Third trimester (Weeks 27 - 40)

Question 1

expected weight gain during the 3rd trimester?

Answer 1

no more than 1 lb per week.

Question 2

normal FHR in the 3rd trimester?

Answer 2

120 - 160

Question 3

How is fetal position/ presentation determined?

Answer 3

by doing leopold manuvers

Question 4

what should you have your patient do first?

if the patient is having contractions, should the manuevers be done during or between contractions?

Answer 4

pee first; because the bladder will get in the way.

-between (because you’ll just feel a hard uterus and not the baby)

Question 5

if a client is gaining more than 1 pound per week, what do we assume?

Answer 5

they may be developing pregnancy induced hypertension

Question 6

my patient is in her 3rd trimester, and she has gained 5 pounds. what are we gonna do?

Answer 6

check urine for protein and check BP

Question 7

You have a patient in her 3rd trimester, and her blood pressure is 130/82. are we worried?

Answer 7

30/15 rule

when you know a pregnant woman’s baseline blood pressure, and her systolic rises 30 or more over their normal systolic baseline= WORRY

or it rises 15 or more over their baseline diastolic= WORRY

MAY BE DEVELOPING P.I.H