Presumptive signs of pregnancy - ANSWER Least objective or subjective signs.
amenorrhea, nausea/vomiting, breast tenderness, deepening areolar pigmentation, urinary frequency, quickening, fatigue and Slight increase in body temperature: Rise in temperature coincides with luteal phase and is the re...
Presumptive signs of pregnancy - ANSWER Least objective or subjective signs.
amenorrhea, nausea/vomiting, breast tenderness, deepening areolar pigmentation, urinary frequency,
quickening, fatigue and Slight increase in body temperature: Rise in temperature coincides with luteal
phase and is the result of increased progesterone
Probable signs of pregnancy - ANSWER high likelihood of pregnancy but there are still other conditions
that may cause the findings.
Chadwick's sign: Blueish coloration of the vagina & cervix (6-8 weeks)
Enlarged uterus• Positive urine or blood pregnancy test (β-hCG)
Positive signs of pregnancy - ANSWER Most reliable and most objective signs.
• Palpation of the fetus by the health care provider
• Ultrasound and visualization of the fetus
• Fetal Heart Tones (FHT) auscultated by the health care provider
Hegar's sign - ANSWER Probable sign of pregnancy.
Occurs at four months.
Occurs when the uterus bends in an anterior direction on the softened lower uterine segment or
isthmus.
Fundal Height at 38-40 weeks - ANSWER below the xiphoid process once lightening occurs
Naegele's Rule - ANSWER add 7 days to first day of LMP, subtract 3 months, and add 1 year
Ex: LMP - 8/10/19 + 7 days = 8/17/19 - 3 months = 05/17/19 + 1 year = 05/17/20
, Fundal Height
- 24 to 36 weeks - ANSWER Measured in cm. Measure the distance between the upper edge of pubic
symphysis and the top of the uterine fundus with a tape measure. Fundal height equals the number of
gestational weeks (+/- 2cm). For example, a 28 week gestation fetus should have a fundal height that
measures between 26 and 30cm.
Contraindications for combined vs. progesterone-only birth control - ANSWER cardiovascular risk factors,
migraine with aura, or a history of VTE
-Breastfeeding (progestin only!)
Combined Oral Contraception (COC) - ANSWER More predictable bleeding patterns due to stabilization
of the endometrium
Estrogen suppresses the production of FSH, preventing the emergence of a dominant follicle
e.g. COCs, the patch, and the vaginal ring
Progestin-only Contraception - ANSWER -Less risks but irregular bleeding during first six months. -Many
become amenorrheic after 1 year
-Works by preventing the LH surge and inhibiting ovulation; thickens cervical mucus; causes
endometrium to become atrophic
e.g. progestin-only pills, the depot medroxyprogesterone acetate injection, the subdermal implant, and
three levonorgestrel-containing IUDs.
Tier 1 Contraception - ANSWER Most effective methods of contraception
-IUDs: (effective for 10 yrs) Works because the device is recognized as a foreign body and a sterile
inflammatory response is produced. The inflammatory response has spermicidal effects decreasing the
likelihood of pregnancy
The Yuzpe and Lebonorgestrel must be used ASAP due to decreased efficacy with time
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