Pearson Chpt 9 NCLEX PN Uncomplicated Antenatal Care

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Pearson Chpt 9 NCLEX PN Uncomplicated Antenatal Care
2012-07-28 23:57:01
Pearson Chpt NCLEX PN Uncomplicated Antenatal Care

Pearson Chpt 9 NCLEX PN Uncomplicated Antenatal Care
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  1. Rule where you take first day of last menstrual period, subtract 3 months and add 7 days; this date is most accurate when woman remembers her last menstrual period and has mensus every 28 days
    Naegele's Rule
  2. feeling of fetal movement by mother, usually occurs between 16 and 18 weeks
  3. this is the number of times a woman has been pregnant
  4. is the number of infants delivered after 20 weeks gestation, born dead or alive, multiple births count as one delivery regardless of the number of infants
  5. What does TPAL stand for
    • T number of term infants born after 37 completed weeks
    • P number of preterm infants born between 20 and 37 weeks
    • A number of pregnancies that end in spontaneous or therapeutic abortion prior to 20 weeks
    • L number of living children
  6. subjective signs and symptoms that the woman reports are what?
    presumptive signs of pregnancy
  7. objective signs and symptoms noted by examiner are what?
    Probable signs of pregnancy
  8. diagnostic signs and symptoms noted by examiner such as ultrasound, xray and fetal heart tones are all what?
    Positive signs of pregnancy
  9. this examination includes vital sings; height and weight; thyroid; heart and breath sounds; and reporductive organs including pelvic musculature, size of uterus, and adequacy of pelvis for delivery
    Complete material physical examination
  10. fetal heart beats per minute, heard by fetoscope (beginning at about 16 weeks) or by ultrasonic doppler device (beginning at about 8 weeks): is useful in determining gestational age and fetal well-being: normally ranges from 120 to 160 bpm
    Fetal heart rate
  11. a measurement from symphysis pubis to top of uterine fundus (in cm), helps assess gestational age and fetal growth
    Fundal height
  12. may be increased with dehydration caused by excessive vomiting as seen in hyperemesis gravidarum
    Specific gravity
  13. may indicate diabetes mellitus and hyperglycemia
  14. these can indicate possible urinary tract infection, which can place client at risk for preterm labor
    White Blood Cells (WBC) or nitrites
  15. this may normally be found in urine during pregnancy at a level of tract to +1 usuing dipstick method; increase protein may indicate preeclampsia
  16. is impaired inpregnancy resulting in spilling of glucose in urine at a blood glucose level of 160 mg/dL
    Glucose reabsorption
  17. patient should be screened at initial prenatal visit and again at 36 weeks.  It can cause blindness if not treated.
  18. Primary transmitted via sexual intercourse but also by kissing, biting or oral-genital sex; transmission to fetus can occur via placenta and can cause CNS damage, hearing loss or death
  19. transmission primarily through exchange of body fluids including semen, blood or vaginal or breast milk; neonatal transmission can occur transplacentally.  Baby may be asymptomatic at birth.  Mother should be screened at 36-37 weeks with GBS culture
  20. Cause/transmission spread through sexual contact and neonates can acquire infection during birth
  21. It is transmitted by esposure to vesicular lesions on penis, scrotum, vulva, pernineum, perianal region, vagina or cervix;  infant is usually infected during exposure to lesions in birth canal;  infant is most at risk during primary infection in mother. 
    Herpes simplex virus (HSV)
  22. fetal/neonatal effects; miscarriage, preterm labor or stillbirth; transplacental infection is rare but can cause skin lesions, intrauterine growth restrictions (IUGR)< mental retardation, and microcephaly
    Herpes simplex virus (HSV)
  23. These techniques are commonly taught for use in labor which include touch, breathing, disassociation, and progressive relaxation
  24. this ultrasound provides a safe, noninvasive fetal assessment, but is best done when client's bladder is full
  25. this ultrasound is used primarly during first trimester and eliminates the need for full bladder.  It gives clearer images in obese clients
  26. softening of cervix
    Goodell's sign
  27. bluish color of servix during pregnancy
    Chadwick's sign
  28. under the influence of estrogen, secretes muchs that forms a plug at opening of edocervical canal to limit bacteria enter uterus
  29. how many additional calories does a healthy pregnant woman require?
  30. All clients eating a vegetarian diet should take a daily supplement of what vitamin
  31. What is the average appropiate pregnancy weight gain average for women with normal prepregnancy
    25-30 pounds