Pearson Chpt 9 NCLEX PN Uncomplicated Antenatal Care

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

feeling of fetal movement by mother, usually occurs between 16 and 18 weeks

this is the number of times a woman has been pregnant

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

What does TPAL stand for

subjective signs and symptoms that the woman reports are what?

objective signs and symptoms noted by examiner are what?

diagnostic signs and symptoms noted by examiner such as ultrasound, xray and fetal heart tones are all what?

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

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

a measurement from symphysis pubis to top of uterine fundus (in cm), helps assess gestational age and fetal growth

may be increased with dehydration caused by excessive vomiting as seen in hyperemesis gravidarum

may indicate diabetes mellitus and hyperglycemia

these can indicate possible urinary tract infection, which can place client at risk for preterm labor

this may normally be found in urine during pregnancy at a level of tract to +1 usuing dipstick method; increase protein may indicate preeclampsia

is impaired inpregnancy resulting in spilling of glucose in urine at a blood glucose level of 160 mg/dL

patient should be screened at initial prenatal visit and again at 36 weeks.  It can cause blindness if not treated.

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

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

Cause/transmission spread through sexual contact and neonates can acquire infection during birth

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. 

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

These techniques are commonly taught for use in labor which include touch, breathing, disassociation, and progressive relaxation

this ultrasound provides a safe, noninvasive fetal assessment, but is best done when client's bladder is full

this ultrasound is used primarly during first trimester and eliminates the need for full bladder.  It gives clearer images in obese clients

softening of cervix

bluish color of servix during pregnancy

under the influence of estrogen, secretes muchs that forms a plug at opening of edocervical canal to limit bacteria enter uterus

how many additional calories does a healthy pregnant woman require?

All clients eating a vegetarian diet should take a daily supplement of what vitamin

What is the average appropiate pregnancy weight gain average for women with normal prepregnancy