Maternal Exam 1 Review
Phases of Pregnancy
Antepartum-Before birth
Intrapartum-During birth
Postpartum-After birth
Recommended prenatal schedule
● Being initial assessment around 10-12 weeks
● In an uneventful pregnancy follow this schedule
○ Monthly appointment 16-28 weeks
○ Every 2 weeks 29-36 weeks
○ Every week 36 weeks to birth
Gravidity- # of pregnancies
Pariaty- # of deliveries past 20 weeks
Gravidity
Term birth (38-42 weeks)
Preterm birth (20-37 weeks)
Abortion/misscarriages
(prior to 20 weeks)
Living children
GOAL for maternal care
“Promotion of optimal health to ensure cycles of optimal child bearing & child rearing.”
Common statistics to know
● Birth rate- Births per 1,000
● Fertility rate- # of pregnancies
● Fetal death- # of deaths per 1,000 live births
● Neonatal death rate- # of deaths per 1,000 live births @birth
● Perinatal death rate- # of deaths occuring during the perinatal time period.
Sexual Health History Assessment ?’s
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Are you sexuall active?
Is your partner the same/different gender?
How many partners have you had in the past 6 months?
How are preventing pregnancy/STDs?
Are you vaccinated against HPV?
○ ASK IF THEY UNDER THE AGE OF 27
Sex is assigned @ conception by chromosome information
@5 weeks the tissue that becomes ovaries & testes have formed
@7-8 weeks early gonadal tissue forms testosterone
UTERINE DEVIATIONS
● As the uterus formes it is seperated down the middle, as the fetus matures it
goes away
● Bicornuate Uterus- “Odd-shaped” horns at junction of the fallopian tubes
○ This can decrease the ability to conceive or carry a pregnancy.
Uterus Positions
● Anteversion-Uterus tips forward. Retroversion-Tops far back.
● Anteflexion-Body of uterus is bent forward @cervix junction
● Retroflexion-Body of the uterus is bent back @cervix junction.
Birth control NATURAL
● Periodic abstinence- Refraining from sex during conception period.
● Natural fmily planning-No sex during fetile period.
Role of hormones in BC
Estrogen-Suppresses follicle stimulating hormone and suppresses ovulation
Progesterone-Decreases cervical mucus permeability. Interferes with tubal
transport.
ESTROGEN PUTS YOU AT RISK FOR AN EMBOLISM
Types of oral contraceptives
● Monophasic-Fixed doses of estrogen & progesterone through a 21 day cycle.
● Biphasic-Constant estrogen varying progesterone.
● Triphasic-Varying in estrogen & progestin.