NR 602 Midterm Pregnancy & contraception QUESTIONS & ANSWERS!!
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NR 602
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NR 602
Amenorrhea:
o Highly suggestive of preg. in a healthy fem w/ regular & predictable period. Difficult to determine in a female w/ irregular periods or in those who do not keep track of their menstrual cycles
Nausea & vomiting:
o Common symptom (~50% of pregnancies) typically occurring betwee...
NR 602 Midterm Pregnancy &
contraception QUESTIONS & ANSWERS!!
Amenorrhea:
o Highly suggestive of preg. in a healthy fem w/ regular & predictable period. Difficult to determine in a
female w/ irregular periods or in those who do not keep track of their menstrual cycles
Nausea & vomiting:
o Common symptom (~50% of pregnancies) typically occurring between 2- 16 wks. gest
Breast engorgement & darkening of areolas:
o Occurs as early as 6-8 wks. gest
Breast tenderness
Fatigue
Urinary Frequency
Slight increase in body temperature:
o Rise in temp. coincides w/ luteal phase & is the result of progesterone
"Quickening":
o Mother feels baby's movements for 1st time; starts @ 16 wks some say btw 18-20 wks - ANSWER
Presumptive Signs of pregnancy
o a high likelihood of preg. but there are still other conditions that may cause the findings.
o Enlarged uterus
o (+) urine or blood preg. test (β-hCG)
o Preg. tests are considered probable because β-hCG also presents in ovarian cancer, choriocarcinoma,
increased gonadotropins at menopause & molar pregnancies
o Braxton Hicks contractions (may be palpated by 28 weeks)
Uterine soufflé (soft blowing sound due to blood pulsating through the placenta)
o Integumentary pigment changes - ANSWER Probable Signs of pregnancy
, ovarian cancer, choriocarcinoma
increased pituitary gonadotropins at menopause
molar pregnancies( abnormal fertilized egg or overgrowth of trophoblasts, which form the placenta) -
ANSWER Dx differentials for (+) (β-hCG)
Blueish coloration of the vagina & cervix (6-8 wks) - ANSWER Probable Signs of pregnancy: Chadwick sign
(softening of lower uterine segment) - ANSWER Probable Signs of pregnancy: Hegar's sign
o Fetal heart rate auscultated by fetoscope at 17-20 weeks or by Doppler at 10-12 weeks
o Palpable fetal outline and fetal movement after 20 weeks
o Visualization of fetus with cardiac activity by ultrasound (fetal parts visible by 8 weeks)
o Pregnancy and fundal height measurement
o US & visualization of the fetus - ANSWER positive (diagnostic signs) of pregnancy
the topmost portion of the uterus and is known as the roof of the uterine cavity - ANSWER Fundus
Preg. & fundal height measurement
As pregnancy progresses, the fundus rises out of the pelvis The fundus is located @ the level of the
symphysis pubis at x weeks - ANSWER Preg. & fundal height measurement
at 12 wks. gestation:
Preg. & fundal height measurement
By week x, the fundus rises midway between symphysis pubis and the umbilicus. - ANSWER Preg. &
fundal height measurement
at 16 wks. gestation:
, Preg. & fundal height measurement
By x weeks' gestation, the fundus is typically at the same height as the umbilicus. - ANSWER Preg. &
fundal height measurement
20 weeks' gestation
Preg. & fundal height measurement
during x weeks the fundus enlarges approx. 1cm/wk. - ANSWER Preg. & fundal height measurement
>20 wks. gestation
Preg. & fundal height measurement
As the time for birth approaches, the fundal height drops slightly.
This process, which is commonly called (blank)
occurs for a woman who is a primigravida around 38 weeks' gestation but may not occur for the woman
who is a multigravida until she goes into labor - ANSWER Preg. & fundal height measurement
lightening
Preg. & fundal height measurement
By x weeks you can Measure the distance between the upper edge of pubic symphysis & the top of the
uterine fundus w/ a tape measure.
Fundal height in centimeters equals the number of gestational weeks (+/- 2cm). For example, a 28- wk.
gestation fetus should have a fundal height that measures between 26 & 30cm. - ANSWER Preg. & fundal
height measurement
25-35 wks. gestation
The due date or expected date of confinement (EDC) can be calculated using (blank) rule
Begin on the 1st day of the last menstrual period (LMP), subtract 3 mos., add 7 days, & then add 1 yr.
if your LMP was November 1, 2017: Add seven days (November 8, 2017). Subtract three months (August
8, 2017). - ANSWER Naegele's rule
HEMATOLOGIC CHANGES in pregnancy
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