Short Review On Antepartum | In Hindi-English

➥ Antepartum care से तात्पर्य बच्चे के जन्म से पहले मां की देखभाल से है।
➥ Braxton Hicks contractions are painless uterine contractions that occur throughout pregnancy.
➥ Chadwick’s sign, a probable sign of pregnancy, refers to the color of the vaginal walls, जो सामान्य हल्के गुलाबी से गहरे बैंगनी रंग में बदल जाता है।

Pregnancy Sign

Aiims Exam 2021

➥ Goodell’s sign, a probable sign of pregnancy, is softening of the cervix.
➥ Hegar’s sign, a probable sign of pregnancy, is softening of the lower uterine segment, which may be present at 6 to 10 weeks’ gestation.
➥ The male gamete is produced in the seminiferous tubules of the testes during spermatogenesis.

MCQs on Antepartum Care

➥ The female gamete is produced in the graafian follicle of the ovary.
➥ Fertilization occurs with the fusion of a spermatozoon and an ovum in the ampulla of the fallopian tube.
➥ The fertilized egg is called a zygote.
➥ Implantation तब होता है जब cellular wall of the blastocyst (trophoblast) implants itself in the endometrium of the anterior or posterior fundal region, about 6 to 9 days after fertilization.

➥ After implantation, the endometrium is called the decidua.
➥ At term, the umbilical cord measures from 51 to 56 cm in length and about 2 cm in diameter.
➥ The umbilical cord contains two arteries, one vein, and Wharton’s jelly (which prevents kinking of the cord in uterus).

Nursing Bullets On Antepartum Care

➥ Blood flows through the umbilical cord at about 400 mL/minute.
➥ Fetal membranes chorion और amnion की बनी होती है

➥ The chorion is the fetal membrane closest to the uterine wall, it gives rise to the placenta.
➥ The amnion is inner fetal membrane that lines the amniotic sac.
➥ जैसे जैसे uterus size में बढ़ता है तो यह inferior vena cava पर दबाव बढ़ाता है  it compromises venous return, which can cause dizziness, light-headedness, and pallor when the client is supine.

➥ The nurse can relieve symptoms of dizziness, light-headedness, and pallor in the supine maternity client by turning the client on her left side, which relieves pressure on the vena cava and restores venous return.
➥ Amniotic fluid is replaced every 3 hours.

➥ जब fetus breech position में होता है, तो fetal heart tones are best heard at or above the level of the umbilicus.
➥ Leopold’s maneuvers can determine the fetal position.

➥ Placenta previa तब होता है जब placenta is implanted in the lower uterine segment.
➥ Fetus के lungs की maturity बढ़ाने के लिए gestation में 26 and 32 weeks के बीच steroids दिए जा सकते हैं।
➥ The chorionic villi of a molar pregnancy resemble a “snowstorm” pattern on ultrasound.
➥ Bleeding with a hydatidiform mole is often dark brown.
➥ Human chorionic gonadotropin is a glycoprotein hormone produced  by the syncytiotrophoblast (part of the placenta).

Antepartum Haemorrhage

➥ Nonpregnant state की तुलना में pregnant woman में ऑक्सीजन की खपत 15% से 20% अधिक बढ़ जाती है ।
➥ Amniocentesis से पहले client को  urine bladder को खाली कर लेना चाइये इससे bladder perforation का risk कम हो जाता है
➥ Client को amniocentesis procedure के लिए supine position में रखा जाना चाइये
➥ Oral hypoglycemic drugs are contraindicated in pregnancy.
➥ Systolic murmurs 90% pregnant clients में सुनी जाती है; delivery के तुरंत बाद murmur गायब हो जाती है।

➥ Pregnency में Magnesium serum का level 8 से 10 mEq /L absent reflexes का कारण बन सकता है, serum levels 10 to 12 mEq/L respiratory depression का कारण बन सकता है, और serum levels 15 mEq/L से ज्यादा respiratory paralysis कारण बन सकता है
➥ Leopold’s maneuvers की मदद से fetal position, presentation, and attitude का पता कर सकते है।