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Anticipatory Guidance
Education about expected changes prior to their occurrence
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amnion
the innermost membranes sac enclosing the embryo
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amniotic fluid
serous fluid where the embryo is suspended
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antepartum
occurring before birth
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ballottement
- a palpatory technique for feeling the fetal position
- Tap on the side of the abdomen and the fetus will "bounce"
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cephalocaudal
follows definite and predictable pattern before and after birth" head to toe
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chorion
the outermost membranous sac enclosing the embryo in higher vertabrae
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Chadwicks sign
- cervix looks blue or purple when examined
- a probable sign of pregnancy
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colostrum
clear or slightly milky fluid before breast milk. It is produced throughout pregnancy from 14 weeks
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conception
the union of sperm and ovum within outer 3rd of fallopian tube
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congenital
Born with ( defects)
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decidua
endometrium during pregnancy
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doppler
electronic stethoscope
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embryo
when the morula implants into the endometruim (decidua) until the 8th week after conception
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ductus venosus
oxygenated blood from the umbilicus vein passes through the liver most enters the fetus in inferior vena cava through here
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ductus arteriosus
connection between the pulmonary artery and the aorta that allows shunting of blood around the fetal lungs
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fetoscope
measures fetal heart rate
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fetus
ninth 9th week through birth
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formenovale
an opening between the right and left atria ( permits most blood to bypass the right ventricle
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fundal height
measurement of the size of uterus - from the pubic bone to to top of the uterus(fundus)
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gestation
the period of time from the moment a mans sperm fertilizes a womans egg until birth
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Goodells sign
- 8th week of gestation the cervix softens
- probable sign of pregnancy
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grand multipara
a woman whose given birth 5+ times
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gravida
Latin term for pregnancy
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Hegars sign
- at about 6 weeks cervix lower uterine segments begin to soften
- probable sign of pregnancy
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hyperemesis
- complication of 1st trimester of pregnancy
- can cause dehydration, excessive vomiting
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implant
burrowing of the future embryo into the endometrium
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lactation
breast feeding, the ability to
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Linea nigra
- line of darker pigmentation that often appears on the lower abdomen and extends from the umbilicus to the pubic bone.
- presumptive sign of pregnancy
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lordosis
inward curve of the lower back
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melasma
- suntanned bronzed masking appearing across the face of dark haired women
- presumptive sign of pregnancy
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morula
ball of about 16 identical cells formed by the zygote
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multi-fetal
twins or more
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multi gravida
has had other births
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Na-gels rule
- determines the estimated date of delivery
- LNMP(+7days-3 months)=EDD
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Nurse midwife
an RN with specialized training in labor and delivery or a Certified Midwife
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Obstetrician
a physician who is a pregnancy specialist
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obstetrics
a branch of medicine concerned with pregnancy
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para
parting of mother and baby or birth itself # of babies born
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Pica
abnormal craving for non food items during pregnancy such as clay dirt and corn starch
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placenta
organs with a rich blood supply that carry food and oxygen to the fetus,caries waste away, produces hormones
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preconception
care of the women before she is pregnant
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prenatal
care of woman while she is pregnant
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primigravida
first pregnancy
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ptylism
increase in salivation
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quickening
first fetal movements
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trimester
3 month period or segment
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ultrasound
visual of fetus.-evaluates fetal size development due date and some abnormalities
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viable
having some chance of life outside the body usually at 20 weeks gestation
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Whartons jelly
soft jelly-like substance that protects the cord (umbilicus)
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BBT
Basal Body Temperature
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CNM
Certified Nurse Midwife
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EDC
Estimated date of confinment
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EDD
Estimated Date of Delivery
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HCG
- Presence of hormone called human chronic gonadotropin
- Probable sign of pregnancy
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HPL
Human Placental Latogen
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LMP
Last Menstrual Period
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LNMP
Last Normal Menstrual Period
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MSAF
Maternal serum alpha fetoprotein = test for neural tube defects
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PIH
Pregnancy induced hypertension
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PMP
Previous menstrual period
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PPROM
Preterm Premature Rupture of Membrane
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PROM
Premature rupture of membrane
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RhoGam
RH- she should receive RhoGam at week 28
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STD
Sexually Transmitted Disease
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Presumptive Pregnancy
Examples
- SUBJECTIVE
- Breast tenderness quickening fatigue frequent urination colostrum
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Probable Pregnancy Signs
- OBJECTIVE
- Ballotement, HCG, Goodall's sign, Basal temp, Chadwick s sign, Hegars sign
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Positive signs of pregnancy
- PROOF
- Ultrasound fetal size fetal heart beat doppler utterine souffle fundi souffle
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amniohook
under sterile conditions use of hook to perform aniotomy
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amniotomy
artificial rupture of membranes
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birth plan
a plan: written documentation which expectant mom expresses her labor and delivery wishes
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