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Maternity NU 305 > S&S pregnancy > Flashcards

S&S pregnancy Flashcards

1
Q

amenorrhea occurs when there is increased levels of what?

A

increased HCG levels

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2
Q

the growth maintenance hormone

A

progesterone

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3
Q

N/V
begins when?
lasts how long?
how much (in %) experience it during pregnancy?

A

about 50%

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4
Q

breast changes (name 3)

A

tingling/tenderness
prolactin/milk producing
darkening/melanin to areola & nipple

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5
Q

urine changes in pregnancy

A

more frequency urination

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6
Q

quickening

when is it felt in primagravida? (range)

A

18-20 weeks

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7
Q

multigravida moms may feel quickening at what week gestation?

A

16 weeks

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8
Q

list the subjective(presumptive) signs of pregnancies

A 
amenorrhea
N/V
breast changes
urinary frequency
quickening
fatigue
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9
Q

probable (objective) signs of cervix

A

goodell’s
chadwicks
hegars

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10
Q

probable objective signs of pregnancy noted in uterus

A 
fundus
braun von fernwalds sign
piscacek's sign
uterine souffle
braxton hicks contractions
positive preg test
palpation of fetal parts
changes in skin pigmentation
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11
Q

at 10-12 weeks, where is the fundus located

A

above the symphysis pubis

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12
Q

at 20-22 weeks where is the fundus located?

A

at the umbilicus

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13
Q

sign-softening & enlargement at the implantation site

A

Braun Von Fernwald’s

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14
Q

sign-tumor-like enlargement at site of implantation

A

Piscacek’s

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15
Q

sign-soft, blowing sound of blood flow through the placenta

A

uterine souffle

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16
Q

braxton hicks contractions may begin at what gestation week?

A

28 weeks

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17
Q

give characteristics of brixton-hicks contractions

A 
false labor
painless&irregular
can occur throughout pregnancy
goes away with activity
starts at 28 weeks
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18
Q

FHT can be heard at what week (give range)

A

12-20 weeks

19
Q

at what week can FHT be heard using an ultrasound doppler

A

10 weeks

20
Q

using the U/S vaginal, name the 3 events noted

A

fetal parts/heart movements
gestational sac
movement

21
Q

at what week can fetal parts/heart movements be noted? (range)

A

8-10 weeks

22
Q

at what week can the gestational sac be noted? (range)

A

4-6 weeks

23
Q

at what week can movement be noted? give range

A

10-12 weeks

24
Q

immunoassay (modern pregnancy test) name 2

A

hemagglutination-inhibition

latex agglutination

25
Q

immunoassay facts (%, # of days to detect positive results, time of day urine collected)

A

95% accurate in Dx of preg.
98% accurate in Dx of absence of preg.
(+) approx. 10-14 days after the first missed reproductive cycle
first, early AM urine most reliable

26
Q

4 specific immunoassay tests

A

Beta-Subunit Radio Immunoassay (RIA)
Immunoradiometric Assay(IRMA)
Enzyme-linked Immunosorbent Assay (ELISA)
Radioreceptor Assay

27
Q

ELISA (indication of preg. and # of days to detect HCG)

A

the bluer, the more HCG level present

can detect HCG levels 7-9 days after ovulation & conception (BEFORE implantation)

28
Q

the specific immunoassay test that cannot tell between the presence of LH & HCG

A

radioreceptor assay

29
Q

the specific immunoassay test that can have positive results 2-8 days after implantation

A

Beta-Subunit Radio Immunoassay (RIA)

30
Q

the two specific immunoassay tests that expose the mom to radiation

A 
Beta-Subunit Radio Immunoassay (RIA)
Immunoradiometric Assay (IRMA)
31
Q

the specific immunoassay tests that is accurate but lengthy and is complicated

A

Beta-Subunit Radio Immunoassay (RIA)

32
Q

The beta-subunit radio immunoassay is used to diagnose what type of pregnancies

A

ectopic
trophoblastic
moehler

33
Q

a quick specific immunoassay test (30 minutes)

A

immunoradiometric assay(IRMA)

34
Q

the specific immunoassay test that is 1 hour long

A

radioreceptor assay

35
Q

name two alternatives to immunoassay testing

A

fluoroimmunoassay (FIA)

OTC tests

36
Q

3 things concerning the fluoroimmunoassay (FIA) test

A

glowing molecules
detect HCG
thyroid levels

37
Q

Pap smear: what cell type are scraped and why?

A

squamocolumnar junction and because its the most volatile area of cervix

38
Q

how do we classify the pap smear?

A

bethesda test (TBS)

39
Q

if the TBS is 2-5 what will be the next step.

A

performing a colposcopy & biopsy

40
Q

colposcopy

A

using speculum apply acetic acid cells not healthy will turn white

41
Q

what else besides a colposcopy and biopsy might a dr. do if 2-5 scoring is determined in TBS testing?

A

endocervical currettage (ECC)

42
Q

Pap smears can also detect other diseases such as?

A

HSV
Trichomonos
Gonorrhea
Chylamydia

43
Q

LEEP(just give the words for which this procedure stands for)

A

loop electrocautery excision procedure

44
Q

explain the procedure LEEP

A

shaves off abnormal layer of cervix/uses wand of laser/cold methods

Maternity NU 305 (4 decks)

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