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OB Exam 1 - Summary Maternity and Pediatric Nursing

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Antepartal Assessment and Care • Antepartum is the time of pregnancy until the time of birth • Trimesters of pregnancy o First trimester: 0-12 weeks o Second trimester: 13-28 weeks o Third trimester: 29-40 weeks • The average pregnancy lasts 280 days from the first day of the last menst...

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  • April 18, 2022
  • 66
  • 2021/2022
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OB Exam 1 - Summary Maternity and Pediatric
Nursing


Concepts Of Maternal-Child Nursing And Families (Nova Southeastern
University)




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, lOMoARcPSD|13111427




OB Exam 1
Antepartal Assessment and Care
• Antepartum is the time of pregnancy until the time of birth
• Trimesters of pregnancy
o First trimester: 0-12 weeks
o Second trimester: 13-28 weeks
o Third trimester: 29-40 weeks
• The average pregnancy lasts 280 days from the first day of the last menstrual period
(266 days from time of ovulation), 9 calendar months, 40 weeks
• Nagele’s Rule pg. 404 is to count back 3 months from the first day of the last
menstrual period and add 7 days
o November 20, add 7 days, -3 months = August 27
o December 14, add 7 days, -3 months = September 21




Phases of Pregnancy
• Antepartum: the time between conception and the onset of labor
• Intrapartum: period from the onset of true labor until the birth of the baby and placenta
• Postpartum: time from birth until the women’s body returns to prepregnant state.
Usually about 6 weeks
• True labor pg. 457: contractions occurring at regular intervals that increase in frequency,
duration, and intensity. True labor contractions bring about progressive cervical dilation
and effacement
• False labor: occurs in the latter weeks of some pregnancies in which irregular
uterine contractions are felt, but the cervix is not affected
GTPAL
• Gravida: the total number of pregnancies, including the current one. Even if the
mother didn’t give birth to the baby, it still counts as a pregnancy.
• Term: the number of infants born at term (38 or more weeks gestation)
• Preterm: the number of infants born after 20 weeks’ gestation and before 38 weeks
• Abortion: the number of pregnancies that ended in either therapeutic or spontaneous
abortion (before 20 weeks). Abortion just means the baby comes out before 20 weeks
no
matter how it comes out or what happens




Downloaded by Evaleen Kamau
(evaleenkamau@gmail.com)

, lOMoARcPSD|13111427




• Living: the number of children currently living, not counting the baby in the belly
Obstetric History Terms: GTPAL pg. 405




Pregnancy Terminology
• Gestation: number of weeks from the first day of the last menstrual period
• Term: normal duration of pregnancy (38-42 weeks’ gestation)
• Primipara: women who had one birth at more than 20 weeks’ gestation
• Multipara: woman who had 2 or more births at more than 20 weeks’ gestation
• Stillbirth: infant born dead after 20 weeks’ gestation
• Multigravida: woman who had more than one pregnancy
• “para” = baby that was born after 20 weeks
• Preterm: or premature labor, labor that occurs after 20 weeks’, but before completion of
37 weeks’ gestation
• Nulligravida: woman who has never been pregnant
• Primigravida: woman who is pregnant for the first time
• Nullipara: woman who has had no births at more than 20 weeks’ gestation




Downloaded by Evaleen Kamau
(evaleenkamau@gmail.com)

, lOMoARcPSD|13111427




Prenatal History
• Details of current pregnancy
o First day of normal menstrual period (LMP)
o Presence of complications
o Attitude towards pregnancy
o Results of pregnancy test
o Number pf pregnancies and number of living children
o Number of abortions
o How long did you carry last baby?
o How were you delivered?
o Was there a previous c-section?
• History of previous pregnancies




Downloaded by Evaleen Kamau
(evaleenkamau@gmail.com)

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