NURSING 102 Unit 2 Study Guide Test 2, Complete Solutions (Latest) 2021

Prenatal Care  Anatomical changes o Uterus  enlarges, stretches due to estrogen & progesterone  Blood flow increases o Weight gain o Pubic bone to top of fundus is how many weeks along o Cervix  Chadwick’s sign (blue or purple) of vulva  Goodell sign (softening) of cervix  Mucus plug will form  Call if discharge indicates infection  Leukaria- NORMAL white discharge o Vagina/Vulva  Thickening of vaginal mucosa  Vagina swells  More susceptible to yeast infections-due to increased glycogen  pH will decrease-more acidic o Ovaries o Breasts  Stretch marks  Bumps (Montgomery tubercles)  Increase pigmentation  Colostrum o Cardiovascular  Blood vol. inc. 40%  Potential physiological anemia  Supine hypotension syndrome (compression on inferior vena cava)  Left side laying best o Respiratory  Inc. title vol.  Inc. O2 consumption  Diaphragm elevates  Inc. chest circumference/dyspnea  Less room for lung expansion-inc. in RR o GI  Lower: Dec. motility- could lead to hemorrhoids  Necessary for inc. nutrient absorption  Upper: heartburn  General nausea/vomiting o Urinary  Frequency & urgency (1st & 3rd trimester)  Glomerular filtration rate inc. o Integumentary  Hyperpigmentation  Cholasma: patches on face  Linea nigra: dark line on tummy  Cutaneous vascular changes  Striae gravidarum: stretch marks  Angiomas: small red papule  Palmar erytheman: red hands-inc. blood flow to area o Musculoskeletal  Postural changes  Lumbar lordosis- sway back  “waddle” gait: due to change in gravity & softening of ligaments  calcium storage  lower extremity cramps o EENT  Blurred vision: due to dec. intraocular pressure in corneal thickening  Temporary  Nasal congestion: due to inc. mucus production  Epistaxis-nose bleeds  Increase fluids o Psychosocial  1 st Tri.  Mixed emotions  2 nd Tri.  Body image, getting “real”  3 rd Tri.  Preparing for baby  Maternal Role Transitions o Rubin (steps in maternal role taking)  Mimicry  Role play  Fantasy  Search for role fit  Grieving  Partner Adaptations/Sibling o Couvade: sympathetic pregnancy by partner o Whole family effected  Nurses Role in Prenatal Care o Being rapport o Assessment & teaching o Anticipatory guidance o Focus on current trimester o S&S of pregnancy  Presumptive: signs that think would presume pregnancy (not definitive)  Amenorrhea  Nausea/vomiting  Urinary frequency  Breast tenderness  Chadwick’s sign(blue/purple vulva)  Probable  Hagar sign: softening of cervix  Piskacek sign: asymmetry of uterus  Abdominal enlargement  Braxton Hicks  Pos. preg. Test  Positive  FHB  Fetal movements  Visualization of fetus