Nursing · NCLEX-RN

Nursing: Antepartum Care

Prenatal visit schedules, antepartum warning signs, and fetal surveillance concepts, narrower than the general maternal-newborn deck.

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How often should prenatal visits occur from weeks 4 to 28 of pregnancy?
Every 4 weeks.
How often should prenatal visits occur from weeks 28 to 36 of pregnancy?
Every 2 weeks.
How often should prenatal visits occur from week 36 until birth?
Every week.
By what gestational age should a woman ideally have her first prenatal visit?
By about 8 to 10 weeks (early first trimester).
In the GTPAL system used to summarize obstetric history, G stands for ____, the total number of pregnancies.
gravida
In the GTPAL system, T stands for ____, deliveries at 37 weeks gestation or later.
term births
In the GTPAL system, P stands for ____, deliveries between 20 and 36 weeks 6 days gestation.
preterm births
In the GTPAL system, A stands for ____, pregnancy losses before 20 weeks gestation.
abortions
In the GTPAL system, L stands for ____, the number of children currently alive.
living children
What is quickening?
The mother's first perception of fetal movement.
What does fundal height estimate during pregnancy?
Gestational age in weeks (after 20 weeks, height in cm roughly equals weeks of gestation).
At what gestational age is the fundus typically level with the umbilicus?
20 weeks.
What is the purpose of Leopold's maneuvers?
To determine fetal position, presentation, and lie by abdominal palpation.
What blood pressure defines gestational hypertension?
Systolic 140 mmHg or higher, or diastolic 90 mmHg or higher, after 20 weeks gestation.
What two findings together define preeclampsia?
New-onset hypertension and proteinuria after 20 weeks gestation.

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