Correct Answers
What is gravida?
Total number of pregnancies
What is para?
Total number of viable pregnancies (at lease 20 weeks gestation)
Describe Naegele's Rule?
Used to determine the expected date of delivery (EDD)
How is the EDD determined?
Naegele's Rule:
(First day of last period+ 7 days) - 3 months
What are the signs of pregnancy?
Presumptive, Probable, Positive
What is a presumptive sign of pregnancy?
N&V, breast changes, fatigue, urinary frequency
What is a probable sign of pregnancy?
Goodell's sign, Chadwick's sign, Hegar's sign, positive pregnancy test
What is a positive sign of pregnancy?
Hearing fetal heart tones (12 wks), Visualization of the fetus (4 wks), palpating fetal movement, and
visualizing fetal movements: Ultrasound (18 wks)
What are the effects of pregnancy on the cardiovascular system?
There is extra fluid on board so the CO increases 10%-50%. The heart rate increases 10-15 bpm
What is asked/done in first GYN appt?
-Pap smear
-STD's
-Were they on birth control or antibiotics?
-Currently taking any medications?
-Currently using tobacco, alcohol, or illegal drugs?
- Ask about resources (social, financial)
-Any previous pregnancies
How much should caffeine be decreased to?
1-2 servings a day
What foods are rich in iron?
, -Red meat
-Dark leafy greens
-Beans
-Poultry
What are ways in which the mother can avoid heartburn?
-Good posture
-Avoid spicy foods
-Eat small meals
At how many weeks can you see the fetus on an ultrasound?
6 weeks
What is the "mask of pregnancy" called?
Cholasma
What is linea nigra?
a hyperpigmented line on the abdomen from the symphysis pubis to the top of the fundus
What are stretch marks called?
Striae gravidarum
What are respiratory changes in the mother?
-Nasal congestion/ nose bleeding due to elevated estrogen levels
-RR increases
What are ways to help nausea and vomiting?
-Vitamin b6
- Ginger
-Eat dry carbs first thing upon rising
-Eat small frequent meals
-Good posture
By what week should nausea and vomiting be gone?
Week 14
What is the effect of prolactin on the body?
Milk production
What is the effect of Estrogen on the body?
Purpose is for growth of the fetus
-Increase blood flow to the uterus
-Softens the cervix
-Develops the breast in prep for lactation
What is the effect of Progesterone on the body?