answers (passing guarantee) 2025/2026
what weeks are included in the first trimester? - Answer wk 1-13 "i'm so excited" or "oh no"
what hormone controls amenorrhea - Answer progesterone
presumptive sign of pregnancy: - Answer Amenorrhea
n/v
breast tenderness- bc of too much hormones
urinary frequency- can be the 1st sign
probable signs of pregnancy:
-what are other signs of increase hCG? - Answer positive pregnancy test (based on hCG levels), uterine
enlargement, and braxton hicks contractions (this is throughout pregnancy; it is moving blood through
the placenta)
-hydatidiform mole AND drugs
Goodell's sign- when does it occur and what is it - Answer 2nd month. softening of the cervix (probably
sign of pregnancy )
Chadwick's sign- when does it occur and what is it - Answer first 4 wks; bluish color of vaginal mucosa
and cervix (probably a sign you are pregnant)
Hegar's sign- when does it occur and what is it - Answer occurs in the2nd/3rdmonth. it is the softening
of the lower uterine segment
color changes in the skin that are probable signs of pregnancy: - Answer linea nigra (line down center of
belly button)
,abdominal striae (stretch marks)
facial cholasma (mask of pregnancy)
darkening of the areola (around the nipple)
POSITIVE signs of pregnancy: - Answer fetal heart beat
fetoscope
fetal movement
ultra sound
when can you hear the fetal heart beat with a doppler? - Answer 10-12 weeks
when can you hear the fetal heart beat with a fetoscope? - Answer 17-20 weeks
gravidity
parity
viability - Answer -# of times a woman has been pregnant (even miscarriage)
-# of pregnancies in which the fetus reaches 20 wks
-24 weeks=infant has the ability to live outside the uterus
is a 20 week baby considered viability? - Answer NO
TPAL - Answer term, pre term, abortion (spontaneous and elective abortions), living children
Naegele's rule - Answer
Naegel's rule for determining due date - Answer add 7 days.. subtract 3 months.. add one year to the
LMP
nutrition considerations for preg women:
,calories? adolescent?
protein? what is the norm? - Answer 4 food groups:
-increase calories by 300/day after the first trimester
Adolescent: increase calories by 500 after first trimester
-increase protein to 60 grams per day (normal: 40-45 g/day)
how many pounds should women gain the first trimester? - Answer 4
why don't women like to take iron?
what do we take iron with?
folic acid prevents?
daily dose of folic acid? - Answer -it causes constipation and GI upset
-VIT C to enhance absorption
-neural tube defects (like spin bifida)
-400 mcg/day
exercise rule for pregnant women:
no? why no heat?
what is the exercise rule?
what is the BEST exercise for preg? - Answer no high impact, no heavy or unaccustomed exercise
program, no overheating (no hot tubs or electric blanket); increase body temp=birth defects
-don't let your HR get above 140= decrease CO & uterine perfusion will drop
-walking and swimming is the best
what are danger signs in pregnancy: - Answer -sudden gush of vaginal fluid
-bleeding
-persistent vomiting
-severe H/A
-abdominal pain
, -increase temp
-edema
-no fetal movement
common discomforts in pregnancy: - Answer N/V, breast tenderness, urinary frequency, tender gums,
fatigue, heartburn, increased vaginal secretions, nasal stuffiness, varicose veins, ankle edema,
hemorrhoids, constipation, backache, leg cramps
what are you going to tell the prey person about taking meds? - Answer don't, unless you ask dr
smoking: what are you going to tell them? - Answer stop, SGA baby
DR visits: how often should a pregnant client visit the physician?
first 28 wks:
28-26 wks:
36 wks: - Answer -1 a month
-1 a month
-every 2 week
-weekly until delivery
what do we want the patient to do before an ultra sound?
what about an ultrasound prior to a procedure (like amniocentesis)? - Answer drink water (it distends
the bladder and makes it easier to see the uterus)
-void
second trimester: week?
how many pounds a week are expected in the second trimester?
should the client still be having N/V, breast tenderness, and urinary frequency? - Answer -wk 14-26
-one
-n/v (NO), breast tenderness (YES), urinary frequency (NO)