Antepartum
What is a common effect of increased estrogen levels?
1) Edema in the nose, larynx, trachea, and bronchi 2) nasal stuffiness and epistaxis (nose bleed)
When is AFP performed?
16-18 weeks
When is a women considered preeclamptic?
160/110 proteinuria
When can Chadwick's sign be noticed?
6th - 8th week
What causes Chadwick's sign?
:Increased vascularity (estrogen)
When can Ballottement be felt?
After 18 weeks
How does a Threatened abortion present?
Blood passing through a closed cervix during the 1st half of the pregnancy <20 weeks
What effects can Mag sulfate have on a uterus post delivery?
Boggy with increased bleeding
What can an increase in iron consumption cause?
Constipation
How is a missed abortion treated?
Dilation and curettage (D&C) surgery may be necessary to remove remaining tissue from the uterus.
What does ptyalism mean?
Excessive saliva
What does G-TPAL represent?
Gravida - Number of pregnancies Para - Number of births after 20 weeks G - total number of pregnancies T - Full tem pregnancies - 37-40 weeks P - Preterm deliveries 20-36 weeks A - Abortions and miscarriages Before 20 weeks L - Living children
What Blood pressure are we concerned about?
Greater than 160 mmHg Systolic Greater than 110 mmHg Diastolic
What does pyrosis mean?
Hearburn
What do we give pregnant women for hypertension when Mag sulfate hasn't worked for several hours?
Hydralazine
What is the 4th stage of labor?
Immediate recover period for 1-4 hours
What do elevated levels of estrogen cause?
Increased vascularity
What is Epulis?
Literally means growth Usually in the mouth
What is chloasma?
Mask of pregnancy- pigmented area on face
What is Quickening in pregnancy?
Perceived movements of a fetus - may not be real under presumptive signs of pregnancy
What does HELLP syndrome look like?
Preeclampsia
What is a Cerclage?
Purse-string suture @ 14-18 weeks to reinforce cervix in Incompetent Cervix
What must a nurse emphasize with a Cerclage?
S&S of preterm labor
What is a Threatened abortion?
The process of abortion has started but has not progressed to the state where recovery is impossible
What is an expected change to urinary voiding in the 1st trimester?
Up at night peeing
What is Ballottement?
When rebound is felt by examiner when cervix is pressed.
How does methotrexate affect pregnancies?
a folic acid antagonist that inhibits cell division in the developing embryo
What is Chadwick's sign?
a violet-bluish color of the vaginal mucosa and cervix
A client is Rh(D)-negative and D-negative and hasn't formed Rh antibodies. When should the client receive RHO(D) immune globulin (RhoGAM) to prevent isoimmunization?
at about 28 weeks' gestation and again within 72 hours after birth
When measuring the fundal height of a primigravid client at 20 weeks' gestation, the nurse will locate the fundal height at which point?
at about the level of the client's umbilicus
What is the 2nd stage of labor?
complete cervical dilation to delivery of infant
A pregnant client comes to the facility for her first prenatal visit. When providing teaching, the nurse should be sure to cover which topic?
danger signs during pregnancy
What is the 3rd stage of labor?
delivery of placenta
In addition to immunosuppression, what is methotrexate also used for?
ectopic pregnancies
What is a missed abortion?
fetus dies in utero but is not expelled
What is HELLP Syndrome?
hemolysis, elevated liver enzymes, low platelets
What does euglycemia mean?
normal blood glucose levels
A pregnant client is diagnosed with group B streptococcus chorioamnionitis. The nurse should expect to administer which medication to prevent fetal transmission?
penicillin G potassium I.V. to the client
What complication that's commonly associated with oligohydramnios?
renal malformations
What is Goodell's sign?
softening of the cervix
What is Hegar's sign?
softening of the lower uterine segment
What is the 1st stage of labor
the 3 phase LAT stage cervix from 0-10
