Pregnancy Flashcards
What 3 transitional categories can be applied to pregnancy? describe or give examples
- situational - teen pregnancy
- developmental - pre-planned & desired, unexpected, or undesired but age appropriate
- health & illness - gestational diabetes
What are some reactions to pregnancy?
stress, anxiety, irreversible, confused, distressed
What types of things will change once you become a parent?
roles and relationships (self, family, friends)
increased responsibility (financial)
What directly influences the success of the transition of pregnancy?
the planning and acceptance
What are subjective signs of pregnancy? and give examples
signs described by woman
amenorhea (absence of menstrual cycle) nausea & vomitting fatigue frequency of going to the bathroom breast changes quickening
What are objective signs of pregnancy?
these can be documented by the examiner but not as reliable as a diagnostic sign
What is Goodell’s sign?
softening of the cervix
What is Chadwick’s sign?
bluish/red cervix, vagina & vulva
What is Hegar’s sign?
softening of lower segment of uterus
What is McDonald’s sign?
flexing body of the uterus
What is Braxton Hicks?
tightening of the uterus & abdomen
What is meant by a uterine souffle?
blood flowing through the placenta and cord
What is ballottement?
when 2 fingers inserted into vagina and examiner can feel fetal head and able to push it up and it bounces back
What hormone does a pregnancy test look for?
Hcg hormone
What are some diagnostic signs of pregnancy?
- fetal heart rate heard (doppler @ 10-12 weeks)
- fetal movement by examiner at 20-24 weeks
- visualization by ultrasound @ 4-5 weeks
- confirmation of pregnancy by doctor or midwife
What is the rule that is used to determine the expected due date?
Nagele’s rule
How does Nagele’s rule work?
1st day of LMP - 3 months + 7days = EDD
What is prenatal care?
care given by doctor or midwife
Describe the different stages of prenatal care
- every 4 weeks until 28 weeks
- every 2 weeks until 36 weeks
- every week until birth
Why is prenatal care important?
early diagnosis of abnormalities
provide information / resources / referrals
What are 3 things the doctor is assessing the pregnant woman for during the prenatal visits?
- psychosocial
- social support
- physicial assessment
What is the weight gain for an average pregnant woman?
25-35 lbs
Breakdown the weight gain over the 3 trimesters
- 3-5 lbs
- 12-15 lbs
- 12-15 lbs
In a routine urine test what do you not want to see?
protein and glucose
What is the abdominal assessment looking for? where are measurements taken?
that baby is growing as it should
measures from pubis to top of fundas
How long is the measurement of the abdomen good for? Why?
up to 34 weeks
after 34 weeks they baby will drop and the measurement will not be accurate
What is the fetal heart rate assessment looking for?
the fetal heart rate decreases as the baby gets older
When does the internal exam happen in prenatal care?
at the first visit and then not until 3rd trimester
Why should the blood pressure be taken before pregnancy?
this can then give the doctors a baseline to go from
What is a sign of swelling in a pregnant woman?
sign that mom is getting sick
What might a doctor be looking for in a breast assessment?
if nipples are outward so baby can latch on in breastfeeding
When is hemoglobin tested in pregnancy?
1st and 3rd trimester
What does a triple screen test for and when is it done?
completed at 15 weeks
tests for downs syndrome, neural tube defect
quite often false
What does the nuchal translucency test for and how is it performed?
it is a test performed through ultrasound and measures the thickness of fetal neck
may detect downs, cardiac anomalies and chromosomal anomalies
What is the glucose screening test looking for and when is it done?
completed at 24-28 weeks
detects gestational diabetes
When bloods tests are performed what things are they looking for in the blood type?
Rh negative and ABO incompatibility
How is the group B strep test performed and when?
completed at 35-37 weeks through a vaginal swab
