lOMoARcPSD| 63525276
1
NR 327 Exam 1 Review
Week 1- Ch 1, 2 & 8
Typical Labs for a first prenatal visit o Urinalysis, Type/screen, Rh
Factor, CBC, Rubella, titer, HCG
Most desirable pelvic shape o Gynecoid Round
Most ideal for labor
Anthropoid
Functions of placenta o Deliver nutrition
Rubella vaccine pregnant patient o If the mom gets the vaccine
must wait one month before coming pregnant o If the mom needs to
get the vaccine she must wait until after she delivers the baby
(rubella is a live virus)
Reasons for frequent urination in pregnancy o Blood flowing
increases the function of the kidney o Baby-sitting directly on the
bladder
Fetal heartbeat distinguishable by: o 6 weeks
Fetal lungs functionally mature by: o 34 weeks o Betamethasone
Week 2 - Ch 5, 6, 7 & 9
Naegle’s Rule o Due Date
o Ex: LMP June 15, 2020 | March 15, 2020 | add 7 days | + year
- 3 mo + 7 days + year
EDD: March 22, 2021
GP/GTPAL
o G - Gravidity o T – Term (37 – 40 weeks gestation) o P – Preterm Births (21 -
37 weeks gestation) o A – Abortion or Miscarriage (< 20 weeks)
o L – Living Children (All children count individually {twins, trips, quads count
individually}
Nulli = none
Primi = First
Multi = Multiple
Age of viability o Over 20 weeks gestation
Reasons for Amniocentesis o Genetic testing
Supine orthostatic hypotension o Turn on the left side to relieve
pressure
Rh-negative/isoimmunization/erythroblastosis fetalis o If the mom
is Rh (-) meaning she does not have the antibodies on the RBC
, lOMoARcPSD| 63525276
2
The mother’s antibodies will attack the infant
• The infant experiences a lack of RBC, meaning decreased oxygen
for the infant
• Without the oxygen the heart can’t pump sufficiently it will make
the liver and spleen work overtime to produce more RBC
• Creating extra jaundice in the blood…too much jaundice can be
toxic leading to brain damage.
o If the baby is RH (+) these two CAN NOT MIX. The mother will require the
RhoGAM (IM) injection @ 28 wks o And again within 72 hours of giving birth
o This will only affect the sequent births and will require a RhoGAM injection each
pregnancy
o If mom is Rh(+) is able to tolerate it and does not require an injection
Probable signs of pregnancy o Goodell’s sign –
softening of the cervix @ 8 wks
o Chadwick's sign – bluish discoloration of cervix, vagina, or vulva @ 6-8 wks o
(+) pregnancy test
Positive signs of pregnancy o Fetal Heart Rate via
ultrasound o Fetal movement via the provider
upon exam o Fetal visualization via ultrasound
Quickening o 20 weeks
o Baby can practice breathing motions o Lanugo covers the whole body
Interventions for common discomforts of
pregnancy o Crackers
o Minimize spices
o Don’t lie down directly after eating
o Varicose veins
Nutrition and weight gain o 25 – 35lbs
NST
o Nonstress test
o Expect to see baby heart rate
Biophysical Profile o Fetal heart rate
o NST
o Fetal movement o Fetal tone o Amount of amniotic
fluid
Listeria o Do not eat raw lunch meat
Chorionic Villus sampling o Villus is filled with
fluid
A prenatal test that involves taking a sample of
tissue from the placenta to test for chromosomal
abnormalities
Genetic issues
1
NR 327 Exam 1 Review
Week 1- Ch 1, 2 & 8
Typical Labs for a first prenatal visit o Urinalysis, Type/screen, Rh
Factor, CBC, Rubella, titer, HCG
Most desirable pelvic shape o Gynecoid Round
Most ideal for labor
Anthropoid
Functions of placenta o Deliver nutrition
Rubella vaccine pregnant patient o If the mom gets the vaccine
must wait one month before coming pregnant o If the mom needs to
get the vaccine she must wait until after she delivers the baby
(rubella is a live virus)
Reasons for frequent urination in pregnancy o Blood flowing
increases the function of the kidney o Baby-sitting directly on the
bladder
Fetal heartbeat distinguishable by: o 6 weeks
Fetal lungs functionally mature by: o 34 weeks o Betamethasone
Week 2 - Ch 5, 6, 7 & 9
Naegle’s Rule o Due Date
o Ex: LMP June 15, 2020 | March 15, 2020 | add 7 days | + year
- 3 mo + 7 days + year
EDD: March 22, 2021
GP/GTPAL
o G - Gravidity o T – Term (37 – 40 weeks gestation) o P – Preterm Births (21 -
37 weeks gestation) o A – Abortion or Miscarriage (< 20 weeks)
o L – Living Children (All children count individually {twins, trips, quads count
individually}
Nulli = none
Primi = First
Multi = Multiple
Age of viability o Over 20 weeks gestation
Reasons for Amniocentesis o Genetic testing
Supine orthostatic hypotension o Turn on the left side to relieve
pressure
Rh-negative/isoimmunization/erythroblastosis fetalis o If the mom
is Rh (-) meaning she does not have the antibodies on the RBC
, lOMoARcPSD| 63525276
2
The mother’s antibodies will attack the infant
• The infant experiences a lack of RBC, meaning decreased oxygen
for the infant
• Without the oxygen the heart can’t pump sufficiently it will make
the liver and spleen work overtime to produce more RBC
• Creating extra jaundice in the blood…too much jaundice can be
toxic leading to brain damage.
o If the baby is RH (+) these two CAN NOT MIX. The mother will require the
RhoGAM (IM) injection @ 28 wks o And again within 72 hours of giving birth
o This will only affect the sequent births and will require a RhoGAM injection each
pregnancy
o If mom is Rh(+) is able to tolerate it and does not require an injection
Probable signs of pregnancy o Goodell’s sign –
softening of the cervix @ 8 wks
o Chadwick's sign – bluish discoloration of cervix, vagina, or vulva @ 6-8 wks o
(+) pregnancy test
Positive signs of pregnancy o Fetal Heart Rate via
ultrasound o Fetal movement via the provider
upon exam o Fetal visualization via ultrasound
Quickening o 20 weeks
o Baby can practice breathing motions o Lanugo covers the whole body
Interventions for common discomforts of
pregnancy o Crackers
o Minimize spices
o Don’t lie down directly after eating
o Varicose veins
Nutrition and weight gain o 25 – 35lbs
NST
o Nonstress test
o Expect to see baby heart rate
Biophysical Profile o Fetal heart rate
o NST
o Fetal movement o Fetal tone o Amount of amniotic
fluid
Listeria o Do not eat raw lunch meat
Chorionic Villus sampling o Villus is filled with
fluid
A prenatal test that involves taking a sample of
tissue from the placenta to test for chromosomal
abnormalities
Genetic issues
