A woman who has been pregnant 5 times; given birth to 3 babies; had a miscarriage at before 20 weeks; had a miscarriage after 20 weeks
What is a gravida of 5 and a para of 4?
100
circulating blood increases by 40%-50%; retention of sodium and water, heart size increases and is slightly elevated upward and to the left; oxygen consumptions increases approximately 15%-20%
What are maternal physiological changes?
100
Develops as a result of inadequate iron in the blood. Patient may complain of fatigue, headache, and infection; predisposes patient to postpartum infection; worsens cardiac status
What is anemia?
100
The four P's of childbirth
What are Powers, Passageway, Passenger, Psyche?
100
Puts patient at risk for infections
What is the premature rupture of membranes?
200
A patient states she has urinary frequency, nausea and vomiting, and an increase breast size
What are presumptive signs of pregnancy?
200
Performed with a full bladder if less than 20 weeks; performed with a empty bladder if more than 20 weeks; best if performed between 15 and 20
What is an amniocentesis?
200
monitoring for excessive weight gain cough, fatigue, dyspnea, chest pain, tachycardia, and pulmonary edema
What are interventions for cardiac disease?
200
contractions felt in the abdomen and groin; may be relieved by walking or moving around
What is false labor?
200
elevating the presenting part with a gloved hand
What is an intervention for prolapsed cord?
300
A lady tells her friend her ___________ is approximately at the location of the umbilicus is ________ weeks pregnant
What is the fundal height at 20-22 weeks pregnant?
300
_________ is necessary for all women of childbearing age to prevent neural tube defects and orofacial clefts.
What is a diet high in folic acid?
300
large for gestational age fetus, obesity, and older than 35 years
What are predisposing conditions to gestational diabetes?
300
changing the mother's position, administer oxygen, and assess mother's vital signs
What are interventions for fetal bradycardia or tachycardia?
300
painless, bright red vaginal bleeding occurring in the last half of pregnancy
What is placenta previa?
400
Women younger than 20 years and older than 35 years
What are risk factors for adverse perinatal outcomes?
400
Performing Kegel exercises, and decreasing the amount of fluids at bedtime
What are interventions for urinary frequency and urgency?
400
A folic acid antagonist that may be prescribed to inhibit cell division in the developing embryo
What is Methotrexate (Trexall)
400
Type of deceleration that does not require an intervention because it does not indicate fetal compromise
What are early decelerations?
400
painful dark red vaginal bleeding
What is abruption placentae?
500
A patient should be monitored closely for _________ when assessing fundal height
What is supine hypotension?
500
Using correct posture and body mechanics
What is an intervention for backache?
500
Usually occurs after 20 weeks gestation and involves proteinuria; requires administration of magnesium sulfate if severe