GTPAL and Naegel's
This is one of 2 things the "P" can stand for.
What is para or preterm?
Of Probable, Positive, or Presumptive, these are subjective changes that the woman experiences. These are the least reliable because they can be caused by conditions other than pregnancy
What are presumptive indications of pregnancy?
This blood test can be used to check for Down's syndrome or for neural test defects.
What is Alpha-Fetoprotein screening (AFP)?
A woman with a BMI >30 should not gain more than this much weight during pregnancy
What is 20 lbs (9 kg)?
Fundal height at 20 weeks should be at this anatomical landmark.
What is umbilicus?
G4 T1 P1 A1 L3
What is currently pregnant for the 4rd time,
one pregnancy delivered at full term (38-40 wks),
one pregnancy delivered pre-term,
one miscarriage/abortion,
3 living children
Of Probable, Positive, or Presumptive, these are signs that are only caused by pregnancy
What are Positive?
In an amniocentesis, the provider uses this procedure to locate the placenta and the fetus
What is ultrasound?
This nutrient is needed for tissue development of the baby
What is protein?
Of low rbc count or extra fluid, this is the reason for physiologic anemia.
What is extra fluid?
Last menstrual period was February 12, 2023. This is the estimated date of delivery
What is November 19, 2023?
A positive pregnancy test is considered this kind of sign.
What is probable?
This test or procedure should have a score of at least 8 to be reassuring.
What is a biophysical profile?
This nutrient is needed to prevent neural tube deficits
What is folate or folic acid?
This is the organ that provides oxygen to the baby.
What is the placenta?
Last menstrual period was June 28, 2023. This is the estimated date of delivery
What is April 4, 2024?
Name 3 presumptive signs of pregnancy.
What are amenorrhea, morning nausea and vomiting, breast and skin changes, fetal movement?
This test is done if the non-stress test findings are non-reactive. It is done by nipple stimulation or low-dose oxytocin
What is a contraction stress test?
This much folic acid is needed for women of child-bearing years.
What is 400-800 mcg each day?
This is the time of gestation that the heartbeat can be seen on ultrasound
What is 6 weeks?
Jolene is pregnant for the third time. Her first pregnancy she delivered at 36 weeks. The child is living. Her second pregnancy she delivered triplets at 34 weeks. One of the triplets died 3 days after birth. This is her GTPAL score.
What is G3 T0 P2 A0 L3
Heart sounds can be auscultated
What is a positive sign of pregnancy?
"Kick counts" are important to do for this reason.
What is it gives the mom a baseline in the fetal activity? A deviation from "normal" may indicate a need to contact the provider.
Mom may need to take these supplements because the baby will need this nutrient to help make red cells
What is iron?
Gastric system slows
Pelvic muscles tighten
Cervix becomes blue
One of these is not a normal physiological change for pregnancy
What is Pelvic muscles tighten?