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PN 124 FINAL EXAM LATEST UPDATED
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PN 124 FINAL EXAM LATEST UPDATEDGravida
a pregnant woman
primigravida
a woman who is pregnant for the first time
nulligravida
a woman who has never been pregnant
nullipara
a woman who has never borne a viable child
multigravida
woman who has been pregnant more than once
Para
refers to the parting of mother and baby; the birth itself
primipara
woman who has given birth to one child
multipara
a woman who has given birth to more than one viable infant
grand multipara
a woman who has given birth many times; specifically, at least 5 times
Presumption signs of pregnancy
appear early and are subjective, noted only by the woman; Signs include:
,Amenorrhea, Nausea, Frequent Urination, Fatigue, Quickening, Breast Changes, &
pigment changes
Quickening
the first movement of the fetus in the uterus that can be felt by the mother
colostrum
clear or slightly milky fluid produced in very small amounts through the rest of her
pregnancy and in greater amounts the first day or two after birth
Probable signs of pregnancy
appear early in pregnancy, signs are more definite but still not absolute; usually
observed by personnel and client; signs include basal body temperature elevation,
positive urine pregnancy test, cervical changes, vulvar and vaginal changes, uterine
changes, and ballottement
Gooddell Sign
softening of the cervix
Chadwick Sign
bluish discoloration of the cervix when examined
Hegar Sign
lower uterine segment is soft and compressible
ballottement
rebound tap from fetus against personnel's hand
Positive Sign of Pregnancy
proof that there is a developing fetus; signs include visualization of the fetus via
,ultrasound, fetal heartbeat, and fetal movement felt by an examiner
ultrasound
most common method used to evaluate fetal size, development, and due date; used
to diagnose pregnancy as early as the 4th week of gestation. Is considered to be
sage, painless, and relatively inexpensive
12 weeks
- fingers and toes are distinct
- placenta is complete
16 weeks
- sex is differentiated
20 weeks
- Lanugo covers entire body
- fetal movements are felt by mother (quickening)
24 weeks
- vernix caseosa appears
32 weeks
- eyelids open
, 36 weeks
- Amniotic Fluid decreases
-STD testing is repeated along with Vaginal culture of group B streptococcus
between 16 & 20 Weeks
when is the ultrasound examination done to determine gestational age and to
examine the fetus for normal development
between 15 & 19 weeks
blood test (MSAFP) Maternal Serum Alpha Fetoprotein is done to screen for fetal
neural tube defects
between 24 & 28 weeks
client is screened for diabetes; 1 hour random glucose test; woman eats or drinks 50
g of glucose, her blood is drawn 1 hour later; an elevated glucose indicated
gestational diabetes
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