Exam 1 Review
Maternity Exam 1 Study Guide_Key Concepts and Changes | Actual Latest 2026 Test | Verified
Solutions
Signs of pregnancy
tenderness, Frequency, quickening (first fetal movements)
ChadwickÕs, + Pregnancy test, Braxton hicks, Balltoment
movements (Hear, See, and Feel baby)
Pregnancy Terms NaegalÕs Rule- Due date
Gravida- # of pregnancies estimate
Term- 37-40+ weeks 1st day of
Preterm- 20-36 weeks from month
Abortion- Any pregnancy before 20
weeks
to the day
Living- # of living children
¥Fetal assessment- HR 110-160, Uterine height should equal
Gestational age +/-2, Fetal movement should be seen
Cardiac Changes Respiratory Changes Gastrointestinal changes
¥Blood volume increases ¥Increased oxygen ¥N/V increase (due to
40-50% requirements increased HCG)
oResults in anemia
¥Ligaments of rib cage relax ¥Hyperemesis Gravidarum
¥Cardiac output increases
30-50%
¥Diaphragm displaced ¥Changes in smell/ taste
¥Increased risk for clotting
due to increased clotting ¥Pytalism (increased
¥Upper respiratory more
time and factors salivation), Pica
vascular: congestion, nose
bleeds, change in voice
¥Decreased tone and
motility in GI tract
, First Trimester
Discomforts Labs
¥Breast enlargement, pain, tingling, ¥Hgb and Hct (CBC)
tenderness o11 & 33
¥Urgency and frequency ¥Blood type and Rh (Rhogam for Neg Rh)
¥Fatigue ¥Antibody screen
¥N/V ¥Rubella titer (offer booster after pregnancy)
¥Pytalism ¥Urinalysis
¥Gingivitis/ Epulis ¥HIV, Hep B, Gonorrhea/ Chlamydia screen
¥Nasal stuffiness ¥VDL or RPR
¥Leukorrhea (clear/light mucus) ¥Offer sickle cell and Cystic Fibrosis screen
¥Pap smear
Second Trimester
Discomforts
¥Acne, Pigmentation changes
¥Palmar erythema
¥Pruritus (itching)
¥Palpitations
¥Supine Hypotension (laying down)
¥Faintness, Syncope
¥Heartburn
¥Constipation
¥Headache
¥Carpal tunnel
¥Round ligament pain
¥Joint pain, backache, pelvic pressure
Third Trimester
Discomforts Labs
¥Shortness of breath, dyspnea ¥1 hour glucose tolerance test, if elevated 3
¥Insomnia hour fasting glucose test
¥Mood swings, increased anxiety ¥Group B strep vaginal/rectal swab
¥Urinary frequency/urgency
¥Perineal discomfort, Pelvic pressure
¥Leg cramps
¥Ankle edema
Maternity Exam 1 Study Guide_Key Concepts and Changes | Actual Latest 2026 Test | Verified
Solutions
Signs of pregnancy
tenderness, Frequency, quickening (first fetal movements)
ChadwickÕs, + Pregnancy test, Braxton hicks, Balltoment
movements (Hear, See, and Feel baby)
Pregnancy Terms NaegalÕs Rule- Due date
Gravida- # of pregnancies estimate
Term- 37-40+ weeks 1st day of
Preterm- 20-36 weeks from month
Abortion- Any pregnancy before 20
weeks
to the day
Living- # of living children
¥Fetal assessment- HR 110-160, Uterine height should equal
Gestational age +/-2, Fetal movement should be seen
Cardiac Changes Respiratory Changes Gastrointestinal changes
¥Blood volume increases ¥Increased oxygen ¥N/V increase (due to
40-50% requirements increased HCG)
oResults in anemia
¥Ligaments of rib cage relax ¥Hyperemesis Gravidarum
¥Cardiac output increases
30-50%
¥Diaphragm displaced ¥Changes in smell/ taste
¥Increased risk for clotting
due to increased clotting ¥Pytalism (increased
¥Upper respiratory more
time and factors salivation), Pica
vascular: congestion, nose
bleeds, change in voice
¥Decreased tone and
motility in GI tract
, First Trimester
Discomforts Labs
¥Breast enlargement, pain, tingling, ¥Hgb and Hct (CBC)
tenderness o11 & 33
¥Urgency and frequency ¥Blood type and Rh (Rhogam for Neg Rh)
¥Fatigue ¥Antibody screen
¥N/V ¥Rubella titer (offer booster after pregnancy)
¥Pytalism ¥Urinalysis
¥Gingivitis/ Epulis ¥HIV, Hep B, Gonorrhea/ Chlamydia screen
¥Nasal stuffiness ¥VDL or RPR
¥Leukorrhea (clear/light mucus) ¥Offer sickle cell and Cystic Fibrosis screen
¥Pap smear
Second Trimester
Discomforts
¥Acne, Pigmentation changes
¥Palmar erythema
¥Pruritus (itching)
¥Palpitations
¥Supine Hypotension (laying down)
¥Faintness, Syncope
¥Heartburn
¥Constipation
¥Headache
¥Carpal tunnel
¥Round ligament pain
¥Joint pain, backache, pelvic pressure
Third Trimester
Discomforts Labs
¥Shortness of breath, dyspnea ¥1 hour glucose tolerance test, if elevated 3
¥Insomnia hour fasting glucose test
¥Mood swings, increased anxiety ¥Group B strep vaginal/rectal swab
¥Urinary frequency/urgency
¥Perineal discomfort, Pelvic pressure
¥Leg cramps
¥Ankle edema
