NUR 254 Exam 7
- Presumtive signs of pregnancy
Answer
SUBJECTIVE
-Nausea/vomiting -amenorrhea -breast changes -fatigue -urinary frequency -quickening (fetal movement)
- Probable signs of pregnancy
Answer
EXAMINER OBJECTIVE FINDING
-Hegar's sign -Goodell's sign -Chadwick's sign -Positive pregnancy test -Braxton hicks contractions -Ballotment
- Hegar's sign
Answer softening of the lower uterine segment
- Goodell's sign
Answer softening of the cervix
- Chadwick's sign 1 / 3
Answer Bluish-purple coloration of the vaginal mucosa and cervix
- ballotment
Answer Rebounding of the fetus against the examiner's finger on palpation. When the examiner taps the cervix, the fetus floats upward in the amniotic fluid.
- Positive signs of pregnancy
Answer -hearing fetal heart sounds
-Visualization of the fetus -feeling of fetal movement by examiner
- Gravida
Answer total number of pregnancies
- Para
Answer number of pregnancies 20 weeks or >
- Term
Answer 37-40+ weeks (posterm 42+ weeks)
- Preterm
Answer 20-36 6/7 weeks
- Abortion
Answer 2 / 3
prior to 20 weeks
- Living
Answer Number of living children
- Naegle's rule - estimate due date
Answer LMP - 3 months + 7 days
- Fetal Assessment
Answer -10-12 weeks
Fetal heart rate ( 110-160)
-20 weeks
Uterine height (symphysis pubis to the top of the fundus in cm should equal gestational age +/- 2)
-20 weeks
Fetal movement (once mother feels fetal movement, should feel fetal movement every day increasingly)
- Cardiac changes in pregnancy
Answer -Increased blood volume (40-50%)
***results in physiological anemia
-Increased cardiac output (30-50%)
- / 3