Antepartum
◦The client arrives at the clinic for the first prenatal assessment. She tells the nurse that the first day of her last normal menstrual period was October 19. Using Nagele’s rule, which expected date of delivery should the nurse document in the client’s chart?
What is July 26 of next year.
Nagel's rule: add 7 days subtract 3 months
Fetal Heart Tones can be heard by doppler at 8 to 10 weeks gestation and are best auscultated where?
Midline/just above symphysis pubis or later in pregnancy over the back of the fetus. (6 secondsX10)
Fetal movement or quickening is often felt at how many weeks?
What is 18-20 weeks.
For women who begin pregnancy at a normal weight (BMI 18.5-24.9) should gain how much?
What is 25-35 lbs.
The fetal heartbeat is typically:
What is 110-160/min
A fundal height >4 cm than expected may occur with what?
What is multiple fetuses, excess amniotic fluid (hydramnios), or uterine myoma.
Breast tenderness, fatigue, nausea are what signs of pregnancy?
What is presumptive.
Women who begin pregnancy overweight (BMI 25-29.9) should gain how much weight?
What is 15-25 pounds?
Preeclampsia's classic symptoms are hypertension after _____ weeks gestation in a woman with previously normal blood pressure.
What is 20 weeks.
Where can you find the apical pulse later in pregnancy?
What is left of the midclavicular line and up to the 4th intercostal space.
List 2 positive signs of pregnancy
Fetal heart tones or cardiac activity on US.
From 18-30 weeks the number of cm of the fundal height is equivalent to:
What are weeks of gestation.
These are performed to determine fetal lie, presentation, attitude, position, variety, and engagement.
What are leopold maneuvers.
A sign detected by the examiner is known as what kind of pregnancy sign?
What is probable sign?
When measuring fundal height you are noting the distance from
What is :symphysis pubis to top of fundus.
What trimester are Leopold Maneuvers performed?
What is 3rd trimester