Nurs-215 COTC exam 1
antepartum
time between conception and onset of labor
intrapartum
time from the onset of true labor until the birth of the infant
postpartum
Time from birth until the woman's body returns to prepregnant condition. Typically 6
weeks
gestation
Number of weeks from the first day of the last menstrual period
abortion
Birth that occurred 20 weeks gestation, or birth of a fetus under 500g. An abortion can
occur spontaneously or may be induced
term
previously used to indicate normal duration of a pregnancy
early term pregnancy
37 weeks 0 days to 38 weeks 6 days
full term pregnancy
39 weeks to 40 weeks and 6 days
late term pregnancy
41 weeks to 41 weeks and 6 days
post term pregnancy
>42 weeks
Pre-term labor
20-37 weeks
-gravida
any pregnancy, regardless of gestation or outcome, including present pregnancy
nulligravida
no pregnancies
primigravida
first pregnancy
multigravida
a woman who has had two or more pregnancies
-para
birth 20 weeks gestation regardless of outcome
nullipara
a woman who has never gave birth after 20 weeks gestation
stillbirth
Loss of fetus after 20 weeks of pregnancy
How long does it take in fertilization for the blastocyst to implant on the uterine
lining?
7-10 days
Subjective (presumptive) signs of pregnancy
, Amenorrhea; nausea and vomiting of pregnancy; excessive fatigue; urinary frequency;
changes in the breast; quickening (women feel movement in the belly)
REPORTED BY WOMEN
Objective (probable) signs of pregnancy
Changes in pelvic organs; enlargement of abdomen, Braxton hicks (contractions),
changes in skin pigmentation, fetal outline, positive pregnancy test, Chadwick's sign
(mucus membranes turn blue). NOTICED BY A HEALTHCARE PROVIDER
Dx of pregnancy (positive)
Fetal heartbeat, fetal movement felt by a PCP
MUST HAVE BEEN SEEN, HEARD, OR MOVEMENT BY A PCP
Pregnancy test detects?
HCG, can be detected 7-9 days after contraception or 5 days after a missed period (Not
a positive sign of pregnancy)
Frequency of prenatal visits:
1. 0-28 weeks gestation?
2. 29-36 weeks gestation?
3. 37 weeks through delivery?
1. Q4 weeks
2. Q2 weeks
3. every week
Time frame?
first trimester
Second trimester
third trimester
every 13 weeks is new trimester
What to check during routine visits?
-BP
- Weight gain: 3.5 Lbs. per first trimester, 12-15 lbs. for both 2nd and 3rd trimester
-Urine: for protein (preeclampsia) and glucose
-Fundal height (22-36 weeks): weeks = Cm High
-fetal HR w/ Doppler: 10-12 weeks
-Ask about quickening: 16-22 weeks
-pelvic/cervical exams: 37-38 weeks
Ultrasound: early vs late
Early gestation:
-Abdominally @ 10 weeks
-transvaginally < 10 weeks
Can assess the fetus as early as 4 weeks (heartbeat can be seen at 6 weeks)
-Conformation of pregnancy
-Cervical assessment
-Date pregnancy
Mid Gestation:
-Screen for anomalies
antepartum
time between conception and onset of labor
intrapartum
time from the onset of true labor until the birth of the infant
postpartum
Time from birth until the woman's body returns to prepregnant condition. Typically 6
weeks
gestation
Number of weeks from the first day of the last menstrual period
abortion
Birth that occurred 20 weeks gestation, or birth of a fetus under 500g. An abortion can
occur spontaneously or may be induced
term
previously used to indicate normal duration of a pregnancy
early term pregnancy
37 weeks 0 days to 38 weeks 6 days
full term pregnancy
39 weeks to 40 weeks and 6 days
late term pregnancy
41 weeks to 41 weeks and 6 days
post term pregnancy
>42 weeks
Pre-term labor
20-37 weeks
-gravida
any pregnancy, regardless of gestation or outcome, including present pregnancy
nulligravida
no pregnancies
primigravida
first pregnancy
multigravida
a woman who has had two or more pregnancies
-para
birth 20 weeks gestation regardless of outcome
nullipara
a woman who has never gave birth after 20 weeks gestation
stillbirth
Loss of fetus after 20 weeks of pregnancy
How long does it take in fertilization for the blastocyst to implant on the uterine
lining?
7-10 days
Subjective (presumptive) signs of pregnancy
, Amenorrhea; nausea and vomiting of pregnancy; excessive fatigue; urinary frequency;
changes in the breast; quickening (women feel movement in the belly)
REPORTED BY WOMEN
Objective (probable) signs of pregnancy
Changes in pelvic organs; enlargement of abdomen, Braxton hicks (contractions),
changes in skin pigmentation, fetal outline, positive pregnancy test, Chadwick's sign
(mucus membranes turn blue). NOTICED BY A HEALTHCARE PROVIDER
Dx of pregnancy (positive)
Fetal heartbeat, fetal movement felt by a PCP
MUST HAVE BEEN SEEN, HEARD, OR MOVEMENT BY A PCP
Pregnancy test detects?
HCG, can be detected 7-9 days after contraception or 5 days after a missed period (Not
a positive sign of pregnancy)
Frequency of prenatal visits:
1. 0-28 weeks gestation?
2. 29-36 weeks gestation?
3. 37 weeks through delivery?
1. Q4 weeks
2. Q2 weeks
3. every week
Time frame?
first trimester
Second trimester
third trimester
every 13 weeks is new trimester
What to check during routine visits?
-BP
- Weight gain: 3.5 Lbs. per first trimester, 12-15 lbs. for both 2nd and 3rd trimester
-Urine: for protein (preeclampsia) and glucose
-Fundal height (22-36 weeks): weeks = Cm High
-fetal HR w/ Doppler: 10-12 weeks
-Ask about quickening: 16-22 weeks
-pelvic/cervical exams: 37-38 weeks
Ultrasound: early vs late
Early gestation:
-Abdominally @ 10 weeks
-transvaginally < 10 weeks
Can assess the fetus as early as 4 weeks (heartbeat can be seen at 6 weeks)
-Conformation of pregnancy
-Cervical assessment
-Date pregnancy
Mid Gestation:
-Screen for anomalies
