Mom&baby Week 3 Concept Review Notes (Exam #1)

Mom & Baby Week 3 KeyConcept NotesExam #1Exam #1:AntepartumHigh RiskPregnancyLabor and Delivery1 st Initial prenatal visit: - Last LMP- S/S mom is having (i.e. nausea, constipation, urinary frequency)- Any bleeding or cramping- Obstetric history (# of pregnancies, # term & preterm, method of delivery, any complications, postpartumhemorrhage, # of living child and their weight)- Naegeles Rule: LMP + 7 days - 3 months = EDD- GTPAL:Gravida: # of pregnanciesTerm: # carried to term (37 weeks)Preterm: # carried preterm ( or < 200 lbs, DM, Smoking, Drugs/alcohol- Labs: CBC, Rubella titer (cannot have Rubella vaccine during pregnancy), WBC, HIV, Syphilis, Hep B,Chlamydia, gonorrhea- Social & financial resources- Stress goal of consistent prenatal care- Assess cultural differencesSigns of PregnancyPresumptive (subjective) Probable (objective) PositiveNausea + Pregnancy Test Viability (u/s @ 6 weeks)Vomiting Ballotment (@18 weeks) Fetal heart tones (@ 12 weeks)Amenorrhea Hegar sign ( Softening of the loweruterine segment) Fetal Movement (@ 16-18 weeks)Fatigue Braxton HicksUrinary frequency Uterine enlargementBreast changes/soreness Chadwicks sign (purple/blue vaginal mucosa and cervix due to increased perfusion to uterus)Quickening Goodell Sign (softening of cervix)Psychosocial:1 st trimester: Accepts pregnancy (consumed with S/S and focused on her discomfort)2 nd Trimester: very protective of fetus, seeks knowledge, finding enjoyment and pleasure3 rd