lOMoAR cPSD| 63316909
NR 327
Exam 1 Content Review Sheet
Textbook Ch 5, 6, 7, 8, 9, 12, 13 and 15
ATI Ch 3, 4, 5, 6, 9, 10, 11, 12, 13, 14, 15
****Not all inclusive****
• Terms related to pregnancy o Para: number of babies born after 22 weeks o Gravida: a woman
who is or has been pregnant o Primigravida: a woman who is pregnant for the 1st time o
Primipara: a woman who has delivered one child after 22 weeks o Multigravida: a woman who
has been pregnant previously
o Multipara: a woman how has carried two more pregnancies after 22 weeks
o
Nulligravida: a woman who is not pregnant and not currently pregnant (never been
pregnant)
• Maternal Hormones o Placental Hormones:
Progesterone: maintains endometrium; inhibits uterine contractibility; lactation
Estrogen: breast/uterine enlargement
hCG: stimulates corpus luteum to produce estrogen and progesterone until placenta takes
over
hPL: antagonist to insulins
relaxin: inhibits uterine activity; softens cervix and collagen in joints
prostaglandins: may trigger labor o Pituitary gland:
Prolactin: responsible for milk production after birth
Oxytocin: stimulates uterine contractions, loosens joints and ligaments starting at 4 months
o Adrenal glands: Aldosterone o Pancreas
Insulin; additional glucose for fetus
• Nagele’s Rule o Take the first day of the womans LMP, subtract 3 months and then add 7 days
and 1 year, adjusting for the year as necessary
• GTPAL
o Gravidity
o Term births (38 wks or more) o Preterm births (up to 37 weeks) o
Abortion/miscarriages
o Living children
• Betamethasone o Used for Preterm delivery
• Signs of Pregnancy o Presumptive S/S
Amenorrhea Stretch marks
N/V Spider veins
Enlargement & breast tenderness Quickening (fetal
Frequent urination movements)
Feeling tired Colostrum from breast
Montgomery’s tubercules Chadwick’s Sign
o Probable Signs:
Enlarged abdomen Positive pregnancy test
, lOMoAR cPSD| 63316909
Changes in uterine shape Braxton hick’s
Softening of the cervix (Goodell’s sign) contraction
Enlarging uterus Hegar’s sign
Palpation of the baby
o Positive Signs
Ballottement
Fetal heart sounds
X-ray
Actual delivery of infants
• Reproduction (ovulation)
• Emotional Response/ Psychological tasks of Pregnancy o
Emotional Response
Body image changes
Ambivalence Stress
Grief Mood changes
Self-centered; feels needs to protect body Sexual desire changes
Introversion or extroversion Couvade syndrome
o Psychological tasks of pregnancy
1st trimester: accept pregnancy
2nd trimester: accept baby
3rd trimester: preparing for baby, nesting, attachment with baby
• Prenatal Care/ Appointments, Prenatal Tests o Prenatal Care
Ultrasound and hcG confirms pregnancy
Complete H&H
• Genetic disorders, chronic illness, meds, obstetrical hx, personal habits
Complete physical exam
• VS, wt/ht, pelvic exam, assess size/shape of boney pelvis
Subsequent visits
• Physical assessment
• Measure fundal ht o Fundal ht=wks of gestation
Ht larger than wks means too much amniotic fluid or multiple
babies Ht smaller than weeks means intrauterine growth restriction
• Urinalysis
• Teaching
Fetal heart tones
• Fetoscope: 16 wks, and always by 19-20 wks Routine Lab Test:
• Blood type, Rh factor, and presence of irregular antibodies
• CBC w/ differential, hgb, and Hct
• Hgb electrolytes
• GBS
• Vaginal/cervical culture
• Maternal Nutrition o Maternal wt gain depends on BMI and pre pregnant nutrition state
Underwt. Woman: 28-40 lbs. Normal: 25-35 Overweight: 15-27 lbs.
Obese: at least 15 lbs.
Gain of 3.5 lbs. during 1st trimester
Gain about 1lb weekly rest of pregnancy o Heart burn: take tums and small frequent meals o Calorie
Intake:
Increase 340 kcal/day during second and 452 kcal/day during third trimester
Considerations: nutrition for prego adolescent, postpartum nutritional support, breastfeeding woman,
non-nursing woman
• Patient teaching (pain management)
NR 327
Exam 1 Content Review Sheet
Textbook Ch 5, 6, 7, 8, 9, 12, 13 and 15
ATI Ch 3, 4, 5, 6, 9, 10, 11, 12, 13, 14, 15
****Not all inclusive****
• Terms related to pregnancy o Para: number of babies born after 22 weeks o Gravida: a woman
who is or has been pregnant o Primigravida: a woman who is pregnant for the 1st time o
Primipara: a woman who has delivered one child after 22 weeks o Multigravida: a woman who
has been pregnant previously
o Multipara: a woman how has carried two more pregnancies after 22 weeks
o
Nulligravida: a woman who is not pregnant and not currently pregnant (never been
pregnant)
• Maternal Hormones o Placental Hormones:
Progesterone: maintains endometrium; inhibits uterine contractibility; lactation
Estrogen: breast/uterine enlargement
hCG: stimulates corpus luteum to produce estrogen and progesterone until placenta takes
over
hPL: antagonist to insulins
relaxin: inhibits uterine activity; softens cervix and collagen in joints
prostaglandins: may trigger labor o Pituitary gland:
Prolactin: responsible for milk production after birth
Oxytocin: stimulates uterine contractions, loosens joints and ligaments starting at 4 months
o Adrenal glands: Aldosterone o Pancreas
Insulin; additional glucose for fetus
• Nagele’s Rule o Take the first day of the womans LMP, subtract 3 months and then add 7 days
and 1 year, adjusting for the year as necessary
• GTPAL
o Gravidity
o Term births (38 wks or more) o Preterm births (up to 37 weeks) o
Abortion/miscarriages
o Living children
• Betamethasone o Used for Preterm delivery
• Signs of Pregnancy o Presumptive S/S
Amenorrhea Stretch marks
N/V Spider veins
Enlargement & breast tenderness Quickening (fetal
Frequent urination movements)
Feeling tired Colostrum from breast
Montgomery’s tubercules Chadwick’s Sign
o Probable Signs:
Enlarged abdomen Positive pregnancy test
, lOMoAR cPSD| 63316909
Changes in uterine shape Braxton hick’s
Softening of the cervix (Goodell’s sign) contraction
Enlarging uterus Hegar’s sign
Palpation of the baby
o Positive Signs
Ballottement
Fetal heart sounds
X-ray
Actual delivery of infants
• Reproduction (ovulation)
• Emotional Response/ Psychological tasks of Pregnancy o
Emotional Response
Body image changes
Ambivalence Stress
Grief Mood changes
Self-centered; feels needs to protect body Sexual desire changes
Introversion or extroversion Couvade syndrome
o Psychological tasks of pregnancy
1st trimester: accept pregnancy
2nd trimester: accept baby
3rd trimester: preparing for baby, nesting, attachment with baby
• Prenatal Care/ Appointments, Prenatal Tests o Prenatal Care
Ultrasound and hcG confirms pregnancy
Complete H&H
• Genetic disorders, chronic illness, meds, obstetrical hx, personal habits
Complete physical exam
• VS, wt/ht, pelvic exam, assess size/shape of boney pelvis
Subsequent visits
• Physical assessment
• Measure fundal ht o Fundal ht=wks of gestation
Ht larger than wks means too much amniotic fluid or multiple
babies Ht smaller than weeks means intrauterine growth restriction
• Urinalysis
• Teaching
Fetal heart tones
• Fetoscope: 16 wks, and always by 19-20 wks Routine Lab Test:
• Blood type, Rh factor, and presence of irregular antibodies
• CBC w/ differential, hgb, and Hct
• Hgb electrolytes
• GBS
• Vaginal/cervical culture
• Maternal Nutrition o Maternal wt gain depends on BMI and pre pregnant nutrition state
Underwt. Woman: 28-40 lbs. Normal: 25-35 Overweight: 15-27 lbs.
Obese: at least 15 lbs.
Gain of 3.5 lbs. during 1st trimester
Gain about 1lb weekly rest of pregnancy o Heart burn: take tums and small frequent meals o Calorie
Intake:
Increase 340 kcal/day during second and 452 kcal/day during third trimester
Considerations: nutrition for prego adolescent, postpartum nutritional support, breastfeeding woman,
non-nursing woman
• Patient teaching (pain management)
