NUR 114 Test 2- Antepartum,
Intrapartum, Postpartum, and Newborn
Care Questions and Correct Answers
Presumptive signs of pregnancy: ✅-Amenorrhea
-Fatigue
-N/V
-Urinary frequency
-Breast changes: darkened areola, enlarged Montgomery glands
-Quickening
-Uterine enlargement
Probable signs of pregnancy ✅-Abdominal enlargement
-Hagar's sign
-Chadwick's sign
-Goodell's sign
-Braxton Hicks contractions
-Positive pregnancy test
-Fetal outline felt by examiner
Positive signs of pregnancy: ✅-Fetal heart sounds
-Visualization of fetus by ultrasound
-Fetal movement
Higher levels of hCG can indicate: ✅Multifetal pregnancy, ectopic pregnancy,
Hydatidiform mole, or genetic abnormality such as Down's syndrome
Gravidity: ✅number of pregnancies
Parity: ✅number of pregnancies in which fetus or fetuses have reached viability (20
weeks), not the number of fetuses born
Measurement of fundal height ✅in centimeters from the symphysis pubis to the top of
the uterine fundus (between 18 and 32 weeks of gestation). Approximates the
gestational age
GTPAL ✅Gravida, Term, Preterm, Abortions, Living
Viability ✅The point in time when an infant has the capacity to survive outside the
uterus. 22 to 25 weeks is considered the threshold of viability
Changes of Body systems during pregnancy:
, -Reproductive:
-Cardiovascular:
-Respiratory:
-Musculoskeletal:
-Gastrointestinal:
-Renal:
-Endocrine: ✅-Reproductive: Uterus inc. in size, shape, and position. Ovulation and
menses cease.
-Cardio: Output and blood volume increases. HR increases at 5 weeks gestation and
reaches peak at 32 weeks.
-Respiratory: Oxygen needs inc. Chest may enlarge during last trimester allowing for
lung expansion. Resp. rate increases and total lung capacity dec.
-Musculoskeletal: Weight inc. Pelvic joints relax.
-GI: N/V due to hormonal changes, constipation.
-Renal: FIltration rate inc. , urinary frequency.
-Endocrine: placenta becomes endocrine organ that secretes large amounts of hCG,
progresterone, estrogen, and human placental lactogen, and prostaglandins
Expected v/s during pregnancy: ✅-BP: Within pre-pregnancy range during 1st
trimester, SBP: slight/no inc. from pre-pregnancy range, DBP: Slight inc. around 24-32
weeks
-HR: Inc. 10-15/min around 32 weeks of gestation
-Respirations: Unchanged/ slightly inc.
Chloasma: ✅Inc. in pigmentation on face.
Linea Nigra: ✅Dark line of pigmentation from the umbilicus extending to the pubic
area.
Striae gravidarum: ✅Stretch marks most notably found on abd and thighs
Nursing Interventions: Pregnancy: ✅-Acknowledge client concerns
-Discuss expected physiologic changes and possilbe timeline to return to pre-pregnant
state
-Assist client with setting goals goals for postpartum period in regard to self care and
newborn care.
-Refer client to counseling if needed
-Provide education about the expected physiological and psychosocial changes.
-Client is encouraged to keep all follow-up appointments and to contact provider
immediately if any bleeding, leakage of fluid, or contractions at any time during
pregnancy.
A nurse is caring for a client who is pregnant and states that her LMP was April 1st.
Which of the following is the client's EDD?
A. January 8
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