NUR 230 Exam 1 Maternity Review | Actual verified Study
complete Solutions | A+ Graded | Spring 2026 | 100%
correct
Exam 1 review
Presumptive (SHE/HE SAY)
Amenorrhea: No period
Fatigue
N/V
Breast tenderness: Burning
Urinary frequency
Quickening: Fetal movement
Probable
LOW Heager’s sign – lower uterine segment softens: 6-12 weeks
SOFT Goodell’s sign- cervical softening
BLUE Chadwick’s signs- bluish discoloration of vagina, cervix
Positive pregnancy test: 4-12 weeks
Braxton hicks’ contraction or ballottement: 16-28 weeks, baby bounces in cervix (passive
movement)
Positive (HEAR SEE FEEL)
Hearing fetal heart tones: 6 weeks
Visualization of the fetus: 5-6 weeks
Palpation of fetal movement by examiner: 19-22 weeks
,BP stays the same during pregnancy** slight or no increase**
Mom never on her back*** *VENA CAVA SYNDROME
Pregnancy terms
Gravida- # of pregnancies
Preterm- 20-37 weeks
Term- 37-40+ weeks
Abortion- any pregnancy that ended prior to 20 weeks.
Living- # of living children.
PRIMA: pregnant or 1
Multigravida: Pregnant and 2
Nutrition
Protein: Beans, Nuts
Iron needs to double, take with VIT C, empty stomach and not with milk
Calcium for babies’ bones: TUMS
Neagle’s Rule
calculating estimated due date (EDD)
1st day of last menstrual period (LMP)
Subtract 3 from month
Add 7 to the day and adjust the year.
Fetal assessment
Fetal heart rate 110-160: First 10-12 weeks
Uterine height should equal gestational ag +/-2Uterine height in cm
Fetal movement: should feel constantly every day after 18 weeks
Cardiac changes: Palpations: HR (increases by 15-20)
Blood volume increases 40-50% result in physiological anemia.
, Cardia output increase 30-50% increased risk for blood clot due to increase in clotting
factors and decrease in circulation.
Possible DVT In low extremities
Multiple gestation causes cardiovascular stress
Increased risk for clotting due to increased clotting factors
Respiratory changes: Slight increase in RR because of HR Increase
oxygen requirements to meet maternal and fetal needs.
Ligaments of rib cage relax
Diaphragm is displaced due to enlarging uterus, chest breathing vs. abdominal
breathing Upper respiratory more vascular: Nasal congestion, epistaxis (nosebleed),
changes in voice. (Upper respiratory infection)
SOB common
Vascular resistance
Integumentary changes:
Linea Nigra: Belly button line
Striae Gravidum: stretch marks
Palmar Erythema: Red palm
Sweating Increased, Increased metabolic rate
Vascular Malformation: spider veins
Renal Changes
Ureters relax
Bladder displacement
Decreased bladder tone
BUN, Creatinine, uric acid
Glucose
Gastrointestinal changes: Everything slows down
complete Solutions | A+ Graded | Spring 2026 | 100%
correct
Exam 1 review
Presumptive (SHE/HE SAY)
Amenorrhea: No period
Fatigue
N/V
Breast tenderness: Burning
Urinary frequency
Quickening: Fetal movement
Probable
LOW Heager’s sign – lower uterine segment softens: 6-12 weeks
SOFT Goodell’s sign- cervical softening
BLUE Chadwick’s signs- bluish discoloration of vagina, cervix
Positive pregnancy test: 4-12 weeks
Braxton hicks’ contraction or ballottement: 16-28 weeks, baby bounces in cervix (passive
movement)
Positive (HEAR SEE FEEL)
Hearing fetal heart tones: 6 weeks
Visualization of the fetus: 5-6 weeks
Palpation of fetal movement by examiner: 19-22 weeks
,BP stays the same during pregnancy** slight or no increase**
Mom never on her back*** *VENA CAVA SYNDROME
Pregnancy terms
Gravida- # of pregnancies
Preterm- 20-37 weeks
Term- 37-40+ weeks
Abortion- any pregnancy that ended prior to 20 weeks.
Living- # of living children.
PRIMA: pregnant or 1
Multigravida: Pregnant and 2
Nutrition
Protein: Beans, Nuts
Iron needs to double, take with VIT C, empty stomach and not with milk
Calcium for babies’ bones: TUMS
Neagle’s Rule
calculating estimated due date (EDD)
1st day of last menstrual period (LMP)
Subtract 3 from month
Add 7 to the day and adjust the year.
Fetal assessment
Fetal heart rate 110-160: First 10-12 weeks
Uterine height should equal gestational ag +/-2Uterine height in cm
Fetal movement: should feel constantly every day after 18 weeks
Cardiac changes: Palpations: HR (increases by 15-20)
Blood volume increases 40-50% result in physiological anemia.
, Cardia output increase 30-50% increased risk for blood clot due to increase in clotting
factors and decrease in circulation.
Possible DVT In low extremities
Multiple gestation causes cardiovascular stress
Increased risk for clotting due to increased clotting factors
Respiratory changes: Slight increase in RR because of HR Increase
oxygen requirements to meet maternal and fetal needs.
Ligaments of rib cage relax
Diaphragm is displaced due to enlarging uterus, chest breathing vs. abdominal
breathing Upper respiratory more vascular: Nasal congestion, epistaxis (nosebleed),
changes in voice. (Upper respiratory infection)
SOB common
Vascular resistance
Integumentary changes:
Linea Nigra: Belly button line
Striae Gravidum: stretch marks
Palmar Erythema: Red palm
Sweating Increased, Increased metabolic rate
Vascular Malformation: spider veins
Renal Changes
Ureters relax
Bladder displacement
Decreased bladder tone
BUN, Creatinine, uric acid
Glucose
Gastrointestinal changes: Everything slows down
