The Pregnant Person (Exam 3)

Question 1

Presumptive signs of pregnancy

Answer 1

• breast tenderness
• nausea
• fatigue
• urinary frequency increased

Question 2

Probable signs of pregnancy

Answer 2

items detected by examiner (enlarged uterus)

Question 3

Positive signs of pregnancy

Answer 3

direct evidence!

• auscultation of fetal heart sounds
• cardiac activity on ultrasound

Question 4

Average length of pregnancy

Answer 4

280 days from first day of last menstrual period (LMP)

equal to 40 weeks, 10 lunar months, 9 calendar months

Question 5

Trimester division

Answer 5

FIRST: 12 weeks

SECOND: 13-27 weeks

THIRD: 28 weeks to delivery

Question 6

Primigravida/Primipara

Answer 6

primigravida to primipara AFTER DELIVERY

Question 7

Multigravida

Answer 7

a woman who has previously been pregnant and becomes a multipara after delivery

Question 8

GPTPAL

Answer 8

Gravida
Para
Term
Preterm
Abortion
Living (living children)

Question 9

Gravida

Answer 9

of pregnancies

Question 10

Para

Answer 10

times patient has delivered (>20 weeks)

Question 11

Term

Answer 11

times patient has delivered after 37 weeks

Question 12

Preterm

Answer 12

times patient has delivered between 20-37 weeks

Question 13

Abortion

Answer 13

lost pregnancies (spontaneous or surgical) before 20 weeks

Question 14

Determining weeks of gestation

Answer 14

Naegeles rule is based on 28 day menstrual cycle

Question 15

Naegeles Rule (EDC)

Answer 15

ESTIMATED DATE OF CONFINEMENT

1. begin on first day of LMP
2. subtract 3 months
3. add 7 days
4. add 1 year

Question 16

Subjective Data

Answer 16

MENSTRUAL HISTORY (LMP, # of days in cycle, certainty of LMP?)

GYN HISTORY (surgeries, Pap, STI, breast history)

OB HISTORY (GPTPTAL, cesarean, VBAC)

CURRENT PREGNANCY (planned? bleeding? pain or edema? baby moving?)

ETC. (med history, ROS, nutrition, family history, environment)

Question 17

Objective Data: Chloasma

Answer 17

butterfly shaped pigmentation of face (”mask of pregnancy”)

Question 18

Objective Data: Linea nigra

Answer 18

hyperpigmented line sternal notch, past umbilicus to pubis

Question 19

Objective Data: Striae

Answer 19

stretch marks (bright red then lighten post partum)

Question 20

Objective Data: Areola and nipples

Answer 20

enlarge and darken pigmentation

Question 21

Objective Data: PMI

Answer 21

could be displaced up and to the left

Question 22

Objective Data: Murmurs

Answer 22

benign, will resolve post partum

Question 23

Objective Data: PV

Answer 23

bilateral pitting edema, varicose veins

Question 24

Objective Data: Neuro

Answer 24

DTRs may be increased (possible sign of preeclampsia)

Question 25

Objective Data: MSK

Answer 25

lordosis (*shift in posture due to increased weight from abdomen*)

Question 26

Objective Data: Abdominal Palpation

Answer 26

fundal height- **cm from symphysis to fundus** (*fundus is the top of uterus*) palpable at 12 weeks gestation after 20 weeks, **cm=weeks of gestation** (in normal, singleton pregnancy)