GTPAL - ANSWER G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living
Nagele's rule - ANSWER EDD = LMP -3months, +7 days
Concerns for pediatric patient - ANSWER How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care
Presumptive signs of pregnancy - ANSWER (Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
Probable signs of pregnancy - ANSWER (Objective)
+Pregnancy test
Hegar's sign
1
,Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal outline
Positive signs of pregnancy - ANSWER Fetal heart tones
Fetal movement felt by examiner
Ultrasound
Ballotement - ANSWER uterus will rebound when pushed
Goodell's sign - ANSWER Softening of the cervix
Hegar's sign - ANSWER Softening of the uterus
Chadwick's sign - ANSWER Purple/blue color of the cervix
PICA - ANSWER craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea - ANSWER Small frequent meals
BRAT diet
Position upright after meals
Hormones that increase during pregnancy - ANSWER Estrogen
Progesterone
2
,Increased estrogen - ANSWER Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose
Increased progesterone - ANSWER Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
Nutritional needs during pregnancy - ANSWER Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy - ANSWER Prevents neural tube defects
3
, Sources for calcium - ANSWER Yogurt, cheese, milk
Caffeine recommendations - ANSWER 200mg (2 cups) per day
Fish-mercury in pregnancy - ANSWER Risk for premature, miscarriage, brain damage
Cholesterol in pregnancy - ANSWER Monitor cholesterol caloric intake if risk for
preeclampsia
Iron deficiency anemia in pregnancy - ANSWER Common
Low iron = baby at risk for bleeding
Smoking in pregnancy - ANSWER IDPH has a program for smoking cessation
Patients must be automatically referred if a smoker
Expected weight gain in pregnancy - ANSWER 4.4lbs in first trimester
1 lb/week after 13 weeks
Expected weight gain for patient with a normal BMI - ANSWER 25-35lbs (11.5-16kg)
Expected weight gain for patient who is underweight - ANSWER 27.5-40lbs (12.5-18kg)
Expected weight gain for a patient who is overweight - ANSWER 15-25lbs (7-11.5kg)
Expected weight gain for a patient who is obese - ANSWER 15lbs (7kg)
Things done at every prenatal visit - ANSWER Vital signs (know baseline)
4
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living
Nagele's rule - ANSWER EDD = LMP -3months, +7 days
Concerns for pediatric patient - ANSWER How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care
Presumptive signs of pregnancy - ANSWER (Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
Probable signs of pregnancy - ANSWER (Objective)
+Pregnancy test
Hegar's sign
1
,Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal outline
Positive signs of pregnancy - ANSWER Fetal heart tones
Fetal movement felt by examiner
Ultrasound
Ballotement - ANSWER uterus will rebound when pushed
Goodell's sign - ANSWER Softening of the cervix
Hegar's sign - ANSWER Softening of the uterus
Chadwick's sign - ANSWER Purple/blue color of the cervix
PICA - ANSWER craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea - ANSWER Small frequent meals
BRAT diet
Position upright after meals
Hormones that increase during pregnancy - ANSWER Estrogen
Progesterone
2
,Increased estrogen - ANSWER Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose
Increased progesterone - ANSWER Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
Nutritional needs during pregnancy - ANSWER Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy - ANSWER Prevents neural tube defects
3
, Sources for calcium - ANSWER Yogurt, cheese, milk
Caffeine recommendations - ANSWER 200mg (2 cups) per day
Fish-mercury in pregnancy - ANSWER Risk for premature, miscarriage, brain damage
Cholesterol in pregnancy - ANSWER Monitor cholesterol caloric intake if risk for
preeclampsia
Iron deficiency anemia in pregnancy - ANSWER Common
Low iron = baby at risk for bleeding
Smoking in pregnancy - ANSWER IDPH has a program for smoking cessation
Patients must be automatically referred if a smoker
Expected weight gain in pregnancy - ANSWER 4.4lbs in first trimester
1 lb/week after 13 weeks
Expected weight gain for patient with a normal BMI - ANSWER 25-35lbs (11.5-16kg)
Expected weight gain for patient who is underweight - ANSWER 27.5-40lbs (12.5-18kg)
Expected weight gain for a patient who is overweight - ANSWER 15-25lbs (7-11.5kg)
Expected weight gain for a patient who is obese - ANSWER 15lbs (7kg)
Things done at every prenatal visit - ANSWER Vital signs (know baseline)
4
