OB Basics & Pregnancy
In the acronym GTPAL, the letter G stands for Gravida, which represents this total number in a client's history.
What is the total number of pregnancies?
Full cervical dilation during labor is reached at this measurement in centimeters.
What is 10 cm?
The normal location of the fundus immediately following delivery should be firm and located near this anatomical landmark.
What is the Umbilicus (belly button)?
The standard APGAR evaluation is performed on the newborn at these two specific time intervals after birth.
What are 1 minute and 5 minutes?
This high-alert medication is used to induce or augment labor contractions.
What is Oxytocin (Pitocin)?
This standard length of a full-term pregnancy in weeks is considered normal.
What is 38 to 40.6 weeks (or 40 weeks)?
The normal baseline heart rate range for a healthy fetus in labor is this many beats per minute.
What is 110 to 160 bpm?
This word describes the normal process of the uterus returning to its non-pregnant size and state after childbirth.
What is Involution?
This primary intervention helps maintain a newborn's temperature and promotes bonding right after birth.
What is Skin-to-Skin contact?
High blood pressure after 20 weeks of pregnancy combined with protein in the urine is known as this condition.
What is Preeclampsia?
A positive pregnancy test measures the presence of this hormone in the mother's blood or urine.
What is hCG (Human Chorionic Gonadotropin)?
This term refers to the thinning or shortening of the cervix during labor, expressed as a percentage from 0% to 100%.
What is Effacement?
To help ease perineal swelling and comfort after a vaginal delivery, this should be applied to the perineum during the first 24 hours.
What is an ice pack?
To maintain airway safety in a newborn, the nurse should always suction this area first before suctioning the nose.
What is the Mouth? (Mouth before nose — remember "M before N")
This shot is given to an Rh-negative mother to prevent her immune system from making antibodies against an Rh-positive fetus.
What is RhoGAM (Rho(D) Immune Globulin)?
This is the only over-the-counter medication a pregnant patient can take to alleviate pain.
What is Tylenol or acetaminophen.
The Third Stage of labor begins immediately after the birth of the baby and ends with the delivery of this organ.
What is the Placenta?
A nurse performing a postpartum assessment notes bright red vaginal bleeding on day 2 post-delivery. This type of lochia is called what?
What is Lochia Rubra?
This anatomical area on an infant's head is diamond-shaped and normally remains open until 12 to 18 months of age.
What is the Anterior Fontanelle?
An ectopic pregnancy most commonly occurs when the fertilized egg implants in this structure.
What is the Fallopian tube?
To prevent Vena Cava Syndrome (supine hypotensive syndrome), the nurse should instruct a pregnant client to avoid lying in this position.
What is flat on her back (supine)?
If a client's membranes rupture, the nurse's immediate priority intervention is to check this vital baseline metric.
What is the Fetal Heart Rate (FHR)?
If a client reports localized pain, warmth, redness, and swelling in one calf postpartum, the nurse should suspect this vascular complication.
What is a Deep Vein Thrombosis (DVT)?
A normal, healthy newborn's respiratory rate falls within this baseline range of breaths per minute.
What is 30 to 60 breaths per minute?
This medication is administered intramuscular to newborns shortly after birth to assist with blood clotting.
What is Vitamin K?