Maternal-Newborn Overview
I. Pregnancy
A. Nagele’s Rule: Calculating EDC/EDD:
1st
Take the _________day of the menstrual period (LMP)
3 months
Subtract ________________________________________________
7 days
Add_____________________________________________
B. Weight Gain During Pregnancy
28Ibs +1-31bs (25-311bs)
1. Total weight gain ____________________________________
1 In each month
2. 1st Trimester weight gain ______________________________
approx. 1Ib each week
3. 2nd/3rd Trimester weight gain ___________________________
4. How do you calculate?
Weeks 12 13 14 15 16 17 18 19 20 30 40
Pounds 345678910 11 2131
week 9 = answer
C. Fundal Height – Landmarks
12
1. Fundus is not palpable until week _______________________
22
2. Fundus typically reaches the umbilical level at week---________
D. Signs of Pregnancy:
1. Positive Signs of pregnancy:
↓ ray
a. Fetal skeleton on _______________________________
ultrasound
b. Fetal presence on _______________________________
fetal heart tones 10-10 weeks)
c. ______________________________________________
palpates
d. Examiner _________________ fetal movement / outline
51
, 2. Probable/Presumptive signs of pregnancy:
Urine
a. All ___________________ scrum
& ______________________
i cervical color change
cervical softening
Cyanosis
b. Chadwick’s Sign ________________________________
c. Goodell’s Sign __________________________________
Uterine softening
d. Hegar’s Sign ___________________________________
E. Pattern of Office Visits
28
1. Once a month until week _________________
30
2. Once every two weeks until week __________
I Week 42
3. Once a week until delivery ________________
F. Discomforts of Pregnancy (see Review Question Book)
Discomfort Trimester(s) Treatment
dry carbs before
Morning
Sickness ISt getting out of bed
Urinary 1st+ 3rd. Void every 2 hours
Incontinence
Dyspnea tripod position
2nd Grd
+
(sit on edge of chair,
spread legs, lean over)
tilt exercises
Back Pain
2nd + grd pelvic
52
I. Pregnancy
A. Nagele’s Rule: Calculating EDC/EDD:
1st
Take the _________day of the menstrual period (LMP)
3 months
Subtract ________________________________________________
7 days
Add_____________________________________________
B. Weight Gain During Pregnancy
28Ibs +1-31bs (25-311bs)
1. Total weight gain ____________________________________
1 In each month
2. 1st Trimester weight gain ______________________________
approx. 1Ib each week
3. 2nd/3rd Trimester weight gain ___________________________
4. How do you calculate?
Weeks 12 13 14 15 16 17 18 19 20 30 40
Pounds 345678910 11 2131
week 9 = answer
C. Fundal Height – Landmarks
12
1. Fundus is not palpable until week _______________________
22
2. Fundus typically reaches the umbilical level at week---________
D. Signs of Pregnancy:
1. Positive Signs of pregnancy:
↓ ray
a. Fetal skeleton on _______________________________
ultrasound
b. Fetal presence on _______________________________
fetal heart tones 10-10 weeks)
c. ______________________________________________
palpates
d. Examiner _________________ fetal movement / outline
51
, 2. Probable/Presumptive signs of pregnancy:
Urine
a. All ___________________ scrum
& ______________________
i cervical color change
cervical softening
Cyanosis
b. Chadwick’s Sign ________________________________
c. Goodell’s Sign __________________________________
Uterine softening
d. Hegar’s Sign ___________________________________
E. Pattern of Office Visits
28
1. Once a month until week _________________
30
2. Once every two weeks until week __________
I Week 42
3. Once a week until delivery ________________
F. Discomforts of Pregnancy (see Review Question Book)
Discomfort Trimester(s) Treatment
dry carbs before
Morning
Sickness ISt getting out of bed
Urinary 1st+ 3rd. Void every 2 hours
Incontinence
Dyspnea tripod position
2nd Grd
+
(sit on edge of chair,
spread legs, lean over)
tilt exercises
Back Pain
2nd + grd pelvic
52
