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Nursing 101 - Exam #2 > Pregnancy > Flashcards

Flashcards in Pregnancy Deck (37):
1

What 3 transitional categories can be applied to pregnancy? describe or give examples

1. situational - teen pregnancy

2. developmental - pre-planned & desired, unexpected, or undesired but age appropriate

3. health & illness - gestational diabetes

2

What are some reactions to pregnancy?

stress, anxiety, irreversible, confused, distressed

3

What types of things will change once you become a parent?

roles and relationships (self, family, friends)

increased responsibility (financial)

4

What directly influences the success of the transition of pregnancy?

the planning and acceptance

5

What are subjective signs of pregnancy? and give examples

signs described by woman

amenorhea (absence of menstrual cycle)
nausea & vomitting
fatigue
frequency of going to the bathroom
breast changes
quickening

6

What are objective signs of pregnancy?

these can be documented by the examiner but not as reliable as a diagnostic sign

7

What is Goodell's sign?

softening of the cervix

8

What is Chadwick's sign?

bluish/red cervix, vagina & vulva

9

What is Hegar's sign?

softening of lower segment of uterus

10

What is McDonald's sign?

flexing body of the uterus

11

What is Braxton Hicks?

tightening of the uterus & abdomen

12

What is meant by a uterine souffle?

blood flowing through the placenta and cord

13

What is ballottement?

when 2 fingers inserted into vagina and examiner can feel fetal head and able to push it up and it bounces back

14

What hormone does a pregnancy test look for?

Hcg hormone

15

What are some diagnostic signs of pregnancy?

1. fetal heart rate heard (doppler @ 10-12 weeks)
2. fetal movement by examiner at 20-24 weeks
3. visualization by ultrasound @ 4-5 weeks
4. confirmation of pregnancy by doctor or midwife

16

What is the rule that is used to determine the expected due date?

Nagele's rule

17

How does Nagele's rule work?

1st day of LMP - 3 months + 7days = EDD

18

What is prenatal care?

care given by doctor or midwife

19

Describe the different stages of prenatal care

1. every 4 weeks until 28 weeks

2. every 2 weeks until 36 weeks

3. every week until birth

20

Why is prenatal care important?

early diagnosis of abnormalities
provide information / resources / referrals

21

What are 3 things the doctor is assessing the pregnant woman for during the prenatal visits?

1. psychosocial
2. social support
3. physicial assessment

22

What is the weight gain for an average pregnant woman?

25-35 lbs

23

Breakdown the weight gain over the 3 trimesters

1. 3-5 lbs
2. 12-15 lbs
3. 12-15 lbs

24

In a routine urine test what do you not want to see?

protein and glucose

25

What is the abdominal assessment looking for? where are measurements taken?

that baby is growing as it should

measures from pubis to top of fundas

26

How long is the measurement of the abdomen good for? Why?

up to 34 weeks
after 34 weeks they baby will drop and the measurement will not be accurate

27

What is the fetal heart rate assessment looking for?

the fetal heart rate decreases as the baby gets older

28

When does the internal exam happen in prenatal care?

at the first visit and then not until 3rd trimester

29

Why should the blood pressure be taken before pregnancy?

this can then give the doctors a baseline to go from

30

What is a sign of swelling in a pregnant woman?

sign that mom is getting sick

31

What might a doctor be looking for in a breast assessment?

if nipples are outward so baby can latch on in breastfeeding

32

When is hemoglobin tested in pregnancy?

1st and 3rd trimester

33

What does a triple screen test for and when is it done?

completed at 15 weeks
tests for downs syndrome, neural tube defect
quite often false

34

What does the nuchal translucency test for and how is it performed?

it is a test performed through ultrasound and measures the thickness of fetal neck

may detect downs, cardiac anomalies and chromosomal anomalies

35

What is the glucose screening test looking for and when is it done?

completed at 24-28 weeks
detects gestational diabetes

36

When bloods tests are performed what things are they looking for in the blood type?

Rh negative and ABO incompatibility

37

How is the group B strep test performed and when?

completed at 35-37 weeks through a vaginal swab