Study Guide 1. Gravida-any pregnancy, regardless of duration, including present pregnancy. Para-birth after 20 weeks gestation regardless of whether the infant is born alive or dead. Gravida and Para-used in relationto pregnancies, not number of fetus. Nulligravida-a woman who has never been pregnant. Primigravda-a woman who is pregnant for the first time. Multigravida-a woman who is in her second or any subsequent pregnancy. Nullipara-a woman who has had no births at more than 20 weeks gestation. Primipara-a woman who has had one birth at more than 20 weeks gestation, regardless of whether the infant was born alive or dead. Multipara-a woman who has had 2 or more births at more than 20 weeks gestation.
1b. How are multiples accounted for? TWINS=1PREGNANCY 1 BIRTH 2. What is the GTPAL system? Gravida=number of pregnancy, Term=Infants born 37-42 weeks’ gestation, Preterm=Infants born 20-36 weeks’ gestation, Abortion=Pregnancies ending in either spontaneous or therapeutic abortion, Living=Number of living children 3. How long is pregnancy? Pregnancy last 40 weeks. 4. Explain Nagele’s rule for calculating the due date. Nagele’s rule: First day of LMP-3 months+7days 5. Describe antepartum uterine and fetal assessments: McDonald’s method-Measuring the distance in cm from the symphysis pubis to the top of the uterine fundus. Should correlate with the weeks gestation. Usually cm is less the last few weeks of pregnancy related to the baby dropping. Quickening-Fetal movement felt by mother about 20 weeks. Fetal Heartbeat-Doppler at about 10 weeks. Ultrasound-Transvaginal and Abdominal 6. What are some contributing factors to a high-risk pregnancy? Maternal age <16 or >35yrs, Maternal medical problems chronic HTN, preeclampsia, diabetes mellitus or heart disease, Rh incompatibility Rh – mother Rh + fetus, Unexplained stillbirth,