Normal Pregnancy Flashcards

1
Q

_______signs of pregnancy include amenorrhea, breast tenderness, nausea and vomiting,
increased skin pigmentation, and skin striae

A

Presumptive

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2
Q
Probable signs of pregnancy include 
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2
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4
A
  1. enlargement of the uterus,
  2. maternal sensation of uterine contractions or fetal movement,
  3. Hegar sign (softening of the junction between the corpus and cervix), and
  4. positive urine or serum b-human chorionic gonadotropin (b-hCG) testin
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3
Q
Positive signs of pregnancy include 
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4
A

hearing fetal heart tones, sonographic visualization of a

fetus, perception of fetal movements by an external examiner, and x-ray showing a fetal skeleton

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4
Q

What is the Naegele’s rule

A

Assuming 28-day cycles, a due date can be estimated as the LMP minus 3 months + 7 days.

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5
Q

The rise in BBT is assumed to be caused by the thermogenic effect of ________

A

progesterone produced

by the corpus luteum that formed after ovulation

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6
Q

What is the accuracy of the BBT

A

The accuracy of BBT is ±1 week

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7
Q

The accuracy of menstrual history is ______

A

±1 week.

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8
Q

Id the day of ovulation

Precise Day of Ovulation
• 21-day cycle: day ___
• 28-day cycle: day ____
• 35-day cycle: day ___

A

Precise Day of Ovulation
• 21-day cycle: day 7
• 28-day cycle: day 14
• 35-day cycle: day 21

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9
Q

Normal First Trim events

______ and _______ occur in 20% of pregnancies, 50% of which will continue successfully.
• Average weight gain is ________
• Complications—__________

A

Spotting and bleeding

5–8 pounds.

spontaneous abortion

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10
Q

Normal 2nd Trim events

  • ___________ is common.
  • __________ are painless, low-intensity, long-duration contractions that can be palpated as early as 14 weeks.
  • ____________(maternal awareness of fetal movement) is detected at 18–20 weeks by primigravidas and 16–20 weeks by multigravidas
A

Round ligament pain

Braxton-Hicks contractions

Quickening

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11
Q

• Average weight gain in 2nd trim is_________

A

1 pound per week after 20 weeks

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12
Q

Cx during 2nd trim

A

Complications include incompetent cervix (painless cervical dilation leading to delivery
of a nonviable fetus); premature membrane rupture, and premature labor

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13
Q

3rd trimester events

•________ describes descent of the fetal head into the pelvis resulting in easier maternal
breathing, pelvic pressure.

• ________ describes vaginal passage of bloo 3rdy endocervical mucus, the result of
cervical dilation before labor

A

Lightening

Bloody show

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14
Q

Cx during 3rd trim

A

Complications include premature membrane rupture, premature labor, preeclampsia,
urinary tract infection, anemia, and gestational diabetes

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15
Q

Bleeding gums is caused by the increase of blood flow to the gums with pregnancy. If it is associated with clinical swelling, it is known as _______ Management is conservative

A

epulis.

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16
Q

Breast enlargement. Each breast increases in size by ________ and may result in an increase of one to two cup sizes. Management is a support bra.

A

400 grams

17
Q

______ is very common in pregnancy, probably because of rapid hormonal changes.

A

Fatigue

18
Q

Fluid retention. Increased circulating ______ levels and decreased serum _______ results in edema in over half of pregnant women

A

steroid

albumin

19
Q

________ is the excessive shedding of hair occurring 1−5 months after pregnancy

occurs in 40−50% of women.

A

Telogen effluvium

20
Q

Muscle contraction and migraine headaches are more common in pregnancy probably because of increased ________

A

estrogen levels

21
Q

_______ and _______ results in more frequent nosebleeds.

Management is saline drops and the avoidance of nasal
sprays

A

Vasodilation and increased vascular supply

22
Q

Pressure on the bladder with an enlarging uterus frequently results in an involuntary loss of urine. Management is strengthening the pelvic diaphragm
with Kegel exercises.

A

Stress incontinence

23
Q

Increased blood volume, the relaxing effect of ________ on smooth muscle, and an increased lower-extremity venous pressure often result in lowerextremity
varicosities

A

progesterone

24
Q

Safe immunizations include antigens from killed or inactivated organisms

A
  • Influenza (all pregnant women in flu season)
  • Hepatitis B (pre- and postexposure)
  • Hepatitis A (pre- and postexposure)
  • Pneumococcus (only high-risk women)
  • Meningococcus (in unusual outbreaks)
  • Typhoid (not routinely recommended)
25
Q

Unsafe immunizations include antigens from live attenuated organisms:

A
  • Measles
  • Mumps
  • Polio
  • Rubella
  • Yellow fever
  • Varicella