Signs of Pregnancy

Question 1

presumptive, probably or positive?

-The CLIENT experiences these signs

Answer 1

presumptive

Can be from other physiological factors

Question 2

presumptive, probably or positive?

-Signs that make the EXAMINER suspect the client is pregnant

Answer 2

probable

Can be from other physiological factors

Question 3

presumptive, probably or positive? - Explained only by being pregnant

Answer 3

positive

Question 4

presumptive signs of preg (list-7)

Answer 4

• Amenorrhea

• Fatigue
• Urinary Frequency - very common in 1st and 3rd trimesters
• Nausea and Vomiting
• Breast Changes - increase tenderness
• Uterine enlargement
• Quickening

A FUN BUQ

Question 5

wtf is quickening?

Answer 5

◦ mother feels first movement of the fetus – fluttering sensation

Question 6

when do we have quickening occur? (multi vs primi gravida)

Answer 6

◦ 16 – 20 weeks of gestation
◦ Usually 16 weeks of gestation in a multigravida client
◦ Usually 18 weeks of gestation in a primigravida client Signs of Pregnancy

Question 7

Probable Signs of Preg (list 7)

Answer 7

• Abdominal enlargement
• Hegar’s sign = softening of lower uterus
• Chadwick’s sign= bluish color of cervix (from increased blood flow)
• Goodell’s sign= softening of the tip of the cervix
• Ballottement = Rebound of fetus when provider presses on cervix
• Positive pregnancy test - could be false positive or negative!
• Braxton Hicks Contractions

Question 8

Hegar’s sign =

Answer 8

softening of the uterus

probable sign of preg

Question 9

Chadwick’s sign =

Answer 9

bluish color of cervix (from increased blood flow)

probable sign of preg

Question 10

Goodell’s sign=

Answer 10

softening of the tip of the cervix

probable sign of cervix

Question 11

Ballottement =

Answer 11

Rebound of fetus when provider presses on cervix

probable sign of preg

Question 12

Signs of positive pregnancy

Answer 12

• Auscultation of fetal heart rate - 10-12 weeks by Doppler
• Observation and palpation of fetal movement (after 20 weeks) by provider
• Sonographic visualization of the fetus -Cardiac movement at 4-8 weeks

Question 13

what hormone are we looking at on preg test? where does it come from?

Answer 13

hCG hormone = Hormone produced by the placenta

Question 14

considerations for preg test (2)

Answer 14

Medications can interfere with results

Home test – first void in the morning is best time to take home test

Question 15

The nurse explains to a patient who has missed a second menstrual cycle that a combination of presumptive and probable signs is used to make a practical diagnosis of pregnancy. Which signs are expected by the nurse when making a practical diagnosis? Select all that apply.

1. Elevated hCG levels in blood and urine
2. Brownish pigmentation on the face
3. Fetal movement detected by the examiner
4. Bluish-purple coloration of vagina and cervix
5. Occasional mild contractions

Answer 15

1,2,4,5