MVU NURS 629 EXAM 4 GUIDE LATEST UPDATED
(A+ EXAM)
Presumptive .signs .of .pregnancy
• Signs .of .symptoms . frequently .reported . with . pregnancy,
. although .not .conclusiv .e .for .pregnancy
• Signs .and .symptoms . that .are .usually . noted . by . the . patient,
. which .impel . her . to . make . an . appointment . with . a . physician.
• These .signs .and .symptoms .are .not .proof .of .pregnancy, .but
.they .will . make . the . physician . and . women . suspicious . of
. pregnancy
o Amenorrhea
o N/V . (morning . . sickness)
o Frequent . Urination
o Breast .Changes
Probable .signs .of .pregnancy
Signs . or . symptoms . that . are . more . reliable . indicators . of
. pregnancy, .often . noted . on . the . physical . examination . or . with . laboratory
. testing
These . signs . include:
.Uterine .changes
.Abdominal
.changes .Cervical
.changes
Basal . body .temperature
Positive .pregnancy .test .by .physician
.Fetal .palpation
Positive .signs .of .pregnancy
Signs . or . symptoms . that . provide . absolute . confirmation . of
. pregnancy .Fetal .heart . sounds
Ultrasound .scanning . of . the
.fetus .Palpation .of .the .entire
.fetus .Palpation .of .fetal
.movements .Actual .delivery .of
.an .infant
Office . Visit . Labs
o ABO . blood . group/Rh . Factor
o CBC
o Rubella . Titer
o Syphillis .Screening
o Hep . B
o UA
o Chlamydia . screen
o HIV .screening
,o Pap . if . indicated . based . on . guidelines
o Answ .er . questions . patients . may . hav .e: . Sexuality . activity, . w .ha
. are
,dangerous .signs .in .pregnancy
, Screening
o Amniocentesis . at . 16 . weeks . is .performed .for .genetic . studies
o Labs
▪ Lab . studies . performed . are . as . follow .s:
▪ CBC, . Hgb . or . Hct . to . detect . ane .mia
▪ VRDL . to . identify . patients . with . untreated . syphilis
▪ Rh .factor, . blood . type-to .determine . if . the
.patient .is . Rh .negative
▪ Rubella . antibody . titer- . to . determine . immunity . to . rubella
▪ Hepatitis . screen . is . done . if . patient . history
. indicated .cause . for .suspicion
o Screen . for . Gestational . Diabetes . with . 1 . hour . glucose . tolerance
. test
▪ If . positive, . order . 3 . hour . glucose . tolerance . test.
Common .signs .and .rules .in .pregnancy
o Chadwick’s . sign: bluish . discoloration . of . the . cervix . and . v .agina
o Goodells’ . sign: .softening . of . the . cervix . and . v .agina .as
.being .usually .indicativ .e .of .pregnancy
o Baxton . Hick . sign: . irregular . contractions . of . the . womb
. (the .uterus) .occurring . tow .ards . the .middle . of .pregnancy
o Hegar’s . sign: . a . softening . of . the . isthmus . of . the . uterine
.cervix . that .occurs . early . in . gestation. . It .is . a . probable
. sign .of .pregnancy
o Leukorrheals-thin, . w .hite, . milky . and . mild
. smelling, .normal . and .nothing .for .you .to .worry
. about.
Fundal . Height
(A+ EXAM)
Presumptive .signs .of .pregnancy
• Signs .of .symptoms . frequently .reported . with . pregnancy,
. although .not .conclusiv .e .for .pregnancy
• Signs .and .symptoms . that .are .usually . noted . by . the . patient,
. which .impel . her . to . make . an . appointment . with . a . physician.
• These .signs .and .symptoms .are .not .proof .of .pregnancy, .but
.they .will . make . the . physician . and . women . suspicious . of
. pregnancy
o Amenorrhea
o N/V . (morning . . sickness)
o Frequent . Urination
o Breast .Changes
Probable .signs .of .pregnancy
Signs . or . symptoms . that . are . more . reliable . indicators . of
. pregnancy, .often . noted . on . the . physical . examination . or . with . laboratory
. testing
These . signs . include:
.Uterine .changes
.Abdominal
.changes .Cervical
.changes
Basal . body .temperature
Positive .pregnancy .test .by .physician
.Fetal .palpation
Positive .signs .of .pregnancy
Signs . or . symptoms . that . provide . absolute . confirmation . of
. pregnancy .Fetal .heart . sounds
Ultrasound .scanning . of . the
.fetus .Palpation .of .the .entire
.fetus .Palpation .of .fetal
.movements .Actual .delivery .of
.an .infant
Office . Visit . Labs
o ABO . blood . group/Rh . Factor
o CBC
o Rubella . Titer
o Syphillis .Screening
o Hep . B
o UA
o Chlamydia . screen
o HIV .screening
,o Pap . if . indicated . based . on . guidelines
o Answ .er . questions . patients . may . hav .e: . Sexuality . activity, . w .ha
. are
,dangerous .signs .in .pregnancy
, Screening
o Amniocentesis . at . 16 . weeks . is .performed .for .genetic . studies
o Labs
▪ Lab . studies . performed . are . as . follow .s:
▪ CBC, . Hgb . or . Hct . to . detect . ane .mia
▪ VRDL . to . identify . patients . with . untreated . syphilis
▪ Rh .factor, . blood . type-to .determine . if . the
.patient .is . Rh .negative
▪ Rubella . antibody . titer- . to . determine . immunity . to . rubella
▪ Hepatitis . screen . is . done . if . patient . history
. indicated .cause . for .suspicion
o Screen . for . Gestational . Diabetes . with . 1 . hour . glucose . tolerance
. test
▪ If . positive, . order . 3 . hour . glucose . tolerance . test.
Common .signs .and .rules .in .pregnancy
o Chadwick’s . sign: bluish . discoloration . of . the . cervix . and . v .agina
o Goodells’ . sign: .softening . of . the . cervix . and . v .agina .as
.being .usually .indicativ .e .of .pregnancy
o Baxton . Hick . sign: . irregular . contractions . of . the . womb
. (the .uterus) .occurring . tow .ards . the .middle . of .pregnancy
o Hegar’s . sign: . a . softening . of . the . isthmus . of . the . uterine
.cervix . that .occurs . early . in . gestation. . It .is . a . probable
. sign .of .pregnancy
o Leukorrheals-thin, . w .hite, . milky . and . mild
. smelling, .normal . and .nothing .for .you .to .worry
. about.
Fundal . Height
