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NR 602 Midterm Pregnancy & contraception Exam 100% Correct!! $15.99
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NR 602 Midterm Pregnancy & contraception Exam 100% Correct!!
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Amenorrhea: o Highly suggestive of preg. in a healthy fem w/ regular & predictable period. Difficult to determine in a female w/ irregular periods or in those who do not keep track of their menstrual cycles Nausea & vomiting: o Common symptom (~50% of pregnancies) typically occurring betwee...

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  • October 16, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
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  • nr 602 midterm pregnancy contraception exam 100

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NR 602 Midterm Pregnancy &
contraception Exam 100% Correct!!

Amenorrhea:

o Highly suggestive of preg. in a healthy fem w/ regular & predictable period. Difficult to determine
in a female w/ irregular periods or in those who do not keep track of their menstrual cycles

Nausea & vomiting:

o Common symptom (~50% of pregnancies) typically occurring between 2- 16 wks. gest

Breast engorgement & darkening of areolas:

o Occurs as early as 6-8 wks. gest

Breast tenderness

Fatigue

Urinary Frequency

Slight increase in body temperature:

o Rise in temp. coincides w/ luteal phase & is the result of progesterone

"Quickening":

o Mother feels baby's movements for 1st time; starts @ 16 wks some say btw 18-20 wks -
ANSWERPresumptive Signs of pregnancy

o a high likelihood of preg. but there are still other conditions that may cause the findings.

o Enlarged uterus

o (+) urine or blood preg. test (β-hCG)

o Preg. tests are considered probable because β-hCG also presents in ovarian cancer,
choriocarcinoma, increased gonadotropins at menopause & molar pregnancies

o Braxton Hicks contractions (may be palpated by 28 weeks)

Uterine soufflé (soft blowing sound due to blood pulsating through the placenta)

o Integumentary pigment changes - ANSWERProbable Signs of pregnancy

ovarian cancer, choriocarcinoma



increased pituitary gonadotropins at menopause

, molar pregnancies( abnormal fertilized egg or overgrowth of trophoblasts, which form the placenta) -
ANSWERDx differentials for (+) (β-hCG)

Cervical softening (around 4 wks.) - ANSWERProbable Signs of pregnancy: Goodell's sign:

Blueish coloration of the vagina & cervix (6-8 wks) - ANSWERProbable Signs of pregnancy: Chadwick
sign

(softening of lower uterine segment) - ANSWERProbable Signs of pregnancy: Hegar's sign

o Fetal heart rate auscultated by fetoscope at 17-20 weeks or by Doppler at 10-12 weeks

o Palpable fetal outline and fetal movement after 20 weeks

o Visualization of fetus with cardiac activity by ultrasound (fetal parts visible by 8 weeks)

o Pregnancy and fundal height measurement

o US & visualization of the fetus - ANSWERpositive (diagnostic signs) of pregnancy

the topmost portion of the uterus and is known as the roof of the uterine cavity - ANSWERFundus

Preg. & fundal height measurement

As pregnancy progresses, the fundus rises out of the pelvis The fundus is located @ the level of the
symphysis pubis at x weeks - ANSWERPreg. & fundal height measurement

at 12 wks. gestation:

Preg. & fundal height measurement

By week x, the fundus rises midway between symphysis pubis and the umbilicus. - ANSWERPreg. &
fundal height measurement

at 16 wks. gestation:

Preg. & fundal height measurement

By x weeks' gestation, the fundus is typically at the same height as the umbilicus. - ANSWERPreg. &
fundal height measurement

20 weeks' gestation

Preg. & fundal height measurement

during x weeks the fundus enlarges approx. 1cm/wk. - ANSWERPreg. & fundal height measurement

>20 wks. gestation

Preg. & fundal height measurement

As the time for birth approaches, the fundal height drops slightly.

This process, which is commonly called (blank)

occurs for a woman who is a primigravida around 38 weeks' gestation but may not occur for the
woman who is a multigravida until she goes into labor - ANSWERPreg. & fundal height measurement

lightening

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