SAS#7

Question 1

ACCEPTING THE PREGNANCY - “ I am pregnant”

Answer 1

1st Trimester:

Question 2

Sonogram - done between

Answer 2

18 - 22 weeks

Question 3

ACCEPTING THE BABY - “ I am going to have a baby!”

Answer 3

2nd TRIMESTER

Question 4

PREPARING FOR PARENTHOOD - “ I am going to be a mother.”

Answer 4

3rd TRIMESTER

Question 5

Feeling of both pleased and not pleased

Answer 5

Ambivalence

Question 6

Give up or alter the present role

Answer 6

Grief

Question 7

PHYSIOLOGIC CHANGES

Answer 7

1. Presumptive
2. Probable
3. Positive

Question 8

Least indicative of pregnancy & individually may be symptoms of
other conditions
❏ Subjective
❏ Amenorrhea
❏ Nausea and vomiting
❏ Breast Changes
❏ Urinary Frequency
❏ Skin changes: Chloasma, Linea Nigra, Striae Gravidarum
❏ Diaphoresis
❏ Leukorrhea
❏ Weight Gain
❏ Quickening : 18-20th (primipara)
14-16th (multipara)

Answer 8

Presumptive Signs

Question 9

❏ Can be documented by the examiner
❏ Objective
❏ More reliable than presumptive signs but still are not positive
❏ Uterine enlargement
❏ Goodell’s Sign - softening of cervix
❏ Hegar’s Sign- softening of lower uterine segment
❏ Chadwick’s Sign- bluish discoloration
❏ Mcdonald’s Sign - ease in flexing the body of the uterus against cervix
❏ Braxton-Hicks contractions - painless and irregular; relieved by walking
❏ Ballotement - fetal rebound against examination
❏ Positive pregnancy test : HCG

Answer 9

PROBABLE SIGN

Question 10

❏ Fetal parts on palpation by examiner
❏ Fetal skeleton on X-ray (safe from 16 weeks)
❏ Fetal outline on ultrasonography
❏ Fetal Heart Tone is audible
➔ Normal range: 120-160 bpm
➔ FUNIC souffle: sound of blood in the cord
➔ Uterine souffle: NOT a diagnostic sign

Answer 10

POSITIVE SIGNS

Question 11

palpated as a firm globe under the abdominal wall,
under symphysis pubis

Answer 11

12th week:

Question 12

palpated at the level of the umbilicus

Answer 12

20th to 22nd week

Question 13

for primigravida, fetal head settle into the pelvis, uterus
returns to its height at 36 weeks (LIGHTENING)

Answer 13

38th week:

Question 14

Goodell’s Sign
➢ Consistency of non-pregnant uterus:
pregnant uterus:

Answer 14

like the tip of the nose
like the earlobe

Question 15

to seal out bacteria

Answer 15

Operculum

Question 16

plasma
volume increases faster than
RBC’s volume; woman’s body
compensates by producing more
RBC’s making levels near
normal by 2nd trimester

Answer 16

PSEUDOANEMIA

Question 17

Fetus requires __
mg of Fe

Answer 17

350-400

Question 18

Mother has total need of
__ F

Answer 18

800 mg

Question 19

Inadequate Folic Acid
leads to

Answer 19

megalohemoglobinemia &
risk for NTD’s

Question 20

Foods rich in folic acid

Answer 20

Spinach, Asparagus,
Legumes

Question 21

Cardiac output increases by

Answer 21

25-50%

Question 22

Blood volume increases by

Answer 22

30 to 50

Question 23

blood flow to the
lower extremities is impaired by
the pressure of the expanding
uterus on veins and arteries ( peripheral blood flow)

Answer 23

3rd trimester

Question 24

Best position for pregnant

Answer 24

LEFT SIDE-LYING

Question 25

produced by the ovary that decrease gastric motility; helpful because it slows down blood flow to the GIT & increases flow to the uterus

Answer 25

RELAXIN

Question 26

Total body H2O increases to

Answer 26

7.5 ml

Question 27

Increased adrenal activity increases levels of

Answer 27

CORTICOSTEROID & ALDOSTERONE

Question 28

Underweight: <19.8; weight gain must be

Answer 28

28-40lbs

Question 29

Overweight: 26-29; weight gain must be from

Answer 29

15-25lbs

Question 30

Non- Pregnant: Pregnant: Lactating

Answer 30

2,200 cal/day +300 (2500) +500 (2700cal)

Question 31

less interest due to fatigue,N/V

Answer 31

1tri

Question 32

increase interest in sex

Answer 32

2nd tri

Question 33

less interest due to discomfort

Answer 33

3rd tri

Question 34

Take _____ as ordered.

Answer 34

Amphogel

Question 35

Increased or decrease in fetal movement Sign that the fetus lacks

Answer 35

O2

Question 36

starts in the back & sweep forward across the abdomen like the tightening of a band

Answer 36

TRUE LABOR