Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

OB > 12. Prenatal > Flashcards

12. Prenatal Flashcards

(50 cards)

Start Studying
1
Q

Three categories of pregnancy signs

A

Presumptive
Probable
Positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define “Presumptive” signs of pregnancy

A

Subjective changes felt by the woman – not diagnostic (least reliable)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define “Probable” signs of pregnancy

A

Signs, symptoms and/or changes that can be observed by an examiner. – Not diagnostic (but more reliable)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define “Positive” signs of pregnancy

A

Signs that cannot be attributed to anything but pregnancy– Diagnostic.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Presumptive signs and symptoms (6)

A
  • Amenorrhea
  • Fatigue
  • Nausea and vomiting
  • Breast changes
  • Urinary Frequency
  • Quickening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Breast changes with pregnancy (Presumptive - 3)

A

o Tingling
o Heaviness
o Tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Four characteristics of “Quickening”

A

o The feeling of fetal movement
o Often described as a “fluttering”
o Difficult to distinguish between fetal movements and peristalsis
o Occurs at 16-20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Probable Signs and Symptoms (8)

don’t memorize

A
  • Pregnancy Tests
  • Chadwick’s Sign
  • Goodell’s Sign
  • Hegar’s Sign
  • Ballottment
  • Enlarged abdomen (uterine)
  • Braxton Hicks Contractions
  • Pigment changes – vagina, cervix
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pregnancy Tests – Accuracy

A

o 95-98% accurate. It is possible (but not likely) to have a false positive
o After a terminated pregnancy, your hCG levels remain elevated for a short time. (False +)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Chadwick’s Sign

A

o Blue-purple discloration of the cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Goodell’s Sign

A

o Softening of the cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hegar’s Sign (including when)

A

o Softening and compressibility of the lower uterine segment (isthmus) after 6 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Ballottment

A

o Palpate fetal body part and it “bounces back” to examiner’s hand when cervix is tapped (16-18 weeks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Positive signs of pregnancy (3)

A
  • FHT (Fetal Heart Tones)
  • Visualization of fetus – Ultrasound
  • Palpating fetal movements – Felt by the examiner
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Serum Pregnancy Tests:
• Test for ______
• Type
• ___ days after conception

A
  • Beta hCG
  • Quantitative
  • (+) by 6-11 days after conception
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Urine Pregnancy Tests:
• Test for ______
• Type
• ___ days after conception

A
  • hCG
  • Qualitative
  • (+) by 17-25 days after conception
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Other possible causes of Amenorrhea (5)

A
  • Emotional stress
  • Strenuous physical exercise • • Endocrine problems
  • Chronic disease
  • Early menopause
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Other possible causes of Nausea and Vomiting (3)

A
  • GI virus
  • Food poisoning
  • Emotional stress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Other possible causes of Fatigue (3)

A
  • Illness
  • Stress
  • Sudden changes in lifestyle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Other possible causes of Urinary Frequency

A

• UTIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Other possible causes of Breast and Skin changes (2)

Study These Flashcards
A
  • Premenstrual changes

* Use of oral contraceptives

22
Q

Other possible causes of Vaginal / Cervical Color changes (2)

Study These Flashcards
A
  • Infection

* Hormonal imbalance

23
Q

Other possible causes of Quickening (3)

Study These Flashcards
A
  • Abdominal gas
  • Peristalsis
  • Pseudocyesis
24
Q

Other possible causes of Abdominal enlargement

Study These Flashcards
A

• Abdominal or uterine tumors

25
Other possible causes of Cervical Softening (2)
* Infection | * Hormonal imbalance
26
Other possible causes of Ballottment
• Uterine or cervical polyps
27
Other possible causes of Braxton Hicks contractions
• Leiomyomas
28
Other possible causes of Palpation of fetal outline
• Leiomyomas (large ones may feel like fetal head, small soft ones may feel like other parts of fetus
29
Other possible causes of positive pregnancy tests (4)
``` THINGS THAT PRODUCE hCG: • Certain medications • Premature menopause • Blood in urine • Malignant tumors ```
30
Other possible causes of auscultation of fetal heart sounds
None. This is a positive sign.
31
Other possible causes of Fetal movements.
None. This is a positive sign.
32
Other possible causes of visualization of embryo or fetus.
None. This is a positive sign.
33
Pseudocyesis (def)
False pregnancy
34
Leiomyomas (def)
Soft uterine fibroids
35
How to document gravidy and parity
``` Gravidy Parity • Term • Preterm • Abortions • Living ```
36
Gravidy (def)
Number of pregnancies, regardless of outcome
37
Parity (def) - when documenting G/P
Number of times a woman gives birth beyond 20 weeks
38
Term (def)- when documenting G/P
Number of births after 37 weeks
39
Preterm (def)- when documenting G/P
Number of births before 37 weeks
40
Abortions (def) - when documenting G/P * Def * Two types
Pregnancies ending before 20 weeks • SAB = Spontaneous • VTOP = Voluntary
41
Living (def) - when documenting G/P
Children currently living
42
Components of the physical exam on 1st prenatal visit (5)
* Blood pressure * Height and weight * Urine dip (glucose, protein) * Head to toe exam * Pelvic exam
43
Nägele’s Rule (def)
Used to determine "due date" based on a woman with a "normal" cycle of approximately 28 days
44
Other ways of saying "due date" (medical - 3)
* Estimated date of birth (EDB) * Estimated date of delivery (EDD) * Estimated date of confinement (EDC)
45
How to calculate EDD using Nägele’s Rule
* First day of LMP * + 7 days * - 3 months * SUBTRACT A YEAR
46
Frequency of prenatal visits (three breakdowns)
* Before 28 weeks: Q 4 weeks * 28 – 36 weeks: Q 2 weeks * Week 36- Birth: Q 1 week * Can be more frequent if there are complications, questions or concerns
47
What is included in prenatal follow-up visits (7 things - don't memorize)
* BP, Height and weight * Urine dip stick * Abdominal exam * Patient ed: Danger sxs to report to provider immediately * Patient ed: Sxs of pre-term labor * Complaints * 3rd trimester: Discuss preparation and readiness for birth
48
What is included in a prenatal abdominal exam? (4)
* Fundal height * Fetal heart tone * Leopold’s Maneuvers * Fetal movement
49
10 sxs to report to provider immediately during pregnancy | don't memorize necessarily
* Vaginal bleeding * Alteration in fetal movements * Rupture of membranes * Visual disturbances * Swelling of face or hands * Severe headache * Epigastric pain * Fever or chills * Contractions that increase in frequency or duration prior to 37 weeks * Persistant vomiting
50
Four steps to Leopold's Maneuver
1) Determine what fetal part is in the fundus 2) Determine location of small parts (feet, hands) 3) Determine what fetal part is presenting 4) Is there engagement?

OB (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions