NUR306 OB - PREGNANCY QUESTIONS AND ANSWERS .Buy Quality Materials!

NUR306 OB - PREGNANCY QUESTIONS AND ANSWERS
.Buy Quality Materials!

Presumptive
changes experienced by women that makes them think they are pregnant

- breast changes
- N/V
- polyuria
- fatigue
- amenorrhea = absence of menstruation
- enlarged uterus
Probable
changes that makes the EXAMINER suspect pregnancy

- abn enlargement
- hegar's sign
- chadwick's sign
- goodwell's sign
- pregnancy test
- Ballottement sign
- fetal outline palpated by examiner
- braxton hicks contraction
Hegar's sign
shortening and compressibility of lower uterus
Chadwick's sign
deepened violet-BLUISH color of the cervix and vaginal mucosa
Goodwell's sign
softening of cervical tip at about 6 wks of pregnancy
Braxton Hicks contractions
painless, irregular false contraction that can be relieved by walking
Ballottement
rebound of unengaged fetus
Positive Dx
positive signs that can only be explained through pregnancy

- fetal heart sounds
- visualization of fetus to US
- fetal movement palpated by an experienced examiner
How do you ensure you listen to a fetal heart, not the mother?
- check moms pulse while listening to the fetal heart beat and confirm that they don't
match (doesn't have the same beat)