Maternity Nursing
time periods for trimester - answerfirst trimester:
week 1 - week 13 [+ 12]
second trimester
week 14 - week 26 [+12]
third trimester
week 27 - week 40
presumptive signs of pregnancy
-presumptive = assumptive - answeramenorrhea
nausea and vomiting
breast tenderness [excessive hormone]
*urinary frequency* - maybe the one of first signs
what hormone causes amenorrhea? - answerprogesterone
probable signs of pregnancy - answer-positive pregnancy test - test high hcg (hCG level)
-Chadwick's sign
-Braxton Hick contraction
-Goodwell's sign
-Hegar's sign
-uterine enlargement
,skin pigment changes:
-linea nigra [middle dark line]
-abdominal striae [stretch mark]
-darkening on aerola [around nipples]
-facial chloasma [mask of pregnancy]
what else can cause high hcg level leads to positive pregnancy test - answerdrugs
and hydatidiform mole
chadwick's sign - answerbruising on cervix and vaginal mucosa
-week 4
Hegar's sign - answersoftening of the lower uterine segments
second and third month
Goodwell's sign - answersoftening of cervix
-second month
Braxton Hick contraction - answerthrough pregnancy
move blood flow to placenta
positive pregnancy signs - answer-fetal heartbeat: 10 - 12 months
-fetascope: 17 -20 months
-*nurse* feels fetal movement
-ultrasounds
, GTPAL - answerG: gravidity
how many times that a woman is pregnant
T: term > 37 weeks
P: Preterm < 37 weeks
A: abortion: including spontaneously and selective
L: living children
TPAL = parity
parity = fetus make it beyond 20 weeks, including 20 weeks
viability - answerfetus make it beyond 20 weeks, not including 20 week, is considered viable,
also means fetus has the ability living outside of womb
Naegela's rule to calculate estimate due date - answerlast date of menstrual date + 7 days - 3
months + 1 year
or Yixi's thinking easier way
last date of menstrual date + 9 months + 7 days
nutrition requirement for pregnant women for *first trimester* - answer-4 food groups
-increase calories by 300 kcal for adults pregnancy, increase calories by 500 kcal for
*adolescent* pregnancy
-increase protein to 60 grams per day
expected weight gain for first trimester - answer4 pounds
time periods for trimester - answerfirst trimester:
week 1 - week 13 [+ 12]
second trimester
week 14 - week 26 [+12]
third trimester
week 27 - week 40
presumptive signs of pregnancy
-presumptive = assumptive - answeramenorrhea
nausea and vomiting
breast tenderness [excessive hormone]
*urinary frequency* - maybe the one of first signs
what hormone causes amenorrhea? - answerprogesterone
probable signs of pregnancy - answer-positive pregnancy test - test high hcg (hCG level)
-Chadwick's sign
-Braxton Hick contraction
-Goodwell's sign
-Hegar's sign
-uterine enlargement
,skin pigment changes:
-linea nigra [middle dark line]
-abdominal striae [stretch mark]
-darkening on aerola [around nipples]
-facial chloasma [mask of pregnancy]
what else can cause high hcg level leads to positive pregnancy test - answerdrugs
and hydatidiform mole
chadwick's sign - answerbruising on cervix and vaginal mucosa
-week 4
Hegar's sign - answersoftening of the lower uterine segments
second and third month
Goodwell's sign - answersoftening of cervix
-second month
Braxton Hick contraction - answerthrough pregnancy
move blood flow to placenta
positive pregnancy signs - answer-fetal heartbeat: 10 - 12 months
-fetascope: 17 -20 months
-*nurse* feels fetal movement
-ultrasounds
, GTPAL - answerG: gravidity
how many times that a woman is pregnant
T: term > 37 weeks
P: Preterm < 37 weeks
A: abortion: including spontaneously and selective
L: living children
TPAL = parity
parity = fetus make it beyond 20 weeks, including 20 weeks
viability - answerfetus make it beyond 20 weeks, not including 20 week, is considered viable,
also means fetus has the ability living outside of womb
Naegela's rule to calculate estimate due date - answerlast date of menstrual date + 7 days - 3
months + 1 year
or Yixi's thinking easier way
last date of menstrual date + 9 months + 7 days
nutrition requirement for pregnant women for *first trimester* - answer-4 food groups
-increase calories by 300 kcal for adults pregnancy, increase calories by 500 kcal for
*adolescent* pregnancy
-increase protein to 60 grams per day
expected weight gain for first trimester - answer4 pounds
