SIGNS OF PREGNANCY

Question 1

What are the 4 POSITIVE SIGNS of PREGNANCY?

Answer 1

1) FETAL SKELETON ON X-RAY
2) FETAL PRESENCE ON ULTRASOUND
3) AUSCULTATION OF THE FETAL HEART RATE (Doppler detecting a Heart Rate of 140 b/min. bet. 8-12 WEEKS)
Starts beating at 5 wks but cannot hear it until 8 WKS.
4) When the EXAMINER PALPATES FETAL MOVEMENT

Question 2

If you see the question: “WHEN WOULD YOU FIRST”, what would you pick? e.g. When would you FIRST auscultate a Fetal Heart

Answer 2

8 WEEKS = If you see “FIRST” - Pick the EARLIEST part of the Range

Question 3

If you see a question: “WHEN IS IT MOST LIKELY”, what would you pick? e.g. When would you MOST LIKELY auscultate a Fetal Heart

Answer 3

10 WEEKS = “MOST LIKELY” - Pick the MIDPOINT of the Range

Question 4

If you a question: “WHEN SHOULD YOU BY”, what would you pick? e.g. WHEN SHOULD YOU auscultate a Fetal Heart BY

Answer 4

12 WEEKS = “SHOULD BY” - pick the END part of the Range

Question 5

When is QUICKENING? (1ST kick of the Fetus)

Answer 5

16-20 WEEKS

Question 6

When WOULD YOU FIRST feel QUICKENING?

Answer 6

16th week

Question 7

When would you MOST LIKELY feel QUICKENING?

Answer 7

18th week

Question 8

When SHOULD YOU feel QUICKENING BY?

Answer 8

20th week

Question 9

What is NOT count as POSITIVE SIGN of Pregnancy?

Answer 9

When MOM DOES

Question 10

What are the PROBABLE & PRESUMPTIVE SIGNS OF PREGNANCY?

Answer 10

a) ALL URINE & BLOOD TEST
b) CHADWICK’S SIGN = Cervical Color Change to Cyanosis (& so is the vagina)
GOODELL’S SIGN = is a Cervical Softening
HEGAR’S SIGN = is a Uterine Softening
(goes inorder alphabetically)

Question 11

What are the PATTERNS OF OFFICE VISIT to have a good PRENATAL CARE & how OFTEN they should COME?

Answer 11

ONCE a MONTH until WEEK 28th (whole 1st & 2nd Trimester & even into the 3rd Trimester)
ONCE EVERY 2 WEEKS - WEEK 28TH - 36TH
ONCE A WEEK -until DELIVERY or WEEK 42ND
WEEK 42ND VISIT - woman will know if C-SECTION or INDUCTION delivery

Question 12

What should you teach the Pregnant Woman about the HEMOGLOBIN?

Answer 12

Hemoglobin will DECREASE (1st Trimester = 11g is normal; 2nd Trimester = 10.5g is still normal; 3rd Trimester = 10 still normal)
(10.1g in 37th wk is normal. Acceptably low could be as low as 9g)

Question 13

How would you treat MORNING SICKNESS?

Answer 13

Give DRY CARBOHYDRATES (crackers) before getting out of bed (1st Trimester)

Question 14

How do you deal with INCONTINENCE which is a 1ST and 3RD TRIMESTER Problem?

Answer 14

Because the baby is DOWN ON the BLADDER on the 1st and 3rd Trimester, Encourage to VOID atleast every 2 HOURS from the day she got Pregnant until 6 WEEKS AFTER DELIVERY

Question 15

Why do you NOT get a URINARY INCONTINENCE in the 2ND TRIMESTER?

Answer 15

Because the BABY is at the ABDOMINAL PREGNANCY, up high OFF the BLADDER

Question 16

How do you treat DIFFICULTY BREATHING which is a 2ND and 3RD TRIMESTER problem?

Answer 16

Teach Woman TRIPOD POSITION (Feet flat, arms on the table/knee, leaning forward)
(can be seen with COPD clients)

Question 17

How do you treat BACK PAIN in 2ND and 3RD TRIMESTER?

Answer 17

Teach PELVIC-TILT EXERCISES. (Tilt Pelvis forward or putting foot on a stool that tilts the pelvis forward)