NUR2633 Exam 1 Study Guide Maternal Child Health Nursing
EDC/EDD- Estimated date of confinement/estimated delivery date
Gravid- Pregnant
Parity- Number
... [Show More] 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. [Show Less]