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166 Final Outline
Concepts of Family-Centered Nursing for the Practical Nurse (Hondros College of
Nursing)
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166 Final Outline
Trimesters:
• First: 0-13 weeks
• Second: 14-26 weeks
• Third: 27-40 weeks
Gestation: The period of intrauterine development from conception to birth; pregnancy
Gestational Age: Number of completed weeks counting from first day of last menstrual cycle;
approximately 40 weeks; the period of time from conception to birth the fetus remains in the
uterus
Fetal Age: Age of developing fetus counting from the estimated date of conception (usually
minus 2 weeks from gestational age); approximately 38 weeks
Preterm Pregnancy: 20-36 6/7 weeks
Term Pregnancy: 37-42 weeks
• Full Term: 39 – 40 6/7 weeks
Schedule for Prenatal Visits
• First Trimester – every 4 weeks
• Second Trimester – every 2 weeks
• Third Trimester – weekly
Routine Prenatal Tests in Frist Trimester (0-13 weeks)
• Blood Type, Rh Factor, Antibody Screen
o Determines risk for maternal-fetal incompatibility
• CBC
o Anemia
o Infections
o Cell abnormalities
• Hemoglobin + Hematocrit
o Anemia
o Hemoglobin – protein in RBCs that carry O2
o Hematocrit – % of blood volume composed of RBCs
• VDRL (Venereal Sex Disease Research Lab) or RPR (Rapid Plasma Regain)
o Syphilis screening
• Rubella Titer
o Determines immunity to rubella
o Titer – concentration of an antibody
• PPD Skin Test (Purified Protein Derivative – intradermal injection) or Serum Blood Test
(QuantiFERON-TB Gold)
o Tuberculosis screening
• Hepatitis B Screen
o Identifies carriers of Hep. B
• HIV Screening
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• Urinalysis + Culture
o Infections
o Renal disease
o Diabetes
o Asymptomatic bacteriuria
• Papanicolaou (Pap) Test
o Cervical cancer
• Vaginal Culture
o Group B streptococci – bacteria commonly found in lower GI + genital tract; not
an STI but can be dangerous for newborns
o STIs (gonorrhea, chlamydia)
Definition of Terms
• Gravida – any pregnancy, regardless of duration; total number of pregnancies including
the one in progress
• Para – a woman who has given birth to 1+ children who've reached the age of viability
(20 weeks), regardless of the number of fetuses delivered and whether they're alive
• Abortion – termination of pregnancy before age of viability (20 weeks)
• Age of Viability – a fetus that has reached the stage (20 weeks) where it's capable of
living outside of the uterus
TPALM System – used to describe the detailed outcomes of a woman's pregnancies on her
prenatal record
• T (term) – number of TERM infants born (37-42)
• P (preterm) – number of PRETERM infants born (20-366/7)
• A (abortion) – number of pregnancies ABORTED
• L (living) – number of children LIVING
• M (multigravida) – birth number of MULTIPLE gestations (twins, triplets, etc.)
Calculation GP/GTPALM
GP
• (G) Gravida – number of times a woman has been pregnant, regardless of duration
• (P) Para – number of deliveries after 20 weeks gestation; whether the infant is born
alive or dead and regardless of the number of fetuses
o Twins = P1, Triplets = P1
GTPALM
• (G) Gravida – number of times a woman has been pregnant, regardless of duration
• (T) Term – an infant delivered at 37 weeks gestation and beyond (370/7+); regardless of
the number of fetuses
o Twins = T1, Triplets = T1
• (P) Preterm – an infant delivered between 20 – 36 weeks gestation (200/7 – 366/7);
regardless of the number of fetuses
o Twins = T1, Triplets = T1
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166 Final Outline
Concepts of Family-Centered Nursing for the Practical Nurse (Hondros College of
Nursing)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by Cripto ()
, lOMoARcPSD|47246286
166 Final Outline
Trimesters:
• First: 0-13 weeks
• Second: 14-26 weeks
• Third: 27-40 weeks
Gestation: The period of intrauterine development from conception to birth; pregnancy
Gestational Age: Number of completed weeks counting from first day of last menstrual cycle;
approximately 40 weeks; the period of time from conception to birth the fetus remains in the
uterus
Fetal Age: Age of developing fetus counting from the estimated date of conception (usually
minus 2 weeks from gestational age); approximately 38 weeks
Preterm Pregnancy: 20-36 6/7 weeks
Term Pregnancy: 37-42 weeks
• Full Term: 39 – 40 6/7 weeks
Schedule for Prenatal Visits
• First Trimester – every 4 weeks
• Second Trimester – every 2 weeks
• Third Trimester – weekly
Routine Prenatal Tests in Frist Trimester (0-13 weeks)
• Blood Type, Rh Factor, Antibody Screen
o Determines risk for maternal-fetal incompatibility
• CBC
o Anemia
o Infections
o Cell abnormalities
• Hemoglobin + Hematocrit
o Anemia
o Hemoglobin – protein in RBCs that carry O2
o Hematocrit – % of blood volume composed of RBCs
• VDRL (Venereal Sex Disease Research Lab) or RPR (Rapid Plasma Regain)
o Syphilis screening
• Rubella Titer
o Determines immunity to rubella
o Titer – concentration of an antibody
• PPD Skin Test (Purified Protein Derivative – intradermal injection) or Serum Blood Test
(QuantiFERON-TB Gold)
o Tuberculosis screening
• Hepatitis B Screen
o Identifies carriers of Hep. B
• HIV Screening
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• Urinalysis + Culture
o Infections
o Renal disease
o Diabetes
o Asymptomatic bacteriuria
• Papanicolaou (Pap) Test
o Cervical cancer
• Vaginal Culture
o Group B streptococci – bacteria commonly found in lower GI + genital tract; not
an STI but can be dangerous for newborns
o STIs (gonorrhea, chlamydia)
Definition of Terms
• Gravida – any pregnancy, regardless of duration; total number of pregnancies including
the one in progress
• Para – a woman who has given birth to 1+ children who've reached the age of viability
(20 weeks), regardless of the number of fetuses delivered and whether they're alive
• Abortion – termination of pregnancy before age of viability (20 weeks)
• Age of Viability – a fetus that has reached the stage (20 weeks) where it's capable of
living outside of the uterus
TPALM System – used to describe the detailed outcomes of a woman's pregnancies on her
prenatal record
• T (term) – number of TERM infants born (37-42)
• P (preterm) – number of PRETERM infants born (20-366/7)
• A (abortion) – number of pregnancies ABORTED
• L (living) – number of children LIVING
• M (multigravida) – birth number of MULTIPLE gestations (twins, triplets, etc.)
Calculation GP/GTPALM
GP
• (G) Gravida – number of times a woman has been pregnant, regardless of duration
• (P) Para – number of deliveries after 20 weeks gestation; whether the infant is born
alive or dead and regardless of the number of fetuses
o Twins = P1, Triplets = P1
GTPALM
• (G) Gravida – number of times a woman has been pregnant, regardless of duration
• (T) Term – an infant delivered at 37 weeks gestation and beyond (370/7+); regardless of
the number of fetuses
o Twins = T1, Triplets = T1
• (P) Preterm – an infant delivered between 20 – 36 weeks gestation (200/7 – 366/7);
regardless of the number of fetuses
o Twins = T1, Triplets = T1
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