Sings Of Pregnancy

Question 1

Presumptive signs of pregnancy

Answer 1

Self reported signs (subjective)
-Amenorrhea (no period)
-Nausea & Vomiting
-urinary frequency
-Breast tenderness
Since these signs are self reported it does not mean that the client is for sure pregnant.

Question 2

Probable signs of pregnancy

Answer 2

-Goodell’s sign- softening of the cervix
-Chadwick’s sign- Purple bluish discoloration in the birth canal
-Hegars sign- Softening of the uterus segment
- positive pregnancy HCG test (is not always a positive sign) can mean gestational traphoblestic disease.

Question 3

Positive preganncy sign

Answer 3

-Fetal Heart rate heard by Doppler device (1 Nclex) 10-12 weeeks
-Ultrasound (Visualization of the fetus)
-fetal movement (palpated or observed by primary care provider)
-X-Ray (shows fetus on the monitor

Question 4

When would you first auscultate for a fetal heart rate?

Answer 4

Around 10 weeks and 12 weeks

Question 5

Is a positive pregnancy test or positive HCG signs a positive sign of pregnancy

Answer 5

No its probable sign of pregnancy.

Question 6

In what order does these probably signs of pregnancy such as Goodell’s,Chadwick, and Hegar comes in

Answer 6

Chadwick-> Bluish coloring
Goodell’s->softening of the cervix
Hager-> softening of the uterus

Question 7

Nageles Rule

Answer 7

-> to calculate Expected DOB
-Ask client first the last menstrual period - 3 months + 7 days=expected delievery
-> Labor induction or diagnosing preterm labor.

Example first day of last period April 4 - 3 + 7 = January 8 expected delivery.