Answers
quickening the first movements of the fetus felt by the mother; occurs in weeks 16-20
ballottment rebound of the fetus when the cervix is tapped during vaginal examination
rhoGAM an injectable drug used to protect an Rh+ fetus from antibodies in an Rh-
mother's blood and to prevent Rh allergy in the mother.
lightening descent of the fetus toward the pelvic inlet before labor
inferior vena vaca syndrome laying on back causing vena cava to become compressed and enough blood
isn't getting to all the organs as it should
Chadwick's sign bluish purple discoloration of the cervix, vagina, and labia during pregnancy as
a result of increased vascular congestion
Hegar's sign softening of the lower uterine segment at 6-8 weeks of pregnancy
Goodell's sign softening of the cervix during pregnancy
Naegel's rule to determine due date first day of LMP, subtract 3 months, and add 7 days
What are presumptive signs of pregnancy? -signs felt by the patient (nausea, amenorrhea, breast sensitivity, fatigue,
quickening)
What are probable signs of pregnancy? -signs observed by the HCP (Chadwick's, uterine enlargement, positive urine
preg test, Hegar's sign, Goodell's sign)
What are positive signs of pregnancy? -confirmation of pregnancy (ultrasound confirmation, fetal heart tones,
palpation of fetal movement)
, What is preeclampsia? A hypertensive disorder of pregnancy characterized by hypertension and
proteinuria
What is eclampsia? A form of hypertension of pregnancy complicated by generalized seizures
Nonstress test (NST) A method for evaluating fetal status during the antepartum period by
observing for accelerations of the fetal heart rate
Stress test Evaluates fetal status during antepartum period by observing the response of
the fetal heart to intermittent stress of induced uterine contractions
amniocentesis transabdomincal puncture of the amniotic sac to obtain a sample of amniotic
fluid that contains fetal cells and biochemical substances for laboratory
examination
Urine pregnancy test test that checks your urine for the HCG hormone, which your body only makes
if you are pregnant
version turning the fetus from one presentation to another before birth, usually from
breech to cephalic
episiotomy surgical incision of the perineum to enlarge the vaginal opening
What is GPTAL and what does each term mean? -G=gravida: # of pregnancies
-P=para: # of pregnancies reached viability (20 wks+)
-T=term births: 38 wks or more
-A=abortions: elective or spontaneous to age of viability
-L=living: # of living children
cesarean birth surgical birth of the fetus through an incision in the abdominal wall and uterus
vaginal delivery normal, most common delivery method; pushed through vaginal canal by
mother
What is true labor? You will see consistent patterns and frequency, duration, and intensity of
contractions. Effacement and dilation also occur.
What is false labor? Very inconsistent, nothing changes with the cervix.
How often does the ovulation cycle occur? Ovulation occurs approximately 14 days before a woman's next menstrual
period would begin. Fertile days are a day prior to ovulation and the day of
ovulation. The fertile period begins 4-5 days prior to ovulation and ends 2 days
after ovulation.
What are physiologic characteristics that occur with -Billings method (watery, stretchy, egg-white consistency discharge)
ovulation? -BBT method (before ovulation, 96-98 degrees is normal; after ovulation, 97-99
degrees is normal)
-cramps
-breast tenderness
Monozygotic twinning Identical twins; they are conceived by the union of a single ovum and
spermatozoon, with later division of the conceptus into 2. They're the same sex
but don't ALWAYS look the same