lOMoAR cPSD| 65448581
NR 327 Exam 1: Key Concepts on Pregnancy and Labor |
Actual verified Study complete Solutions (Already
Passed) | A+ Graded | 2026 Updates | 100% correct
• 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
, lOMoAR cPSD| 65448581
o Living children
• Betamethasone
o Used for Preterm delivery
• Signs of Pregnancy o Presumptive S/S
▪ Amenorrhea ▪ N/V
▪ Enlargement &
breast tenderness
▪ Frequent urination
▪ Feeling tired
▪
Montgomery’s
tubercules o
Probable Signs:
▪ Stretch marks
▪ Spider veins
▪ Quickening (fetal movements)
▪ Colostrum from breast
▪ Chadwick’s Sign
▪ Enlarged abdomen ▪ Positive pregnancy test
, lOMoAR cPSD| 65448581
▪ Changes in uterine -
shape c
▪ Softening of the e
cervix n
(Goodell’s sign) t
▪ e
E r
nl e
ar d
gi ;
ng f
ut e
er e
us l
o
s
P
n
os
e
iti
e
ve
d
Si
s
gn
t
s
o
▪ Fetal heart sounds
p
▪ X-ray
r
▪ Actual delivery of
o
infants
t
• Reproduction (ovulation)
e
• Emotional Response/
c
Psychological tasks of
t
Pregnancy o Emotional
b
Response
o
▪ Ambivalence d
▪ Grief y
▪ ▪
S Introve
e rsion
l or
f extrov
NR 327 Exam 1: Key Concepts on Pregnancy and Labor |
Actual verified Study complete Solutions (Already
Passed) | A+ Graded | 2026 Updates | 100% correct
• 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
, lOMoAR cPSD| 65448581
o Living children
• Betamethasone
o Used for Preterm delivery
• Signs of Pregnancy o Presumptive S/S
▪ Amenorrhea ▪ N/V
▪ Enlargement &
breast tenderness
▪ Frequent urination
▪ Feeling tired
▪
Montgomery’s
tubercules o
Probable Signs:
▪ Stretch marks
▪ Spider veins
▪ Quickening (fetal movements)
▪ Colostrum from breast
▪ Chadwick’s Sign
▪ Enlarged abdomen ▪ Positive pregnancy test
, lOMoAR cPSD| 65448581
▪ Changes in uterine -
shape c
▪ Softening of the e
cervix n
(Goodell’s sign) t
▪ e
E r
nl e
ar d
gi ;
ng f
ut e
er e
us l
o
s
P
n
os
e
iti
e
ve
d
Si
s
gn
t
s
o
▪ Fetal heart sounds
p
▪ X-ray
r
▪ Actual delivery of
o
infants
t
• Reproduction (ovulation)
e
• Emotional Response/
c
Psychological tasks of
t
Pregnancy o Emotional
b
Response
o
▪ Ambivalence d
▪ Grief y
▪ ▪
S Introve
e rsion
l or
f extrov
