0-1-2
Signs of pregnancy terminology
Presumptive signs- subjective changes reported by the woman that could be
caused by other conditions.
1
, Presumptive signs examples: Quickening, fatigue, amenorrhea, breast
changes, N/V, and urinary frequency.
Probable signs- objective indicators assessed by the examiner which strongly
suggest pregnancy but could also possibly be due to another condition.
Probable signs examples: Goodell’s sign- softening of the cervix, positive
pregnancy test- hCG in urine or serum, Ballottement- movement of the
fetus when the examiner pushes the cervix Hegar sign- softening of the
lower uterine segment, Braxton hicks, uterine enlargement.
Positive signs- can see (ultrasound or radiograph), hear (doppler, monitor,
ultrasound fetal heartbeat) or feel (Leopald’s maneuver) a fetus.
Positive signs examples: Chadwick’s sign- cervix and vagina become deep
blue violet color, auscultation of fetal heart rate by 12 weeks, fetal
movement felt by examiner at 18 weeks, fetal visualization by ultrasound
at
6 weeks.
Initial nursing The initial prenatal OB appointment, generally between 8 and 12 weeks, will examination &
lab include a complete medical interview, a thorough physical exam, and lab tests to tests check for
overall health and identify any risk factors for pregnancy, birth, or fetal complications.
Initial medical interview
The initial client assessment should consist of a complete health history and a
complete physical assessment including the following:
OB/GYN history
Medical and family history
Social, experimental, and drug/alcohol history
Review symptoms
Immunizations
Medications and allergies
Determine expected date of delivery (EDD)
Urinary or blood human chorionic gonadotropin (hCG) to diagnose a
pregnancy.
**To determine the Expected Date of Delivery (EDD), use Naegele’s Rule: Take the
date of the last menstrual period, add 7 days to that date, and count back 3 months.
Naegele’s rule practice
If a client’s first day of their last period is January 12th, what is their estimated
due date?
October 19th of the next year.
A patient presents to the clinic for her first prenatal appointment. She states
her LMP was 1/31/13. Which of the following would be her correct EDD?
11/7/13
Physical exam
2
