What are the 4 POSITIVE SIGNS of PREGNANCY?
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
If you see the question: “WHEN WOULD YOU FIRST”, what would you pick? e.g. When would you FIRST auscultate a Fetal Heart
8 WEEKS = If you see “FIRST” - Pick the EARLIEST part of the Range
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
10 WEEKS = “MOST LIKELY” - Pick the MIDPOINT of the Range
If you a question: “WHEN SHOULD YOU BY”, what would you pick? e.g. WHEN SHOULD YOU auscultate a Fetal Heart BY
12 WEEKS = “SHOULD BY” - pick the END part of the Range
When is QUICKENING? (1ST kick of the Fetus)
When WOULD YOU FIRST feel QUICKENING?
When would you MOST LIKELY feel QUICKENING?
When SHOULD YOU feel QUICKENING BY?
What is NOT count as POSITIVE SIGN of Pregnancy?
When MOM DOES
What are the PROBABLE & PRESUMPTIVE SIGNS OF PREGNANCY?
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)
What are the PATTERNS OF OFFICE VISIT to have a good PRENATAL CARE & how OFTEN they should COME?
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
What should you teach the Pregnant Woman about the HEMOGLOBIN?
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)
How would you treat MORNING SICKNESS?
Give DRY CARBOHYDRATES (crackers) before getting out of bed (1st Trimester)
How do you deal with INCONTINENCE which is a 1ST and 3RD TRIMESTER Problem?
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
Why do you NOT get a URINARY INCONTINENCE in the 2ND TRIMESTER?
Because the BABY is at the ABDOMINAL PREGNANCY, up high OFF the BLADDER
How do you treat DIFFICULTY BREATHING which is a 2ND and 3RD TRIMESTER problem?
Teach Woman TRIPOD POSITION (Feet flat, arms on the table/knee, leaning forward)
(can be seen with COPD clients)
How do you treat BACK PAIN in 2ND and 3RD TRIMESTER?
Teach PELVIC-TILT EXERCISES. (Tilt Pelvis forward or putting foot on a stool that tilts the pelvis forward)