Prenatal Assessments

Question 1

Prenatal Head Assessment includes..

Answer 1

• Headache, dizziness, visual changes
• Rhinitis/nose bleeds
• Hypertrophy of gingival tissue
• Neck nodes
• Slight hyperplasia of thyroid by third mouth
• Nutrition “eating for two”
• N/V

Question 2

Prenatal Psychosocial Assessment includes..

Answer 2

• Desire for pregnancy
• Fear due to anticipation of pain
• Body image changes
• Social support
• Sleep
• Mobility and balance

Question 3

Prenatal skin Assessment includes..

Answer 3

-Consistent with racial/ethnic background
-Edema of lower extremities
-Spider nevi common
2nd trim: striae gravidarum, hyperpigmentation
-Acne
-Stretch marks

Question 4

Prenatal chest/lungs Assessment includes..

Answer 4

• Lungs clear, bilaterally
• Heart sounds, regular
• Palpitations due to sympathetic nervous system
• Short systolic murmurs
• Breast: darker pigmentation of nipple and areola; increased size in first 20 w

Question 5

Prenatal Cardio Assessment includes..

Answer 5

• Pulse increases 10-15/min around 20.0w

- Cardiac hypertrophy

Question 6

Prenatal BP Assessment…

Answer 6

• BP w/in pre-pregnancy range during 1st trim
• BP decreases 5-10 mmHg during 2nd trim
• BP returns to pre-pregnancy after 20.0w
• Supine hypotensive syndrome

Question 7

Prenatal abdomen Assessment includes..

Answer 7

• No upper right quadrant pain
• Linea nigra; purple striae
• Decreased gastric motility
• Nausea and vomiting from hormonal changes
• Diastasis of rectus muscles
• Fundal measurement
• Fetal heart rate
• Fetal movement

Question 8

Prenatal Perineum Assessment includes..

Answer 8

-Odorless discharge; non irritating
-Goodell sign; Hegar sign; Chadwick sign
-Posterior cervix
-Urinary frequency; output remains the same
-Increased filtration rate
-Assess for ketones /proteinuria/UTI
Pelvic examination

Question 9

Prenatal extremities Assessment includes..

Answer 9

• Swelling of feet; assess for swelling of hands
• Pulses, temperature, ROM, varicosities, palmar erythema
• Reflexes
• Carpal tunnel syndrome

Question 10

Prenatal Muscular-Skeletal

Assessment includes..

Answer 10

• Backache: lumbar spinal curve accentuated
• Pelvic joints relax
• Weight increase causes body alteration

Question 11

Prenatal Endocrine

Assessment includes..

Answer 11

Large amounts of hCG, progesterone, estrogen, lactogen, prostaglandins from placenta

Question 12

Prenatal lab

Assessment includes..d

Answer 12

• Blood type, Rh factor
• CBC with diff
• Hgb electrophoresis
• Rubella titer
• Hepatitis B screen
• GBS (35-37 weeks)
• Urinalysis (creatinine)
• One hour (3 hour) glucose tolerance (24-28 weeks)
• Pap test
• Vaginal/cervical culture
• PPD screen
• VDRL/HIV screen
• TORCH screening
• MSAFP