1. Describe the Chadwick’s sign, Goodell’s sign, and Hegar’s sign
2. Differentiating between presumptive, probable, and positive signs of pregnancy
3. Identify the physiologic changes of the pregnant women to the various
systems. Cardiovascular
GI: causes of heartburn
Respiratory
Skin: changes that occur
Urinary: increase in urination
Musculoskeletal changes that are normal for the pregnant women
Uterus: the changes that occur, location of the uterus/fundus in the abdomen
5. Identify the essential reasons for balanced nutrition and increase in caloric needs of
the pregnant woman
6. Appropriate weight gain per trimester: what is it based on and how much weigh
should you gain?
7. Exercise in pregnancy: can you, can’t you, how much, what kind?
8. Identify the most common discomforts experienced by many women in all three of
the trimesters of pregnancy and interventions for each.
9. Patient teaching as it relates to each trimester: changes like amenorrhea, cervical
changes (goodall’s hegar’s, & chadwicks signs), know what quickening &
lightening is; know when things occur across the trimesters
10. True vs false labor how do you know the difference?
11. Danger signs in pregnancy to report
12. Fetal Testing: MSAFP: Why is it done, When is it done? Who gets it done?
13. Pre and post nursing care for a patient undergoing an amniocentesis.
14. Know how to calculate an EDC/EDD/EDB Nageles Rule?
15. Describe Gravida and Para and its significance to the nurse with the
health assessment of the woman.
16. Know how to classify the patient in the GTPAL classification.
17. Describe the major (not in the weeds) milestones in each of the trimester with the
growth and development of the fetus.
18. Evaluation of fetal heart tones with Doppler/fetoscope (low technology).
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