lOMoARcPSD|47246286
166 Exam 1 Outline
Concepts of Family-Centered Nursing for the Practical Nurse (Hondros College of
Nursing)
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166 Exam 1 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
Term Pregnancy: 37-42 weeks
Full Term: 39 – 40 6/7 weeks
Four Types of Pelves
Gynecoid (OB – gynecology)
Classic female pelvis: ROUND anterior and posterior
Most favorable for vaginal birth
Android (heart)
Wedged shape inlet with narrow anterior
Typical of male anatomy
Anthropoid
Anteroposterior oval; long narrow oval from spine to pelvis
Can deliver naturally but infant likely in occipital posterior position (sunny-side up/facing
up)
Platypelloid
Shortened anteroposterior diameter and a flat transverse(plane that divides body in the
middle from top to bottom) oval shape; narrow oval from hip to hip
Unfavorable for vaginal birth
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Schedule for Prenatal Visits
Conception – 28 weeks: every 4 weeks
29 – 36 weeks: every 2 weeks
37 weeks – birth: weekly
Routine Prenatal Test in First Trimester (0-13 weeks)
Blood Type, Rh Factor, Antibody Screen
o Determines risk for maternal-fetal blood incompatibility
CBC
o Detects anemia (low RBCs = Low O2 to peripheral tissues)
o Detects infections
o Detects cell abnormalities
Hemoglobin + Hematocrit
o Detects anemia (low RBCs = Low O2 to peripheral tissues)
o Hemoglobin – protein in RBCs that carry O2
o Hematocrit - % of blood volume composed of RBCs
VDRL or RPR (Venereal-sex Disease Research Lab test; Rapid Plasma Reagin- antibody found in
blood of syphilis pt)
o Syphilis screen
Rubella Titer
o Determines immunity to rubella
o Titer – concentration of an antibody
Tuberculosis Screening: PPD Skin Test (Purified Protein Derivative – intradermal inj.) or
Serum Blood Test (QuantiFERON-TB Gold)
o Screening test for exposure to Tuberculosis
Hepatitis B Screen
o Identifies carries of Hep. B
HIV Screen
o Detects HIV infection
Urinalysis + Culture
o Detects infection
o Detects renal disease
o Detects diabetes
o Screens for asymptomatic bacteriuria
Papanicolaou (Pap) Test
o Screens for cervical cancer
Vaginal Culture
o Detects group B streptococci or STIs (gonorrhea, chlamydia)
Group B Streptococcus – bacteria commonly found in intestines and lower genital tract (not an
STI) but can be dangerous for newborns
Recommended swab done at 36-37 weeks gestation for detection
Swab is done to protect infant from infection during L+D
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166 Exam 1 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 Exam 1 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
Term Pregnancy: 37-42 weeks
Full Term: 39 – 40 6/7 weeks
Four Types of Pelves
Gynecoid (OB – gynecology)
Classic female pelvis: ROUND anterior and posterior
Most favorable for vaginal birth
Android (heart)
Wedged shape inlet with narrow anterior
Typical of male anatomy
Anthropoid
Anteroposterior oval; long narrow oval from spine to pelvis
Can deliver naturally but infant likely in occipital posterior position (sunny-side up/facing
up)
Platypelloid
Shortened anteroposterior diameter and a flat transverse(plane that divides body in the
middle from top to bottom) oval shape; narrow oval from hip to hip
Unfavorable for vaginal birth
Downloaded by Cripto ()
, lOMoARcPSD|47246286
Schedule for Prenatal Visits
Conception – 28 weeks: every 4 weeks
29 – 36 weeks: every 2 weeks
37 weeks – birth: weekly
Routine Prenatal Test in First Trimester (0-13 weeks)
Blood Type, Rh Factor, Antibody Screen
o Determines risk for maternal-fetal blood incompatibility
CBC
o Detects anemia (low RBCs = Low O2 to peripheral tissues)
o Detects infections
o Detects cell abnormalities
Hemoglobin + Hematocrit
o Detects anemia (low RBCs = Low O2 to peripheral tissues)
o Hemoglobin – protein in RBCs that carry O2
o Hematocrit - % of blood volume composed of RBCs
VDRL or RPR (Venereal-sex Disease Research Lab test; Rapid Plasma Reagin- antibody found in
blood of syphilis pt)
o Syphilis screen
Rubella Titer
o Determines immunity to rubella
o Titer – concentration of an antibody
Tuberculosis Screening: PPD Skin Test (Purified Protein Derivative – intradermal inj.) or
Serum Blood Test (QuantiFERON-TB Gold)
o Screening test for exposure to Tuberculosis
Hepatitis B Screen
o Identifies carries of Hep. B
HIV Screen
o Detects HIV infection
Urinalysis + Culture
o Detects infection
o Detects renal disease
o Detects diabetes
o Screens for asymptomatic bacteriuria
Papanicolaou (Pap) Test
o Screens for cervical cancer
Vaginal Culture
o Detects group B streptococci or STIs (gonorrhea, chlamydia)
Group B Streptococcus – bacteria commonly found in intestines and lower genital tract (not an
STI) but can be dangerous for newborns
Recommended swab done at 36-37 weeks gestation for detection
Swab is done to protect infant from infection during L+D
Downloaded by Cripto ()
