signs of pregnancy
What physical sign of pregnancy is characterized by bluish-purple coloration of the vaginal mucosa?
chadwick sign
what are 5 integumentary system adaptations?
Hyperpigmentation; mask of pregnancy (facial melasma), Linea nigra, Striae gravidarum, Varicosities, Vascular spiders, Palmar erythema, Decline in hair growth; increase in nail growth
Your patient presents with painless, bright red in second or third trimester, with spontaneous cessation then recurrence. On assessment you find a relaxed uterus. What condition do you suspect?
What is placenta previa
Your patient has Amniotic fluid <500 mL, what condition do you suspect?
Oligohydramnios
first day of last menstrual period, subtract 3 months, add 7 days, add 1 year
Fatigue, breast tenderness, hyperpigmentation of the skin, and quickening are classified as which signs of pregnancy?
presumptive
compensatory curve in the cervicodorsal areas is also known as?
lordosis
3 nursing management for a patient with placenta previa?
What are Vaginal bleeding by keeping pad count, Avoidance of vaginal exams, FHR Monitoring
What is Hyperemesis Gravidarum?
Severe form of nausea and vomiting with symptoms usually resolve by week 20, Causes weight loss >5% of prepregnancy body weight
Sudden weight gain; periorbital or facial edema, severe upper abdominal pain, or headache with visual changes are danger signs in which trimester?
third trimester
A positive goodell is sign present when?
there's softening of the cervix
blood volume increases by what percent during pregnancy?
50 percent
Your patient with placenta abruption presents with these signs
What are dark red blood, knife-like pain, uterine tenderness, contractions, uterus contracted
Your patient presents with elevated LFTs and low platelets, you would suspect this condition?
HELLP - Hemolysis, elevated liver enzymes, low platelets
calculate this pts GTPAL: L.P. is currently 28 weeks pregnant; she has three children born at 30, 38 and 35 weeks. She has lost 3 pregnancies prior to 12 weeks and has 3 living children. What is L.P’s GTPAL?
G = 7, T = 1, P = 2, A = 3, L = 3
what are the 3 positive signs of pregnancy?
ultrasounds, fetal movement, auscultation of fetal heart tones
true or false: diarrhea, nausea and vomiting, and increased peristalsis are all expected findings in the GI system during pregnancy?
false (see slide 21)
You would expect what tests ordered for your patient with placenta abruption?
CBC, fibrinogen levels, PT/aPTT, type and cross-match, nonstress test, biophysical profile
The treatment for Cervical insufficiency is (5 things):
bed rest; pelvic rest; avoidance of heavy lifting; progesterone supplementation in women at risk for preterm birth; placement of a cervical pessary
Rh Immune globulin (RhoGAM) is only given if the parents have what type of blood?
mother with Rh-negative and father with Rh-positive
ballottement sign would present as?
probable sign of pregnancy that occurs when the examiner pushes up on the uterine wall during a pelvic examination, then feels the fetus bounce back against the examiner's fingers
true or false: diphragmatic breathing, increase in oxygen, and congestion are sign of respiratory distress in pregnancy?
false
Name the 3 types of placental abruptions
what are partial abruption concealed hemorrhage, partial abruption apparent hemorrhage, and complete abruption concealed hemorrhage
Your patient is prescribed Tocolytic Therapy for preterm labor, you expect to see these 4 meds ordered?
what are Magnesium sulfate, Calcium channel blockers, cyclooxygenase inhibitor (indomethacin [Indocin]), and Corticosteroids
define PROM and PPROM
PROM: women beyond 37 weeks’ gestation
PPROM: women less than 37 weeks’ gestation