First Trimester (week 1 through 13)

Question 1

Presumptive signs of pregnancy means____

Answer 1

Signs and symptoms suggestive of pregnancy that may also indicate another condition. They occur early and are more subjective than other signs. The presumptive signs are

• amenorrhea,
• nausea and vomiting,
• breast tenderness (due to excess hormones.. can occur throughout the pregnancy)
• frequent urination, and
• fatigue.

Question 2

What is the hormone that causes the amenorrhea during pregnancy?

Answer 2

Progesterone

Question 3

What is the name of the hormone that causes your body temperature to go up after ovulation?

Answer 3

progesterone

Question 4

How long is the egg good for?

Answer 4

24 hours

Question 5

If you are going to council someone trying to get pregnant by using a temperature chart, what would you tell them?

Answer 5

to start keeping a monthly chart, and have sex before the spike of body temperature because the egg would be out for probably more than 24 hours.

and have sex every other day

Question 6

T OR F?

Frequency can be the very sign of pregnancy

Answer 6

T! because immediately after implantation, the uterus starts to enlarge/stretch which puts pressure on the bladder.

Question 7

Probable signs of pregnancy means___

Answer 7

The probable signs are more certain than presumptive signs but are not definitive. 
They include :
-elevation of basal body temperature, 
-breast tenderness and swelling, 
- facial chloasma (pregnancy mask) 
-linea nigra, 
-Goodell's sign
-Chadwick sign,
-Hegar's sign 
-abdominal enlargement, 
-softening of the cervix, 
-ballotability of the uterus, 
-quickening, and 
-positive pregnancy test results.
-abdominal striae (stretch marks)
-braxton hicks contractions
-darkening of the aereolar

Question 8

Goodell’s sign is a probable sign of pregnancy and it is the___

Answer 8

softening of the cervix during the 2nd month of pregnancy

Question 9

Chadwick’s sign is a probable sign of pregnancy and it is the___

Answer 9

blueish discoloration of vaginal mucosa and cervix during week 4

Question 10

what other things can induce a positive pregnancy test, since it is based on the HCG hormone?

Answer 10

• Molar pregnancy

- Hydatidiform mole

Question 11

Hegar’s sign is a probable sign of pregnancy, and it is the____

Answer 11

softening of the lower uterine segment during the 2nd/ 3rd month of pregnancy

Question 12

Positve signs of pregnancy is the___

Answer 12

Objective signs that strongly indicate pregnancy.

• fetal heartbeat (can hear it by dopler)
• fetal movement (doctor or nurse feel baby move)
• ultrasound (can see a baby in there)

Question 13

When can you start hearing fetal heart beat by doppler during a pregnancy?

by a fetoscope?

Answer 13

12 weeks

17-20 weeks

Question 14

what does gravida or gravidity mean?

Answer 14

the # of times someone has been pregnant.

Question 15

does the duration of pregnancy have anything to do with gravidity?

can you be a gravida 5 and have no children?

Answer 15

no

yes; 5 miscarriages.

Question 16

para or parity means?

Answer 16

the # of weeks that the fetus has reached viability. (or giving birth to a baby alive or dead)

viability means that the baby can survive if born premature.

Question 17

what is the age of viability?

Answer 17

20 weeks

Question 18

T
P
A
L

Answer 18

Term
Preterm
Abortion
Living children

Question 19

What is Nagele’s rule?

Answer 19

Find the 1st day of the last menstrual period and then subtract 3 months.

( date of last period + 7 days + 3 months)= due date

Question 20

Pregnancy nutrition:

4 food groups.
-Increase their calories by___ per day after the 1st trimester.

• Pregnant adolescents increased their calories by___ after the 1st trimester.
• increase protein to_____ per day
• expect to gain___ Lbs during the 1st trimester.
• Take ___ vitamins and supplement. Can they take it with food?

Answer 20

• 300 kcals
• 500 kcals
• 60 grams/day
• 4 Lbs
• prenatal vitamin (Iron and folic acid)
• prefer to take vitamins on an empty stomach for better absorption, but since it has iron in it, it causes an upset stomach and that’s why many women don’t like to take their vitamins. If they patient can’t tolerate it, then they can take it with some food… they’re suppose to take it with vitamin C to increase absorption of iron.

Question 21

Folic acid helps prevent what?

How much folic acid should they day daily?

Answer 21

• neural tube birth defects. like spinabifida.

- 400 mcg/day

Question 22

Exercise restrictions of pregnancy:

No ____ exercises

__ and___ are best

DO NOT start a heavy exercise programs unless____

DO NOT LET YOUR HEART RATE GET ABOVE___

Answer 22

• high impact
• walking and swimming
• you’re already doing so
• 140 BPM everyone needs to follow this rule, but it is especially important for a pregnant woman to do so because this will drop cardiac output, and that means blood flow will be limited to the baby and baby will not get enough oxygen.

Question 23

Why would we not want mommy to get in a hot tube or use an electric blanket?

Answer 23

• getting overheated can cause birth defects. increased temperature= birth defect

Question 24

when you drop the cardiac output, uterine perfusion goes___

Answer 24

down.