NUR 230 Review exam 1
Presumptive signs of pregnancy - Answer-Amenorrhea
Fatigue
Nausea and vomiting
Breast tenderness
Urinary frequency
Quickening
Probable signs of pregnancy - Answer-Hegars sign
Goodell's sign
Chadwicks signs
Positive pregnancy test
Braxton hicks contractions or ballotment
Hegar's sign - Answer-lowering uterine segment softens
Goodell's sign - Answer-cervical softening
Chadwick's sign - Answer-bluish discolorationof vagina and cervix
Positive signs of pregnancy - Answer-Hearing fetal heart tones
,Visualization of the fetus
Palpation of fetal movements by examiner
Gravida - Answer-# of pregnancies
Para - Answer-# of pregnancies 20 weeks or >
Term - Answer-38-42 weeks
Preterm - Answer-20-37 weeks
Postterm - Answer-42 weeks or >
living - Answer-# of living children
abortion - Answer-any pregnancies that ended prior to 20 weeks (spontaneous or elective)
what's Naegle's Rule? - Answer-Method for calculating estimated due date
first day of the last menstrual period
subtract 3 from the month
add 7 to the day
adjust the year if needed
what are the cardiac changes during pregnancy - Answer-Blood volume will increase by 40-50% which
results in physiological anemia
Cardiac output increases 30-50%
, Increased risk for blood clotting due to increase in clotting factors and decreased circulation time
What are the respiratory changes during pregnancy - Answer-Increased oxygen requirements to meet
maternal and fetal needs
Ligaments of rib cage relax
Diaphragm is displaced due to enlarging uterus
Upper respiratory more vascular: congestion, epistaxis, and changes in voice
Gastrointestinal changes - Answer-Nausea and vomiting due to increase in HCG (should subside by end
of first trimester.
Hyperemesis gravidarum
Changes in taste and smell
Pytalism
Pica
Decreased tone and motility in GI tract (results in reflux and constipation)
what are the first trimester labs - Answer-Hgb and Hct (CBC)
Blood type and Rh
Antibody screen
Rubella titer (booster AFTER pregnancy)
Urinalysis
Pap smear
Screening for HIV and Hepatitis B
VDRL or RPR
First trimester discomforts - Answer-Breast enlargement, pain, tingling, tenderness
Presumptive signs of pregnancy - Answer-Amenorrhea
Fatigue
Nausea and vomiting
Breast tenderness
Urinary frequency
Quickening
Probable signs of pregnancy - Answer-Hegars sign
Goodell's sign
Chadwicks signs
Positive pregnancy test
Braxton hicks contractions or ballotment
Hegar's sign - Answer-lowering uterine segment softens
Goodell's sign - Answer-cervical softening
Chadwick's sign - Answer-bluish discolorationof vagina and cervix
Positive signs of pregnancy - Answer-Hearing fetal heart tones
,Visualization of the fetus
Palpation of fetal movements by examiner
Gravida - Answer-# of pregnancies
Para - Answer-# of pregnancies 20 weeks or >
Term - Answer-38-42 weeks
Preterm - Answer-20-37 weeks
Postterm - Answer-42 weeks or >
living - Answer-# of living children
abortion - Answer-any pregnancies that ended prior to 20 weeks (spontaneous or elective)
what's Naegle's Rule? - Answer-Method for calculating estimated due date
first day of the last menstrual period
subtract 3 from the month
add 7 to the day
adjust the year if needed
what are the cardiac changes during pregnancy - Answer-Blood volume will increase by 40-50% which
results in physiological anemia
Cardiac output increases 30-50%
, Increased risk for blood clotting due to increase in clotting factors and decreased circulation time
What are the respiratory changes during pregnancy - Answer-Increased oxygen requirements to meet
maternal and fetal needs
Ligaments of rib cage relax
Diaphragm is displaced due to enlarging uterus
Upper respiratory more vascular: congestion, epistaxis, and changes in voice
Gastrointestinal changes - Answer-Nausea and vomiting due to increase in HCG (should subside by end
of first trimester.
Hyperemesis gravidarum
Changes in taste and smell
Pytalism
Pica
Decreased tone and motility in GI tract (results in reflux and constipation)
what are the first trimester labs - Answer-Hgb and Hct (CBC)
Blood type and Rh
Antibody screen
Rubella titer (booster AFTER pregnancy)
Urinalysis
Pap smear
Screening for HIV and Hepatitis B
VDRL or RPR
First trimester discomforts - Answer-Breast enlargement, pain, tingling, tenderness