Pregnant Patient Assessment Review

Question 0

What are some probable signs of pregnancy

Answer 0

Things detected by the examiner like enlarged uterus and Chadwick’s sign

Question 1

What are some presumptive signs of pregnancy

Answer 1

Amenorrhea, breast tenderness, nausea, fatigue, increased urinary frequency

Question 2

What are positive signs of pregnancy

Answer 2

Direct evidence of the fetus

• fetal heart tones
• positive cardiac activity on ultrasound

Question 3

What is the antepartal period

Answer 3

Also called prenatal period
9 calendar months , 40 weeks
Body experiences physical changes
All organ systems modify function

Question 4

What is the size, capacity, and weight of the uterus

Answer 4

Size: from small semisolid, pear-shaped, organ to thin (5mm or less @ term)
Capacity: 10 ml-5,000 ml
Weight: 2 oz- 2.2 lbs

Question 5

What does the uterus do

Answer 5

Increases circulatory requirements and increases the size and number of blood and lymphatic vessels

Question 6

_____ of maternal blood volume is within uterus by end of 9 months

Answer 6

1/6

Question 7

What are Braxton-Hicks Contractions

Answer 7

Irregular, intermittent contractions of uterus throughout pregnancy

Question 8

How do Braxton-Hicks Contractions stimulate movement of blood?

Answer 8

Through the intervillous space

Question 9

When is the mucus plug expelled

Answer 9

When cervical dilation begins

Question 10

What is mucus plug

Answer 10

Thick, tenacious mucus, seals endocervical canal

Question 11

Softening of the cervix

Answer 11

Goodell’s sign

Question 12

Red to blue-purple discoloration of mucous membranes or cervix, vagina, and vulva

Answer 12

Chadwick’s sign

Question 13

Softening of isthmus

Answer 13

Hegar’s sign

Question 14

Ease in flexing the body of the uterus against the cervix

Answer 14

McDonalds sign

Question 15

Purplish stretch marks that may develop

Answer 15

Striae

Question 16

Antibody rich, yellow secretion; ,ah be expressed manually at 12 weeks gestation

Answer 16

Colostrum

Question 17

Are breast changes more noticeable in somebody who has been pregnant multiple times or somebody who it’s their first pregancy

Answer 17

First pregnancy

Question 18

How does breathing change

Answer 18

From abdominal to thoracic

Question 19

Does cardiac output increase or decrease

Answer 19

Increases

30-50% peaks around 20-24 weeks

Question 20

What does the pancreas need during pregnancy

Answer 20

Increased insulin; gestational diabetes if need unmet