Exam (elaborations)
OB PEDS Exam 1 Galen Antepartum Detailed Questions And Expert Answers
- Course
- NUR 230
- Institution
- Galen College Of Nursing
OB PEDS Exam 1 Galen Antepartum Detailed Questions And Expert Answers
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OB/PEDS Exam 1 Galen Antepartum DetailedQuestions And Expert Answers
1. when does ovulation occur?
2. When does implantation occur?
3. mature ovum lives how long before it starts to degenerate?
4. sperm lives up to how long in the female system?
1. 14 days BEFORE next menstruation
2. 6-10 days after conception, it burrows into endometrium
3. 12-24 hrs
4. 5 days
definitions:
gestation?
trimester?
antepartum?
intrapartum?
postpartum?
term?
viability?
gravidity?
G: age in weeks
T: segments (13 1/2 weeks)
A: time before birth
I: labor & birth
P: after birth, return to pre-preg state (about 6 weeks)
T: 37-42 weeks
V: 20+ weeks gestation (29-40)
G: # of pregnancies (kids at home included)
,definitions:
Para?
gravida?
nulligravida?
primigravida?
multigravida?
P: # of viable pregnancies (>20 weeks)
G: is pregnant (has been pregnant)
N: never been pregnant
P: first time pregnant or first child
M: pregnant two or more times
when is the first, second and third trimester?
1st: first 13 completed weeks
2nd: 14-26 completed weeks
3rd: 27-40 completed weeks
post term: after 40.1 weeks
naegele's rule for expected delivery date
first day of last normal period + 1 year - 3 mo + 1wk
or
add 9 months and 1 week
GTPAL system
G = gravida (# of times pregnant, including if she is now)
T = term (delivery at 37-42 weeks)
P = preterm birth (delivery after 20-36.6 weeks)
A = abortion (before 20 weeks)
L = living children
human chorionic gonadotropin (hCG) is what?
,1. detectable hormone in pregnancy,
2. maintain corpus luteum, helps keep preg.
3. in urine/serum 10-14 days after conception
4. fertilizes ovum/chorionic villi- later placenta for hormones established for baby
progesterone does what?
1. MAINTAINS preg, protect fetus, relaxes smooth muscles
2. prepare uterus for implantation
3. prevent immunologic response to fetus
4. enlarge ureter/bladder to increase capacity
5. develop alveoli/ductal system for lactation
prolactin does what?
oxytocin does what?
P: prepares breast for lactation
O: stimulate uterine contractions & milk ejection postpartum
human placental lactogen (hPL) is what?
1. growth hormone for breast development; increases # of fatty acids for
metabolic needs
2. insulin antagonist by placenta increase blood glucose
estrogen does what?
1. increase blood flow to uterus (vasodilation)
2. change sensitivity of resp system to CO2
3. soften cervix, initiate uterine activity, maintain labor,
4. develop breasts for lactation, secrete prolactin
positive signs of pregnancy?
1. crown to rump- determine exact dates 7-14 weeks
2. femur length- after first trimester, determine size & gestational age of baby
3. first trimester- to confirm dates in second trimester to see fetal anormlities
, determine sex
4. ultrasound
see, hear, feel= definitive signs
presumptive (subjective) signs of pregnancy
"breasts are bigger, sore, tingling"
"bowels don't work as well" (constipation)
"I have urinary frequency"
"I'm so tired all of the time" (fatigue)
"I missed my period" (amenorrhea)
"I have to throw up every morning"(N/V)
"I think I am feeling the baby kick" (quickening)
is Goodell's sign presumptive, probable, or positive sign of pregnancy?
how will we see this?
probable,
pelvic congestion, softening of cervix/vagina with increase leukorrheal discharge
Is Chadwick's sign a presumptive, probable, or positive sign of pregnancy?
how will we see this?
probable
pelvic congestion, blue discoloration of vaginal mucosa/cervix can be seen at 6-8
weeks
Is hegar's sign a presumptive, probable, or positive sign of pregnancy?
how will we see this?
probable,
placing fingers to keep cervix immobile & encompassing uterus segment of uterus
palpated at 6 weeks, softening of uterus
enlarged uterus, positive preg test, braxton hick's contractions- presumptive,
probable, or positive sign of pregnancy?
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