NUR 113 Exam 1

what is the function of estrogen – -development of female characteristics -helps uterus grow in size and weight during pregnancy what is the function of progestrone – -secreted by corpus luteum -"maintenance" hormone during pregnancy -can help w lactation -keeps uterus relaxed so it doesnt contract while implantation is occuring -prevents preterm labor what is an ectopic pregnancy - when the egg does not get to the uterus and gets fertilized in the fallopian tubes how to dissolved fertilized egg during a ectopic pregnancy - admin methotrexate what happens during days 1-7 of the menstrual cycle - lining breaks down, menstration occurs what happens during days 8-11 of the menstrual cycle - lining of womb thickens in prep for egg what happens during days 12-17 of the menstrual cycle - ovulation occurs, pregnancy most possible what happens during days 18-25 of the menstrual cycle - if no fertilization, corupus luteum fades away what is gravidity - number of pregnancies what is nulligravida - never been pregnant what is primigravida - first pregnancy what is multigravida - 2 or more pregnancies what is parity - number of pregnancy where fetus got to 20 weeks (no matter outcome)what is nullipara - no pregnancy that goes beyond viability what is primipara - 1 pregnancy that goes beyond viability what is multipara - 2 or more pregnancies that goes beyond viability what is viability - past 20 weeks or at 500 grams what is GTPAL - G- # of pregnancies T- # of full term (>37 weeks) P- # of pre term (20-36 weeks) A- # of abortions L- # of living children what is Nagele's rule - -how to determine due date from LMP +7 days -3 months +1 year how to calculate EDB if LMP is unknown - transvaginal ultrasound what can transvaginal ultrasounds determine - -expected due date -verifies fetal heart beat and status of pregnancy -location -can tell if multiple -looks for abnormalities -usually done at first prenatal confirmation visit what is the most accurate measurement of gestational age in the first trimester - within the ultasound, they measure the CRL (crown/rump length) what are the presumptive signs of pregnancy - -felt by the *women* -amenorrhea -N/V -morning sickness -extreme fatigue -sore, tender breast -urinary frequencywhat are probable signs of pregnancy - -observed by an *examiner* -Goodwells sign -Chadwick sign -Hegar's sign -Ballottement -pregnancy tests what is Goodwell's sign - softening of vaginal portion of cervix what is Chadwick's sign - bluish vagina and cervix due to increased vascularity what is Hegar's sign - examiner uses 2 hands to feel softening of cervix isthmus and increased bladder pressure what is Ballottement - use a finger to push on cervix, can feel gestational sac and bounce back consideration of pregnancy tests - -antiseizure meds, diuretics, tranquilizers, and testicular cancer can cause false positive -1st void in AM is the most accurate -testing for HCG= amount doubles every 72 hours -DO NOT use this as your definitive sign what are positive signs of pregnancy - -attributes to fetus -fetal heart beat clearly distinctive from mom -fetal movement felt by someone else -fetal visualization by ultrasound what signs can establish the diagnosis of pregnancy - positive signs what a normal fetal HR - 110-160 what is the fundus - top of uterus where is the fundus located during T1 - between pubis symphysis and umbilicus where is the fundus located during T2 - between the umbilicus and xiphoid process