NUR 201 Final 1
- Mouth/ breathing
Answer Cicumoral cyanosis? Periodic breathing
- Presumptive signs of pregnancy ( what mom reports)
Answer No periods Nausea and vomiting
Fatigue Increased urination Breast changes Quickening (fluttering sensation when mom feels baby move ) Increased pigmentation
- Probable signs of pregnancy ( what doctor sees)
Answer Positive pregnancy test Enlarged Abdomen
Hegar's sign ( Softening of the Uterus) Chadwick's sign ( Bluish vagina ) Goodell's sign ( Softening of the cervical lip ) Ballottement ( upward push against uterine wall with finger to feel fetus rebound) Palpable Fetal outline Braxton-hicks contractions
- Positive signs of Pregnancy
Answer FHT ( fetal heart tones) Fetal Movement- felt by the examiner
Fetal sonography ( ultrasound- mom must have a full bladder)
- Pelvic Exam
Answer Pap Smear Bimanual exam 1 / 4
- Lab tests
Answer Rh + or -
rubella titer if negative titer ( <1
Answer 10) given immunization within 6 weeks after delivery VDRL/RPR
CBC UA
Hepatitis B screen T.B. skin test HIV screen
- Pregnancy test
Answer RIA + 6 days before missed period Hemagglutination Inhibition Test
Latex agglutination test
- 4-10 days after missed period with hemagglutination and latex agglutination
8. EDC
Answer Naegele's rule (LMP-3 months) + 7 days
- Assessment ( Initial visit)
Answer Schedule prenatal visits vitals
UA
Weight Height of fungus FHT History and physical Obstetric history para gravida
- Respiratory signs of pregnancy 2 / 4
Answer Increased Tidal Volume Increased O2 Consumption
Elevated Diaphragm Nasal stuffiness Epistaxis
- Breast signs of pregnancy
Answer Increased Brest size Heaviness
Tingling Fullness Darkening of Nipple Thin watery secretion
- Gastrointestinal signs of pregnancy
Answer Pregnancy Gingivitis Increased saliva
Decreased gastric acidity Nausea and vomiting Decreased tone and Mobility of smooth muscles Hemorrhoids and constipation Decreased emptying of the gallbladder
- Vagina Signs of Pregnancy
Answer Estrogen influence Hypertrophy
Hyperplasia of Lining Increased thick white secretions
- Integumentary (skin) changes of Pregnancy
Answer Increased skin pigmentation Facial mask
Acne Vulgaris Dermatitis Vascular Spider Nevi ABD- Stretch Marks Linea Nigra
- Nutrition signs of pregnancy 3 / 4
Answer Normal wt gain 20-30 lbs. Balanced diet
Increased Folic Acid and Iron
Increased caloric intake by 300 cal/day Increased need for water
- musculoskeletal signs of pregnancy
Answer Increased Lumbosacral Curve Altered center of Gravity
Duck waddling gait
- Cardiovascular signs of pregnancy
Answer Increased blood Volume Increased Heart rate
Increased Cardiac Palpitations heart Enlargment Murmurs Pseudoanemia
- Urinary- Renal signs of Pregnancy
Answer Frequency Decreased bladder tone
Decreased renal threshold for Sugar Increased Glomerular Filtration Decreased BUN, Creatinine, Uric Acid
- Uterus signs of pregnancy
Answer Increased size Increased wt.
Increased Fibrous Connective Tissue Braxton Hicks Cervical Softening Mucus Plug
- Endocrine signs of pregnancy
- / 4
Answer