OB Ch. 11: maternal adaptation to pregnancy

Question 1

Presumptive Signs of Pregnancy

Answer 1

are signs that mother can perceive
-breast tenderness (4 weeks)
-N/V (4-14 weeks)
-amenorrhea (4 weeks)
-breast enlargement (6 weeks)
-urinary frequency (6-12 weeks)
-uterine enlargement (7-12 weeks)
-fatigue (12 weeks)
-hyperpigmentation of skin (16 weeks)
-fetal movements/quickening (16-20 weeks)

Question 2

Probably signs of pregnancy (objective)

Answer 2

-positive pregnancy test (4-12 weeks)
-goodell sign (5 weeks)
-chadwick sign (6-8 weeks)
-hegar sign (6-12 weeks)
-abdominal enlargement (14 weeks)
-ballottement (16-28 weeks)
-braxton hicks contractions (16-28 weeks)

Question 3

goodell sign

Answer 3

-5 weeks
-probable sign
-softening of cervix

Question 4

chadwick sign

Answer 4

-6 to 8 weeks
-probable sign
-blueish purplish coloration of vaginal mucosa and cervix

Question 5

hegar sign

Answer 5

-6 to 12 weeks
-probable sign
-softening of lower uterine segment or ithsmus

Question 6

ballottement

Answer 6

-16 to 28 weeks
-probable sign
-examiner pushes against woman’s cervix during pelvic exam and head of baby goes up and lands on the fingers of examiner

Question 7

positive signs of pregnancy

Answer 7

-ultrasound verification (4-6 weeks)
-auscultation of fetal heart tones via doppler (10-12 weeks)
-fetal movement experienced by clinician (20 weeks)