Maternal Newborn Nursing

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created 2 years ago by Tafina_A__Edwards
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1

Gravida

how many times mom has been pregnant

2

Parity

how many times mom has given birth beyond 20 weeks

3

GTPAL

Gravida-Term-Preterm-Abortion-Living

Gravida # of pregnancy

Term # births 38 weeks or greater

Preterm # of births between 20-37 + 6 weeks

Abortion # of births prior to 20 weeks

Living # of babies she currently has

4

Age of viability

24 weeks

5

Term

# of births 38 weeks or greater

6

Preterm

# of births between 20-37 + 6 weeks

7

Abortion

# of births prior to 20 weeks

termination weather spontaneous or purposeful are considered an abortion if prior to 20 weeks

8

Living

# of babies she currently has born after 24 weeks (age of viability) are considered to be living.

9

Genetics

scrutinizes the functioning and composition of the single gene

10

genomics

addresses all genes and their interrelationships

11

genotype

refers to a persons genetic makeup

12

phenotype

referes to how the genes are outwardly expressed (eye color, hair color, height)

13

Teratogens

defined as any drugs, viruses, infections, or other exposures that can cause embryonic/fetal developmental abnormalities

14

Types of Teratogens

Drugs: Alcohol, ACE Inhibitors, Anti-convulsants, Narcotics, blood thinners (warfarin)

Infections: cytomegalovirous, anticonvulsantsm, Rubella, syphilis, Toxoplasmosis

15

Toxoplasmosis:

Protozoan parasite found in cat feces and uncooked or reare beef and lamb.

can cause fetal demise, mental cognitive deficit, blindness

first 8 weeks most critical time

16

A.V.A.

the umbilical cord consists of 2 arteries and one vein

Often referred to ___

17

12 Weeks development

Red blood cells produced in the liver

Fetal Heart rate can be auscultated by doppler

18

16 weeks development

lanugo is present on head, meconium is formed

19

20 weeks development

lanugo covers entire body/ brown fat is present

20

24 weeks development

age of viability

lung sufactant present

21

28 weeks development

respiratory gas exchange is possible

22

32 weeks development

bones are fully formed.

mature lungs

23

38 weeks development

sex characteristics prominent

24

40 weeks development

38 weeks considered full term. All organs and systems are fully developed.

25

FEATAL HEART TONES

V.E.A.L.

C.H.O.P.

VARIABLE CORD

EARLY HEAD COMPRESSIONS

ACCELERATED OK

LATE PLACENTAL INSUFFICIENCIES

26

Amniotic fluid

function-acts to cushion for the fetus, provides a thermal environment, allows freedom of movement

27

Polyhydramnios

Excessive amount of amniotic fluid.

Increased % of chromisomal abnormalities, Gastrointestinal, Neuro tube defects, cardiac insufficiency disorders.

>1500-200 mL

28

Oligohydramnios

Decreased amount of amniotic fluid <50mL or 50% of normal fluid.

Related to decrease in placental function

29

Clomiphene Citrate (clomid)

fertility drug,

dosage 50-200mg/ day 3-7 days

Stimulates FSH, LH

side effects: headache, breast tenderness, insomnia, hot flashes.

30

Infertility

the inability to conceive after 12 months of unprotected sex. 6 months in women over 35.

31

Male infertility factors

endocrine, spermatogenisis (failure to create sperm), sperm antibodies, sperm transport (blockage), disorders of intercourse ( erectile dysfunction, impotency)

32

Female infertility factors

tubal and pelvic pathology (scar tissue, blockages), ovulation dysfunction (failure to ovulate) cervical mucus factor

33

Iron deficiency anemia

Hemoglobin less than 11

Hematocrit less than 33

34

Fundus

top portion of the uterus

35

Isthmus

bottom portion of uterus

lower segment

36

Cervix

the lower narrow part, or neck, the external part of the cervix interfaces with the vagina

37

Folic Acid

0.4mg QID reduces the risk of neurotube defects in the first trimester.

38

Quickening

a womans first awareness of fetal movement.

Occurs around 18-0 weeks in primagravidas

14-16 weeks in multigravidas

39

Presumptive signs of pregnancy

Subjective signs

amenorrhea, N/V, Breast changes, fatigue, urinary frequency.

all of these changes can have causes outside of pregnancy

40

probable signs of pregnancy

objective signs

Chadwicks signs, goodell's sign, hegars sign.

MELASMA -Pregnancy mask

Linea nigra - dark line that runs from the umbilicus to the pubis

laboratory tests

41

Positive signs of pregnancy

objective signs

auscultation of the fetal heart, 10-12 weeks gestation, observation and palpatation of fetal movement

sonograph

42

Naegeles rule

to calculate due date

LMP - 3 months + 7 days

43

antepartem period

prenatal period. begins the first day of the last normal menstral period

44

first trimester

first day of the last normal menstral period through 14 weeks completed

45

second trimester

15 weeks - 28 weeks completed

46

third trimester

29 weeks through 40 weeks completed

47

Nulligravida

never been pregnant or given birth

48

primigravida

first pregnancy

49

multigravida

pregnant for at least the second time