Signs & Symptoms of Pregnancy

Question 1

Who recognizes Presumptive signs of pregnancy ?

Answer 1

The Client will

Question 2

What does Presumptive mean in pregnancy ?

Answer 2

Suggests or indicates pregnancy But could be from something else

Question 3

What are Presumptive signs of pregnancy ?

Answer 3

• Amenorrhea (Absence of menses)
• Nausea & Vomiting
• Urinary frequency (can be one of the 1st signs)
• Breast tenderness (d/t excess hormones in body)

Question 4

Why is Urinary frequency one of the 1st signs of pregnancy ?

Answer 4

B/c the Uterus immediately starts to stretch after implantation

Question 5

True or False:

Breast tenderness can occur throughout pregnancy ?

Answer 5

Yes

b/c it occurs d/t excess hormones in the body

Question 6

What are Probable signs of pregnancy ?

Answer 6

• A (+) pregnancy test
• Goodell’s sign (DR. will find)
• Chadwick’s sign (Dr. will find)
• Hegar’s sign (DR. will find)
• Uterine enlargement
• Braxton Hicks
• Pigmentation changes of the skin

Question 7

(+) pregnancy tests are based on what ?

Answer 7

Presence of hCG levels

Question 8

What are other conditions that can increase hCG levels ?

Answer 8

• Hydatidiform (molar pregnancy), or some medications

Question 9

What is a Hydatidiform (molar pregnancy) ?

Answer 9

Benign neoplasm or grape-like vesicles that can become malignant

Question 10

If Hydatidiform’s (molar pregnancy) are not malignant than what must be done ?

Answer 10

A DNC is required with close follow-up for 6 months to 1 year

Question 11

If the molar pregnancy is malignant, how is it treated ?

Answer 11

Treatment will be based on the stage and grade of the cancer

Question 12

What is Goodell’s sign ?

Answer 12

Softening of the cervix

Question 13

When is Goodell’s sign present ?

Answer 13

Second month

Question 14

What is Chadwick’s sign ?

Answer 14

Blueish color of the vaginal mucosa and cervix

Question 15

When does Chadwick’s sign become present ?

Answer 15

4th week

Question 16

What is Hegar’s sign ?

Answer 16

Softening of the lower uterine segment

Question 17

When does Hegar’s sign present ?

Answer 17

2nd/3rd month

Question 18

Braxton Hicks contractions occur when ?

Answer 18

Throughout pregnancy

Question 19

What do Braxton Hick’s contractions do ?

Answer 19

Move blood through the placenta

Question 20

What are types of Pigmentation changes of the skin seen with a Probable pregnancy ?

Answer 20

• Linea nigra
• Facial chloasma (mask of pregnancy)
• Abdomen striae (stretch marks)
• Darkening of the areola (around the nipple)

Question 21

What is Linea nigra ?

Answer 21

Dark line down the center of the abdomen

Question 22

What are Positive signs of pregnancy ?

Answer 22

- Fetal Heartbeat
     Doppler --> 10 - 12 weeks
     Fetoscope --> 17 to 20 weeks
- Fetal movement (client not feeling it. The nurse or Dr. is feeling it)
- Ultrasound