Week 2: Ch.5,7,8,9,10,11

Question 1

Gravidity

Answer 1

of pregnancies

Question 2

Nulligravida

Answer 2

No hx of any pregnancies

Question 3

Primigravida

Answer 3

1st pregnancy

Question 4

Multigravida

Answer 4

2 or more pregnancies

Question 5

Parity

Answer 5

of deliveries past 20 weeks gestation

Question 6

Nulliparous

Answer 6

No pregnancies past 20 weeks gestation

Question 7

Primiparous

Answer 7

One delivery past 20 weeks gestation

Question 8

Multiparous

Answer 8

2 or more deliveries past 20 weeks

Question 9

How many extra calories should you take when pregnant?

Answer 9

300 calories

Question 10

How many extra calories should you take when lactating?

Answer 10

500 calories

Question 11

Chadwicks sign

Answer 11

Blue/purple color of the cervix, vagina, vulva due hyperemia

Question 12

What’s caused by Chadwick’s sign?

Answer 12

By pelvic congestion infection or hormonal imbalance

Question 13

Goodells sign

Answer 13

Softening of the tip of the cervix

Question 14

What is goodells sign cause by?

Answer 14

By infection, hormonal imbalance or pelvic congestion

Question 15

Ballottement

Answer 15

Passive movement of the unengaged fetus

Question 16

Cause of ballottement

Answer 16

Because of uterine tumors or cervical polyps instead of the presence of a fetus

Question 17

Cholasma

Answer 17

• Mask of pregnancy

- Dark blotchy brownish pigmentation on face

Question 18

Quickening

Answer 18

First movements

Question 19

Striae gravidarum

Answer 19

Stretch marks

Question 20

Piskaceks Sign

Answer 20

Uterine asymmetry with a soft prominence on the implantation side.

May be associated with uterine tumors

Question 21

Hegar’s sign

Answer 21

Softening of the lower uterine segment

May cause pelvic congestion

Question 22

Braxton Hicks Contractions

Answer 22

Intermittent uterine contractions

May be associated with uterine leiomyomas (fibroids) or other tumors.

Question 23

Caldwell-Moloy pelvis: Platypelloid

Answer 23

Transverse presentation and will not allow for a vaginal birth

Question 24

Caldwell-Moloy pelvis: Gynecoid

Answer 24

Pelvic type is the typical, traditional female pelvis. Best suited for childbirth

Question 25

Caldwell-Moloy pelvis: Android

Answer 25

Resembles a typical male pelvis, and pelvis shape can also cause difficulty during fetal descent.

Question 26

Spinnbarkeit

Answer 26

Term that denotes elasticity of cervical mucous. During ovulation, their cervical mucous is very stretchy (8-10 cm or longer). When a woman is fertile, her cervical mucous is thin, watery, and stretchable.

Question 27

Autosomes

Answer 27

Nonsense chromosomes

Question 28

Sex Chromosomes

Answer 28

Determine gender (XX=female, XY=male)

Question 29

Genotype

Answer 29

Genes/ genetic makeup

Question 30

Phenotype

Answer 30

Physical characteristics that are expressed

Question 31

X-linked dominant inheritance

Answer 31

• Abnormal allele is on the X chromosomes. Since it’s dominant, you only need one allele in order for the disorder to be expressed.
• If father has disorder, all daughters will have it and none of the sons will be affected.

Question 32

Organogenesis

Answer 32

Lasts from the 2nd week to the 8th week of gestation

Question 33

Supine Hypotention (pg.230)

Answer 33

If pregnant woman lays flat on her back, the uterus, baby, etc puts pressure on the vena cava. This decreased perfusion and the women can experience dizziness.

After 20 wks gestation, women should be advised to AVOID laying flat on their back.

Question 34

If Jehovah Witness returned a signed form in which she refuses all blood products, nurse should?

Answer 34

Place signed form on pts chart

Question 35

Para 3 means:

Answer 35

3 pregnancies delivered past 24 wks gestation

Question 36

Presumptive signs of pregancy

Answer 36

• Amenorrhea (absence of menses). One of the earliest sx
• N/V (“morning sickness”) may occur at any time, and women who experience this sx tend to have decreased incidence of spontaneous abortion and perinatal mortality.
• Frequent urination caused by pressure exerted on the bladder by enlarging uterus.
• Breast tenderness from hormonal changes
• Perception of fetal movement (quickening) occurs during 2nd trimester.
• Skin changes: stretch marks (striae gravidarum) and increased pigmentation.
• Fatigue

Question 37

Probably Signs of Pregnancy

Answer 37

• Abnormal enlargement may be caused by uterine or abdominal tumors.
• Piskacek’s sign
• Hegar’s sign (softening of lower uterine segment). Probable sign of pregnancy.
• Goodells’s sign (softening of tip of cervix)
• Chawick’s sign (violet-bluish color of vaginal mucosa and cervix)
• Braxton Hicks contractions (intermittent uterine contractions)
• Positive pregnancy test
• Ballottement (Passive movement of unengaged fetus)

Question 38

Positive signs of pregnancy

Answer 38

• Fetal heart beat
• Visualization of fetus
• Fetal movement palpate by health care provider

Question 39

Early term

Answer 39

Births between 37 wks and 38 wks 6 days

Question 40

Full Term

Answer 40

Births between 39 wks 0 days and 40 wks 6 days

Question 41

Late term

Answer 41

Births between 41 wks 0 days and 41 wks 6 days

Question 42

Postterm

Answer 42

Births 42 wks 0 days or after

Question 43

When to schedule a visit with doctor while pregnant?

Answer 43

• Prenatal visits q 4 wks until women reaches 28-32 wks gestation
• Then, q 2 wks until 36th wk, then visits are wkly

Question 44

Is Vaccination against influenza considered safe throughout pregnancy?

Answer 44

Yes and preventing this disease is an essential element of prenatal care.

Question 45

Pertussis (When advised to give?)

Answer 45

Tdap advised to be given after 20 wks gestation (Late 2nd or 3rd trimester)

Question 46

HBsAg (Hepatitis B Surface Antigen)

Answer 46

Universal screening done to test for active Hepatitis B.

Question 47

Prenatal Lab Testing/ Screening

Answer 47

1. Blood type and Rh (rhesus) Factor
2. Antibody screen
3. RPR/VDRL
4. HBsAg
5. HIV
6. Chlamydia/Gonorrhoeae
7. CBC