Exam Two

Question 1

Presumptive signs of pregnancy

Answer 1

• amenorrhea (missed period)
• n/v
• breast changes
• fatigue
• urinary frequency
• quickening (feeling of baby moving)

Question 2

Chadwick’s sign

Answer 2

Bluish tinge to cervix

Question 3

Goodell’s sign

Answer 3

Softening of the cervix and vagina with increased leukorrhea
(8 weeks)

Question 4

Hager’s sign

Answer 4

Softening of the lower uterine segment
(6 weeks)

Question 5

Probable signs of pregnancy:

Answer 5

Chadwick’s sign
Goodell’s sign
Heger’s sign
Uterine growth/ abnormal girth
Skin hyperpigmentation
Ballottment (feeling rebound of fetus) (16-18 weeks)

Question 6

Hemoglobin range & reason

Answer 6

11.5-13 g/dL
Done to check for anemia, thrombocytopenia and preeclampsia. Should be ordered at 1st prenatal visit

Question 7

Hematocrit range & reason

Answer 7

36-48%
Done to check for anemia, thrombocytopenia and preeclampsia. Ordered at 1st prenatal visit

Question 8

Hep. B lab

Answer 8

Should be negative
Can cause issues for mother and baby
Prevention of transmission is important

Question 9

HIV lab

Answer 9

Should be negative
If positive- improve treatment & reduce risk of transmission to baby

Question 10

VDRL/RPR/ Syphilis lab

Answer 10

Should be negative
Can be transmitted to the fetus

Question 11

Gonorrhea lab

Answer 11

Should be negative
Many harmful effects can happen to baby

Question 12

Chlamydia lab

Answer 12

Should be negative
Linked to many issues with baby including eye and lung infections

Question 13

Herpes lab

Answer 13

Should be negative
Biggest concern related to infecting the newborn

Question 14

Group B strep (GBS) lab

Answer 14

Should be negative
If positive- need to start antibiotics
Can be dangerous for mother and baby

Question 15

Direct Coomb’s test

Answer 15

Should be negative
Positive means that the baby’s red blood cells have the mothers antibodies attached to them and can put them at risk for jaundice