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Nursing 101 - Exam #2 > Pregnancy > Flashcards

Pregnancy Flashcards

1
Q

What 3 transitional categories can be applied to pregnancy? describe or give examples

A
  1. situational - teen pregnancy
  2. developmental - pre-planned & desired, unexpected, or undesired but age appropriate
  3. health & illness - gestational diabetes
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2
Q

What are some reactions to pregnancy?

A

stress, anxiety, irreversible, confused, distressed

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3
Q

What types of things will change once you become a parent?

A

roles and relationships (self, family, friends)

increased responsibility (financial)

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4
Q

What directly influences the success of the transition of pregnancy?

A

the planning and acceptance

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5
Q

What are subjective signs of pregnancy? and give examples

A

signs described by woman

amenorhea (absence of menstrual cycle)
nausea & vomitting
fatigue
frequency of going to the bathroom
breast changes
quickening
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6
Q

What are objective signs of pregnancy?

A

these can be documented by the examiner but not as reliable as a diagnostic sign

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7
Q

What is Goodell’s sign?

A

softening of the cervix

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8
Q

What is Chadwick’s sign?

A

bluish/red cervix, vagina & vulva

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9
Q

What is Hegar’s sign?

A

softening of lower segment of uterus

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10
Q

What is McDonald’s sign?

A

flexing body of the uterus

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11
Q

What is Braxton Hicks?

A

tightening of the uterus & abdomen

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12
Q

What is meant by a uterine souffle?

A

blood flowing through the placenta and cord

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13
Q

What is ballottement?

A

when 2 fingers inserted into vagina and examiner can feel fetal head and able to push it up and it bounces back

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14
Q

What hormone does a pregnancy test look for?

A

Hcg hormone

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15
Q

What are some diagnostic signs of pregnancy?

A
  1. fetal heart rate heard (doppler @ 10-12 weeks)
  2. fetal movement by examiner at 20-24 weeks
  3. visualization by ultrasound @ 4-5 weeks
  4. confirmation of pregnancy by doctor or midwife
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16
Q

What is the rule that is used to determine the expected due date?

A

Nagele’s rule

17
Q

How does Nagele’s rule work?

A

1st day of LMP - 3 months + 7days = EDD

18
Q

What is prenatal care?

A

care given by doctor or midwife

19
Q

Describe the different stages of prenatal care

A
  1. every 4 weeks until 28 weeks
  2. every 2 weeks until 36 weeks
  3. every week until birth
20
Q

Why is prenatal care important?

A

early diagnosis of abnormalities

provide information / resources / referrals

21
Q

What are 3 things the doctor is assessing the pregnant woman for during the prenatal visits?

A
  1. psychosocial
  2. social support
  3. physicial assessment
22
Q

What is the weight gain for an average pregnant woman?

A

25-35 lbs

23
Q

Breakdown the weight gain over the 3 trimesters

A
  1. 3-5 lbs
  2. 12-15 lbs
  3. 12-15 lbs
24
Q

In a routine urine test what do you not want to see?

A

protein and glucose

25
Q

What is the abdominal assessment looking for? where are measurements taken?

A

that baby is growing as it should

measures from pubis to top of fundas

26
Q

How long is the measurement of the abdomen good for? Why?

A

up to 34 weeks

after 34 weeks they baby will drop and the measurement will not be accurate

27
Q

What is the fetal heart rate assessment looking for?

A

the fetal heart rate decreases as the baby gets older

28
Q

When does the internal exam happen in prenatal care?

A

at the first visit and then not until 3rd trimester

29
Q

Why should the blood pressure be taken before pregnancy?

A

this can then give the doctors a baseline to go from

30
Q

What is a sign of swelling in a pregnant woman?

A

sign that mom is getting sick

31
Q

What might a doctor be looking for in a breast assessment?

A

if nipples are outward so baby can latch on in breastfeeding

32
Q

When is hemoglobin tested in pregnancy?

A

1st and 3rd trimester

33
Q

What does a triple screen test for and when is it done?

A

completed at 15 weeks
tests for downs syndrome, neural tube defect
quite often false

34
Q

What does the nuchal translucency test for and how is it performed?

A

it is a test performed through ultrasound and measures the thickness of fetal neck

may detect downs, cardiac anomalies and chromosomal anomalies

35
Q

What is the glucose screening test looking for and when is it done?

A

completed at 24-28 weeks

detects gestational diabetes

36
Q

When bloods tests are performed what things are they looking for in the blood type?

A

Rh negative and ABO incompatibility

37
Q

How is the group B strep test performed and when?

A

completed at 35-37 weeks through a vaginal swab

Nursing 101 - Exam #2 (7 decks)

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