Study Guides (260,783)
US (127,883)
UConn (1,209)
NURS (101)
NURS 3334 (6)
Study Guide

NURS 3334- Midterm Exam Guide - Comprehensive Notes for the exam ( 137 pages long!)
Premium

137 Pages
32 Views

Department
Nursing
Course Code
NURS 3334
Professor
Joan Kuhnly

This preview shows pages 1-3. Sign up to view the full 137 pages of the document.
UConn
NURS 3334
Midterm EXAM
STUDY GUIDE
Learning the Language of OB
G’s and P’s: used to record history of maternity patients
Gravida
o Any pregnancy, regardless of duration, includes current pregnancy
o Expressed as G
o Nulligravida: woman who has never been pregnant
o Primigravida: woman who is pregnant for the first time
o Multigravida: woman in her second or subsequent pregnancy
Para
o Birth after  weeks’ gestation regardless if born dead or live
o Expressed as P
o Nullipara: no births at more than  weeks’ gestation
o Primipara: one birth at more than  weeks’ gestation regardless of dead or live
o Multipara: two or more births at more than  weeks’ gestation
More detailed approach and one that should be used:
Gravida: still refers to # of pregnancies
BUT….. Para specified gives more information, means outcome of pregnancy
o T = number of term infants born
o P = number of preterm infants
o A = number of pregnancies ending in either spontaneous or theraputic AB
o L = number of currently living children
o Example
Pam has been pregnant 3 times, this one included and has had two full term
babies
Short version: G3 P2
Detailed version: G 3 P 2 0 0 2
o Example
The client presents to the clinic for a pregnancy test. The test result is positive.
She has been pregnant two other times, delivered twins at term who are now 2
years old, and had one miscarriage at 8 weeks.
G 3 P 1 0 1 2
Term is one because twins is one pregnancy
Antenatal Assessment
Establishing the Estimated Date Delivery
o Average pregnancy: 40 weeks from first day of last normal menstrual period
o Hx: used to be Estimated Date of Confinement, then Estimated Date of Delivery, now
Estimated Date of Birth
Delivery and birth are the same thing but delivery sounds bad, birthed is more
meaningful
NAGELE’S RULE often used to calculate EDD:
o Begin with first day of last menstrual period
o Subtract 3 months
o Add 7 days AND change the year
EX. If 7/10/03 was first day of last period: 7-3 = 4 (4th month)
o Add 7 days: 10 + 7 = 17 (17th day of month)
o Adjust year: 2004
o Estimated due date: 4/17/04
Gestational age calculators and wheels may also be used
find more resources at oneclass.com
find more resources at oneclass.com
Some facilities are not allowing wheels, b/c accuracy. Phone apps.
Ultrasound used may be used early in pregnancy if uncertain
Example
o A pregnant woman informs the nurse that her last normal menstrual period was on
September , . Using Nagele’s rule, the nurse calculates the client’s estimated date
of delivery as:
o A. May 30, 2013 9/20/12
o B. June 20, 2013 -3/+7/+1
o C. June 27, 2013 6/27/13
o D. July 3, 2013
-3, +7, +1 (day, month, year)
Example
o A client presents to the clinic for a pregnancy test. She states that her last menstrual
period was on //6. The results of the test is positive. When is the client’s
estimated date of birth?
o 9/17/07
find more resources at oneclass.com
find more resources at oneclass.com

Loved by over 2.2 million students

Over 90% improved by at least one letter grade.

Leah — University of Toronto

OneClass has been such a huge help in my studies at UofT especially since I am a transfer student. OneClass is the study buddy I never had before and definitely gives me the extra push to get from a B to an A!

Leah — University of Toronto
Saarim — University of Michigan

Balancing social life With academics can be difficult, that is why I'm so glad that OneClass is out there where I can find the top notes for all of my classes. Now I can be the all-star student I want to be.

Saarim — University of Michigan
Jenna — University of Wisconsin

As a college student living on a college budget, I love how easy it is to earn gift cards just by submitting my notes.

Jenna — University of Wisconsin
Anne — University of California

OneClass has allowed me to catch up with my most difficult course! #lifesaver

Anne — University of California
Description
[NURS 3334] Comprehensive Spring guide including any lecture notes, textbook notes and exam guides.find more resources at oneclass.com Learning the Language of OB G’s and P’s: used to record history of maternity patients • Gravida o Any pregnancy, regardless of duration, includes current pregnancy o Expressed as G o Nulligravida: woman who has never been pregnant o Primigravida: woman who is pregnant for the first time o Multigravida: woman in her second or subsequent pregnancy • Para o Birth after ▯▯ weeks’ gestation regardless if born dead or live o Expressed as P o Nullipara: no births at more than ▯▯ weeks’ gestation o Primipara: one birth at more than ▯▯ weeks’ gestation regardless of dead or live o Multipara: two or more births at more than ▯▯ weeks’ gestation • More detailed approach and one that should be used: • Gravida: still refers to # of pregnancies • BUT….. Para specified gives more information, means outcome of pregnancy o T = number of term infants born o P = number of preterm infants o A = number of pregnancies ending in either spontaneous or theraputic AB o L = number of currently living children o Example ▪ Pam has been pregnant 3 times, this one included and has had two full term babies • Short version: G3 P2 ▪ Detailed version: G 3 P 2 0 0 2 o Example ▪ The client presents to the clinic for a pregnancy test. The test result is positive. She has been pregnant two other times, delivered twins at term who are now 2 years old, and had one miscarriage at 8 weeks. ▪ G 3 P 1 0 1 2 • Term is one because twins is one pregnancy Antenatal Assessment • Establishing the Estimated Date Delivery o Average pregnancy: 40 weeks from first day of last normal menstrual period o Hx: used to be Estimated Date of Confinement, then Estimated Date of Delivery, now Estimated Date of Birth ▪ Delivery and birth are the same thing but delivery sounds bad, birthed is more meaningful • NAGELE’S RULE often used to calculate EDD: o Begin with first day of last menstrual period o Subtract 3 months o Add 7 days AND change the year th • EX. If 7/10/03 was first day of last period: 7-3 = 4 (4 month) o Add 7 days: 10 + 7 = 17 (17 day of month) o Adjust year: 2004 o Estimated due date: 4/17/04 • Gestational age calculators and ▯wheels▯ may also be used find more resources at oneclass.com
More Less
Unlock Document
Subscribers Only


Only pages 1-3 are available for preview. Some parts have been intentionally blurred.

Unlock Document
Subscribers Only
You're Reading a Preview

Unlock to view full version

Unlock Document
Subscribers Only

Log In


OR

Don't have an account?

Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


OR

By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.


Submit