Chadwick's sign - ANSWER bluish discolorationof vagina and cervix
Positive signs of pregnancy - ANSWER Hearing fetal heart tones
,Visualization of the fetus
Palpation of fetal movements by examiner
Gravida - ANSWER # of pregnancies
Para - ANSWER # of pregnancies 20 weeks or >
Term - ANSWER 38-42 weeks
Preterm - ANSWER 20-37 weeks
Postterm - ANSWER 42 weeks or >
living - ANSWER # of living children
abortion - ANSWER any pregnancies that ended prior to 20 weeks
(spontaneous or elective)
what's Naegle's Rule? - ANSWER Method for calculating estimated due date
first day of the last menstrual period
subtract 3 from the month
add 7 to the day
adjust the year if needed
, what are the cardiac changes during pregnancy - ANSWER Blood volume will
increase by 40-50% which results in physiological anemia
Cardiac output increases 30-50%
Increased risk for blood clotting due to increase in clotting factors and decreased
circulation time
What are the respiratory changes during pregnancy - ANSWER Increased
oxygen requirements to meet maternal and fetal needs
Ligaments of rib cage relax
Diaphragm is displaced due to enlarging uterus
Upper respiratory more vascular: congestion, epistaxis, and changes in voice
Gastrointestinal changes - ANSWER Nausea and vomiting due to increase in
HCG (should subside by end of first trimester.
Hyperemesis gravidarum
Changes in taste and smell
Pytalism
Pica
Decreased tone and motility in GI tract (results in reflux and constipation)
what are the first trimester labs - ANSWER Hgb and Hct (CBC)
Blood type and Rh
Antibody screen
Rubella titer (booster AFTER pregnancy)
Urinalysis
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