Pregnancy

Question 1

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

Answer 1

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

Question 2

What are some reactions to pregnancy?

Answer 2

stress, anxiety, irreversible, confused, distressed

Question 3

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

Answer 3

roles and relationships (self, family, friends)

increased responsibility (financial)

Question 4

What directly influences the success of the transition of pregnancy?

Answer 4

the planning and acceptance

Question 5

What are subjective signs of pregnancy? and give examples

Answer 5

signs described by woman

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

Question 6

What are objective signs of pregnancy?

Answer 6

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

Question 7

What is Goodell’s sign?

Answer 7

softening of the cervix

Question 8

What is Chadwick’s sign?

Answer 8

bluish/red cervix, vagina & vulva

Question 9

What is Hegar’s sign?

Answer 9

softening of lower segment of uterus

Question 10

What is McDonald’s sign?

Answer 10

flexing body of the uterus

Question 11

What is Braxton Hicks?

Answer 11

tightening of the uterus & abdomen

Question 12

What is meant by a uterine souffle?

Answer 12

blood flowing through the placenta and cord

Question 13

What is ballottement?

Answer 13

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

Question 14

What hormone does a pregnancy test look for?

Answer 14

Hcg hormone

Question 15

What are some diagnostic signs of pregnancy?

Answer 15

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

Question 16

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

Answer 16

Nagele’s rule

Question 17

How does Nagele’s rule work?

Answer 17

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

Question 18

What is prenatal care?

Answer 18

care given by doctor or midwife

Question 19

Describe the different stages of prenatal care

Answer 19

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

Question 20

Why is prenatal care important?

Answer 20

early diagnosis of abnormalities

provide information / resources / referrals

Question 21

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

Answer 21

1. psychosocial
2. social support
3. physicial assessment

Question 22

What is the weight gain for an average pregnant woman?

Answer 22

25-35 lbs

Question 23

Breakdown the weight gain over the 3 trimesters

Answer 23

1. 3-5 lbs
2. 12-15 lbs
3. 12-15 lbs

Question 24

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

Answer 24

protein and glucose

Question 25

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

Answer 25

that baby is growing as it should

measures from pubis to top of fundas

Question 26

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

Answer 26

up to 34 weeks

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

Question 27

What is the fetal heart rate assessment looking for?

Answer 27

the fetal heart rate decreases as the baby gets older

Question 28

When does the internal exam happen in prenatal care?

Answer 28

at the first visit and then not until 3rd trimester

Question 29

Why should the blood pressure be taken before pregnancy?

Answer 29

this can then give the doctors a baseline to go from

Question 30

What is a sign of swelling in a pregnant woman?

Answer 30

sign that mom is getting sick

Question 31

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

Answer 31

if nipples are outward so baby can latch on in breastfeeding

Question 32

When is hemoglobin tested in pregnancy?

Answer 32

1st and 3rd trimester

Question 33

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

Answer 33

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

Question 34

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

Answer 34

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

may detect downs, cardiac anomalies and chromosomal anomalies

Question 35

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

Answer 35

completed at 24-28 weeks

detects gestational diabetes

Question 36

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

Answer 36

Rh negative and ABO incompatibility

Question 37

How is the group B strep test performed and when?

Answer 37

completed at 35-37 weeks through a vaginal swab