NURSING 2633 STUDY GUIDE FOR MATERNAL CHILD EXAM 1.

NURSING 2633 STUDY GUIDE FOR MATERNAL CHILD EXAM 1.EDC/EDD- Estimated date of confinement/estimated delivery date Gravid- Pregnant Parity- Number of pregnancies carried to a point of viability (24 weeks) regardless of outcome Striae- Stretch marks on abdomen and thighs Braxton Hicks Contractions- False, contractions, painless, irregular, and usually relieved by walking Linea Nigra- Dark line of pigmentation from the umbilicus extending to the public area Chadwick’s sign- Deepened violet-bluish color of cervix and vaginal mucosa Amenorrhea- no menstrual flow STI- Sexually transmitted infections Hyperemesis gravidarum- persistent vomiting Leopold’s maneuver- external palpations of the maternal uterus through the abdominal wall to determine number of fetuses; presenting part, lie, and fetal attitude; degree of descent of the presenting part into the pelvis; location of point of maximal impulse (location of fetal heart tones). Colostrum- secreted during postpartum days 1 to 3. Contains IgA that provides passive immunity to the newborn. Quickening- Slight fluttering movements of the fetus felt by a woman, usually between 16 and 20 weeks. Lightening- fetal head descends into the true pelvis about 14 days before labor; “dropped”; easier breathing but more pressure on the bladder causing urinary frequency; more pronounced in patient who are primigravida Doppler- noninvasive ultrasound to measure the velocity at which RBCs travel in the uterine and fetal vessels Fetoscope- fiber optic scope used in percutaneous umbilical blood sampling (PUBS) or amniocentesis Amniocentesis- aspiration of amniotic fluid by needle insertion transabdominally into the client’s uterus and amniotic sac after 14 weeks to test for genetic abnormalities Maternal serum alpha fetal protein (MSAFP)- screening tool used to detect neural tube defects. hCG- Human chorionic gonadotropin- hormone produced by placenta LMP- Last menstrual period Menarche- First menstrual period one year after peak velocity; between 9 and 15 years old Nagele’s Rule- take the first day of the woman LMP, add seven days, subtract three months, and add one year. Fundal Height- in cm from pubic symphysis to the top of the uterine fundus after 12 weeks; relates to gestational weeks. Bishop’s Score- determines maternal readiness for labor by evaluating the cervix: dilation, effacement, consistency (firm, medium, soft), position (posterior, midposition, anterior), and station; all assigned a value between 0-3 Freidman’s curve- rates cervical dilation and fetal descent during active labor Cervical dilation- most important indicator of progress of labor; part of Bishops score; 1 cm/hr during labor; cervix ripens by dilation; provides uterus with exposure to external environment through vagina Effacement- cervical thinning and shortening; part of Bishops score Station- presenting part of Bishops score; measurement of fetal descent in cm with station 0 being at the level of an imaginary line at the level of the ischial spines, minus stations superior to the ischial spines, and plus stations inferior to the ischial spines Pap smear- at age 21 or 3 years after first sexual intercourse; then every 3 years or new partner C-Section- surgical removal of baby through incision in the abdomen—cesarean Progesterone- fluctuating during menstrual cycle Amniotic fluid- alkaline, clear, odorless fluid that surrounds the fetus Trimester- first (0-12 weeks), second (13-27), third (28-birth) Leukorrhea- white or yellow discharge of mucus from vagina; from hyperplasia of the vaginal mucosa and increases mucus production from the endocervial glands Embryo- less than 8 weeks Fetus-8+ weeks until birth