NSG 3500 TEST QUESTIONSAND ANSWERS A+
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Presumptive sings (subjective)
· Amenorrhea
· Fatigue
· N/V
· Breast tenderness
· Polyuria
· Quickening (butterflies)
· Stria gravidium (stretch marks)
Probable signs of pregnancy
· Abdominal enlargement
· Piskacek's sign (uterine asymmetry with a soft prominence on implantation side)
· Hegar's sign (softening of lower uterine segment)
· Goodell's sign (softening of cervix)
· Chadwick's sign (blue color of vaginal and cervix)
· Braxton Hicks (intermittent uterine contractions)
· Positive pregnancy test
· Ballottement (doctor uses finger in cervix and moves baby like a balloon, up then
down)
Hegar's sign
softening of lower uterine segment
Goodell's sign
softening of cervix
Chadwick's sign
blue color of vaginal and cervical mucosa
Braxton Hicks
intermittent uterine contractions
Balottement
doctor uses finger in cervix and moves baby like a balloon, up and down
Positive signs of pregnancy
· Fetal heartbeat by doppler
· Fetus on ultrasound
· Fetal movements palpated by qualified examiner (leopolds)
Naegele's rule
LMP + 7 days + 9 months
OR
LMP + 7 days - 3 months plus 1 year
Fundal Height
• From symphysis pubis to fundus, centimeters, if more than + or - 2 from actual weeks
= problem
Estrogen
Enlarges (breast tissue, uterine tissue, uterine contractility)
, Progesterone
Decreases (GI tract, relaxes uterus); Increase blood flow
Early term
37 weeks to 38.6 weeks
Full term
39 weeks to 40.6 weeks
Late term
41 weeks to 41.6 weeks
Post term
after 42 weeks
Chloasma
dark blotchy pigmentation of face
Linea nigra
vertical line down belly
stria gravidarum
stretch marks
Ptyalism
excessive salivation
NEVER LAY FLAT ON BACK, TURN ON LEFT SIDE
= VENA CAVA SYNDROME
Couvade syndrome
father experiences maternal signs and symptoms
Prenatal appointments
every 4 weeks up to 32 weeks; Q2wks up to 36 weeks; Weekly 36 weeks to delivery
GTPAL
G- # of pregnancies
T- # to term 37 weeks +
P- 20-36.6 weeks
A- Abortion (< 20 weeks)
L- living
hCG
presence indicates pregnancy, keeps corpus luteum functioning and progesterone high
MMR/Varicella
DO NOT GIVE VARICELLA OR RUBELLA IN PRGNANT WOMEN, if no antibodies,
give before or after pregnancy
Caloric intake during pregnancy
2nd and 3rd trimester- calories increase by 300 calories a day
Important supplements
Folic acid 400mcg/day, prenatal vitamins, vitamin C
Folic Acid rich foods
Eggs, dark leafy greens, asparagus, broccoli, citrus fruits, beans, peas, lentils, okra,
avocado
RECOMMENDED WEIGHT GAIN during pregnancy: Underweight
28-40 lbs
RECOMMENDED WEIGHT GAIN during pregnancy: Normal weight
25-35 lbs
GRADED.Buy Quality Materials!
Presumptive sings (subjective)
· Amenorrhea
· Fatigue
· N/V
· Breast tenderness
· Polyuria
· Quickening (butterflies)
· Stria gravidium (stretch marks)
Probable signs of pregnancy
· Abdominal enlargement
· Piskacek's sign (uterine asymmetry with a soft prominence on implantation side)
· Hegar's sign (softening of lower uterine segment)
· Goodell's sign (softening of cervix)
· Chadwick's sign (blue color of vaginal and cervix)
· Braxton Hicks (intermittent uterine contractions)
· Positive pregnancy test
· Ballottement (doctor uses finger in cervix and moves baby like a balloon, up then
down)
Hegar's sign
softening of lower uterine segment
Goodell's sign
softening of cervix
Chadwick's sign
blue color of vaginal and cervical mucosa
Braxton Hicks
intermittent uterine contractions
Balottement
doctor uses finger in cervix and moves baby like a balloon, up and down
Positive signs of pregnancy
· Fetal heartbeat by doppler
· Fetus on ultrasound
· Fetal movements palpated by qualified examiner (leopolds)
Naegele's rule
LMP + 7 days + 9 months
OR
LMP + 7 days - 3 months plus 1 year
Fundal Height
• From symphysis pubis to fundus, centimeters, if more than + or - 2 from actual weeks
= problem
Estrogen
Enlarges (breast tissue, uterine tissue, uterine contractility)
, Progesterone
Decreases (GI tract, relaxes uterus); Increase blood flow
Early term
37 weeks to 38.6 weeks
Full term
39 weeks to 40.6 weeks
Late term
41 weeks to 41.6 weeks
Post term
after 42 weeks
Chloasma
dark blotchy pigmentation of face
Linea nigra
vertical line down belly
stria gravidarum
stretch marks
Ptyalism
excessive salivation
NEVER LAY FLAT ON BACK, TURN ON LEFT SIDE
= VENA CAVA SYNDROME
Couvade syndrome
father experiences maternal signs and symptoms
Prenatal appointments
every 4 weeks up to 32 weeks; Q2wks up to 36 weeks; Weekly 36 weeks to delivery
GTPAL
G- # of pregnancies
T- # to term 37 weeks +
P- 20-36.6 weeks
A- Abortion (< 20 weeks)
L- living
hCG
presence indicates pregnancy, keeps corpus luteum functioning and progesterone high
MMR/Varicella
DO NOT GIVE VARICELLA OR RUBELLA IN PRGNANT WOMEN, if no antibodies,
give before or after pregnancy
Caloric intake during pregnancy
2nd and 3rd trimester- calories increase by 300 calories a day
Important supplements
Folic acid 400mcg/day, prenatal vitamins, vitamin C
Folic Acid rich foods
Eggs, dark leafy greens, asparagus, broccoli, citrus fruits, beans, peas, lentils, okra,
avocado
RECOMMENDED WEIGHT GAIN during pregnancy: Underweight
28-40 lbs
RECOMMENDED WEIGHT GAIN during pregnancy: Normal weight
25-35 lbs
