Exam 1 Flashcards
A 35-year-old female suspects she may be pregnant. The physician notes in chart that the lower uterine segment is soft. As the nurse you know this is known as:
A. Ballottement
B. Hegar’s Sign
C. Goodell’s Sign
D. Chadwick’s Sign
B. Hegar’s Sign
Which of the following are NOT considered presumptive signs of pregnancy? Select all that apply:
A. Positive pregnancy test
B. Amenorrhea
C. Fatigue
D. Ballottement
E. Increased urination
F. Quickening
A. Amenorrhea
&
D. Ballottement (pressing on the uterus and feeling rebound from the fetus)
Which category of pregnancy signs are subjective and can only be reported by the patient?
A. Positive Signs
B. Probable Signs
C. Presumptive Signs
D. Proven Signs
C. Presumptive Signs
Which statement below correctly describes Chadwick’s Sign?
A. “This sign is present when there is softening of the cervix.”
B. “Chadwick’s Sign is the rebounding of the fetus against the examiner fingers when the uterus is pushed during palpation.”
C. “This can be noted when the lower segment of the uterus softens.”
D. “Chadwick’s Sign occurs when there is a bluish color to the vulva, cervix and vagina.”
D. “Chadwick’s Sign occurs when there is a bluish color to the vulva, cervix and vagina.”
Select all the probable signs of pregnancy:
A. Enlarged uterus
B. Ultrasound detecting fetus
C. Goodell’s Sign
D. Braxton Hick’s contractions
E. Fetal movement felt by the examiner
A. Enlarged Uterus
C. Goodell’s Sign (softening of cervix)
D. Braxton Hick’s Contractions
The examiner notes there is softening of the cervix. This is known as?
A. Goodell’s Sign
B. Hegar’s Sign
C. Chadwick’s Sign
D. Palmer’s Sign
A. Goodell’s Sign (Softening of Cervix)
During physical assessment of a pregnant female, it is noted that there is movement and recoil of the fetus against the examiner’s fingers when the uterus is palpated. This is termed as?
A. Palmer’s Sign
B. Ballottement
C. Hegar’s Sign
D. Chadwick’s Sign
B. Ballottement (recoil of fetus upon palpation of uterus)
Select below the positive signs of pregnancy: Select all that apply
A. Ultrasound detecting fetus
B. Visible movement of baby seen by the examiner
C. The delivery of the baby
D. Doppler detects fetal heart tones
E. Fetal movement felt by examiner
F. Braxton Hicks Contractions
A. Ultrasound detecting fetus
B. Visible movement of baby seen by the examiner
C. The delivery of the baby
D. Doppler detects fetal heart tones
E. Fetal movement felt by examiner
A 25-year-old female, who is 18 weeks pregnant, reports feeling fluttering in her lower abdomen. She states it feels like the baby is moving. This is known as:
A. Ballottement
B. Quickening
C. Hegar’s Sign
D. Goodell’s Sign
B. Quickening
A pregnancy report or observation can be sorted into what 3 categories?
Presumptive (PRESUME)
Probable (PROBABLE)
Positive (FETUS)
What category of preg. signs does this acronym belong to?
P-Period absent (amenorrhea)
R-Really tired/ Fatigued
E-Enlarged Breasts
S-Sore Breasts
U-Urination Increases
M-Movement perceived (Quickening) in lower abd
E-Emesis and Nausea
Presumptive Pregnancy Signs
-subjective data
What category of Prg. signs does this acronym belong to?
P-positive pregnancy test
R-Returning of fetus when uterus is pushed by fingers (Ballottement)
O-Outline of fetus palpated
B-Braxton Hick’s contractions
A- A softening of Cervix (Goodell’s Sign)
B-Bluish color to vulva, vagina (Chadwick’s sign)
L- lower uterine segment soft (Hegar’s Sign)
E- Enlarged Uterus
Probable Signs of Pregnancy
What category of preg. signs does this acronym belong to?
F-fetal movement felt by doc
E-Electronic device detects (heart tones)
T-The delivery of baby
U-Ultrasound detects baby
S-See visible movement by doc/nurse
Positive Preg. signs
Define what GTPAL Stands for….
Gravidity, Term of birth (>37wks), Preterm births (20-37wks), Abortions, Living Children
Know how to do calculations
G=Gravidity: # of times pregnant
T= Term of Birth: # of births @ >37 wks
P= Preterm: # born 20-37 weeks
A= Abortions/ Miscarriages: # of abortions
L= Living children: # of living children
*Twins and triplets only count as individuals for Living Children; GTPA only counts as one
Fundal Height
20 wks gestation= fundus to umbilicus is 20 cm
- reliable determination of
gestational age until 36 wks gestation when at xiphoid process, then descends into pelvis
-a Measurement vertical on abd
What causes Uterus muscle fibers to lengthen and widen?
An increase in Estrogen
Goodell Sign
A Softening of the Cervix
Chadwick Sign
Increased vascularization causing a bluish color on vulva of vagina or cervix
Secretions more acidic, white, and thick;
leukorrhea
Vagina adaptation to pregnancy
-A white discharge (Leukorrhea)
Childbearing Healthcare Provider
- What type can deliver infants, do a c-section, and cares for pt. during pregnancy and post-pardum?
Physicians: Obstetrician or Family Practice Doctor
Childbearing Healthcare Provider
- What type sees pt. in office or clinic for routine care but does NOT delivery the baby?
Nurse Practitioner (NP)
Childbearing Healthcare Provider
- Which type cares for LOW risk pt. , practice under a physician, and is a advanced practice nurse, can only deliver VAGINAL Births?
Certified Nurse Midwife (CNM)
What are the 3 types of Settings for Labor and Birth?
-Hospital: allows 1-2 ppl for support, has an LDR and LDRP room
-Birthing Center: “home-like,” Close to hospital in case of comp., for LOW RISK
-Home: for LOW RISK, family-centered, Least expensive, Limited on pain meds.
Professional Organizations
For NURSES?
The Association of Women’s Health, Obstetric and Neonatal Nurses
(AWHONN)
