NUR 305 ANTEPARTUM QUESTIONS & ANSWERS
What is considered antepartum? - Answer -The time between conception and labor
What are some emotional changes of pregnancy in the first trimester? - Answer -
*Ambivalence* - nor really sure if they're excited or what they think about the pregnancy
What are some emotional changes of pregnancy in the second trimester? - Answer -
*Acceptance* of the fact that she's pregnant
-especially as more physical changes start
What are some emotional changes of pregnancy in the third trimester? - Answer -
Introversion
-thoughts of baby, imagining what it looks like, etc.
-nervousness about labor
-husband may feel left out because moms more quiet
What are some emotional changes of pregnancy throughout the trimesters? - Answer -
*-Labile Emotions (mood swings)*
*-Body Image (positive or negative)*
-Ultra-sensitive
-Overwhelmed - given lots of advice
What are some factors that affect emotions in pregnancy? - Answer -- Personality
- Social - job, etc.
- Culture - taboos, etc.
- Marital - support system?
- Emotional - already tendency for labile motions?
What are Rubin's Psychological Tasks for pregnancy in each of 3 phases? - Answer -
1st phase: pregnancy validation, fetal embodiment (see baby as part of self)
2nd phase: fetal distinction (See baby as distinct individual)
3rd phase: Role transition (Thinking abt L&D, "nesting instinct", family growing, etc)
What is the condition in which the *father experiences some of the same symptoms as
the pregnant mom*? (Weight gain, nausea, altered hormone levels, disturbed sleep
patterns) - Answer -Couvade syndrome
What are some things to consider regarding siblings and pregnancy? - Answer -*-
Watch for rivalry*
*- Encourage helping - age-appropriate*
- Toddlers/young children have no concept of time; also may regress (potty training,
etc.) with big changes
,When considering the family center approach, we also consider the extended family as
well as the nuclear (primary) family. What are some things to consider regarding
extended families? - Answer -- Important to make them feel needed
- Don't let them take over, though, and don't take their advice as they dont think you can
do this
What are 3 stages of the S&S of pregnancy? - Answer --Presumptive
-Probable
-Positive
What are the presumptive (subjective) S&S of pregnancy? - Answer --Amenorrhea
-N/V "Morning Sickness"
-Breast Changes
-Urinary Frequency
-Quickening
-Fatigue
What is the most common presumptive sign of pregnancy? - Answer -Amenorrhea
ABout 50% of pregnant moms experience some type of sickness in pregnancy. *When*
in the pregnancy is this usually experienced? - Answer -1-3 months; or 6-12 weeks
Does "morning sickness" always happen in the morning? Also, what is the N/V typically
a result of? - Answer -No; increased HCG levels in body
What type of breast changes will a women see if she may be pregnant? - Answer --
Fullness
- Tingling, tenderness
- Nipple/areola darken
When might a woman experience urinary infrequency during pregnancy? - Answer -1st
and 3rd trimester
- because the baby is located right above the bladder
What is it called when the mom first feels the flutter-like movements of the baby in her
about 18-20 weeks? - Answer -Quickening
When does quickening occur? - Answer -18-20 weeks; as early as 16 weeks for multi
para moms
Probable signs of pregnancy are signs that.... - Answer -The doctor or others can
see/observe but still aren't definitive indicators
What are the various probable (objective) S&S of pregnancy? - Answer -- Changs in
cervix
,- Changes in fundus
- Changes of uterine size, shape & consistency
- Changes in skin pigmentation
- Braxton-Hicks Contractions
- Positive Pregnancy Test
- Palpation of fetal parts (24w)
- Ballottement
Cervical Changes:
What is the Goodell sign? - Answer -The cervix begins to soften
The ____________ sign is the softening of the cervix - Answer -Goodell
Cervical Changes:
What is Chadwick's Sign? - Answer -Increase in pigmentation of the cervix, coloring
goes from pink to dark red/purple
_______________'s sign is the increase in pigmentation of the cervix from pink to dark
red/purple - Answer -Chadwik's
Cervical Changes:
What is Hagar's Sign? - Answer -The soft spongy area between the cervix and body of
the uterus
___________'s sign is the soft, spongy area between the cervix and body of the uterus -
Answer -Hegar's
*seen around 6-8 weeks
Fundus Changes:
The fundus should be located where around 10-12 weeks? At 20-22 weeks? - Answer -
Above the symphysis pubis; above the umbilicus
During pregnancy, the fundus should be above the symphysis pubis at _____-_____
weeks; and above the umbilicus at _____-_____ weeks. - Answer -10-12; 20-22
What is Braun Von Fernwald's Sign? - Answer -The softening and enlargement at the
implantation site
The softening and enlargement at the implantation site is known as what sign? -
Answer -Braun Von Fernwald's Sign
, *seen around 5th week
What is Piscacek's Sign? - Answer -The tumor-like enlargement at the site of
implantation
A tumor-like enlargement at the site of implantation is called _______________'s sign -
Answer -Piscacek's
What is Uterine soufflé? - Answer -The soft blowing sound of blood flow through the
placenta
What is the soft, blowing sound of blood flowing through the placenta? - Answer -
Uterine Soufflé
When listening for uterine soufflé, when your hear the blood flow through the placenta,
what does this mimic? - Answer -The mother's HR
When listening for uterine soufflé, when your hear the blood flow through the umbilical
cord, what does this mimic? - Answer -The fetal HR
What are Braxton Hicks Contractions? - Answer -Small contractions that stimulate the
blood flow to uterus but are often interpreted as false labor.
What are some characteristics of Braxton Hicks contractions? - Answer --Painless
-Irregular
-Can occur throughout pregnancy but should go away with activity
*suggest walking around
When should fetal parts be palpable? - Answer -24 weeks
What is causing all the skin color changes in pregnancy? - Answer -The increased
pigment is a result of hormonal changes
What are some skin changes during pregnancy? - Answer -- Abdominal straie ("stretch
marks")
- Linea Nigra
- Darkening of areola
- Facial Melasma (Chloasma) - "Mask of Pregnancy"
What is facial Melasma (Chloasma)? When does it happen and what causes it? -
Answer -The "mask of pregnancy"
- darkening around cheekbones, temple area, forehead
- happens around 16 weeks
- Estrogen believed to be the cause
What is considered antepartum? - Answer -The time between conception and labor
What are some emotional changes of pregnancy in the first trimester? - Answer -
*Ambivalence* - nor really sure if they're excited or what they think about the pregnancy
What are some emotional changes of pregnancy in the second trimester? - Answer -
*Acceptance* of the fact that she's pregnant
-especially as more physical changes start
What are some emotional changes of pregnancy in the third trimester? - Answer -
Introversion
-thoughts of baby, imagining what it looks like, etc.
-nervousness about labor
-husband may feel left out because moms more quiet
What are some emotional changes of pregnancy throughout the trimesters? - Answer -
*-Labile Emotions (mood swings)*
*-Body Image (positive or negative)*
-Ultra-sensitive
-Overwhelmed - given lots of advice
What are some factors that affect emotions in pregnancy? - Answer -- Personality
- Social - job, etc.
- Culture - taboos, etc.
- Marital - support system?
- Emotional - already tendency for labile motions?
What are Rubin's Psychological Tasks for pregnancy in each of 3 phases? - Answer -
1st phase: pregnancy validation, fetal embodiment (see baby as part of self)
2nd phase: fetal distinction (See baby as distinct individual)
3rd phase: Role transition (Thinking abt L&D, "nesting instinct", family growing, etc)
What is the condition in which the *father experiences some of the same symptoms as
the pregnant mom*? (Weight gain, nausea, altered hormone levels, disturbed sleep
patterns) - Answer -Couvade syndrome
What are some things to consider regarding siblings and pregnancy? - Answer -*-
Watch for rivalry*
*- Encourage helping - age-appropriate*
- Toddlers/young children have no concept of time; also may regress (potty training,
etc.) with big changes
,When considering the family center approach, we also consider the extended family as
well as the nuclear (primary) family. What are some things to consider regarding
extended families? - Answer -- Important to make them feel needed
- Don't let them take over, though, and don't take their advice as they dont think you can
do this
What are 3 stages of the S&S of pregnancy? - Answer --Presumptive
-Probable
-Positive
What are the presumptive (subjective) S&S of pregnancy? - Answer --Amenorrhea
-N/V "Morning Sickness"
-Breast Changes
-Urinary Frequency
-Quickening
-Fatigue
What is the most common presumptive sign of pregnancy? - Answer -Amenorrhea
ABout 50% of pregnant moms experience some type of sickness in pregnancy. *When*
in the pregnancy is this usually experienced? - Answer -1-3 months; or 6-12 weeks
Does "morning sickness" always happen in the morning? Also, what is the N/V typically
a result of? - Answer -No; increased HCG levels in body
What type of breast changes will a women see if she may be pregnant? - Answer --
Fullness
- Tingling, tenderness
- Nipple/areola darken
When might a woman experience urinary infrequency during pregnancy? - Answer -1st
and 3rd trimester
- because the baby is located right above the bladder
What is it called when the mom first feels the flutter-like movements of the baby in her
about 18-20 weeks? - Answer -Quickening
When does quickening occur? - Answer -18-20 weeks; as early as 16 weeks for multi
para moms
Probable signs of pregnancy are signs that.... - Answer -The doctor or others can
see/observe but still aren't definitive indicators
What are the various probable (objective) S&S of pregnancy? - Answer -- Changs in
cervix
,- Changes in fundus
- Changes of uterine size, shape & consistency
- Changes in skin pigmentation
- Braxton-Hicks Contractions
- Positive Pregnancy Test
- Palpation of fetal parts (24w)
- Ballottement
Cervical Changes:
What is the Goodell sign? - Answer -The cervix begins to soften
The ____________ sign is the softening of the cervix - Answer -Goodell
Cervical Changes:
What is Chadwick's Sign? - Answer -Increase in pigmentation of the cervix, coloring
goes from pink to dark red/purple
_______________'s sign is the increase in pigmentation of the cervix from pink to dark
red/purple - Answer -Chadwik's
Cervical Changes:
What is Hagar's Sign? - Answer -The soft spongy area between the cervix and body of
the uterus
___________'s sign is the soft, spongy area between the cervix and body of the uterus -
Answer -Hegar's
*seen around 6-8 weeks
Fundus Changes:
The fundus should be located where around 10-12 weeks? At 20-22 weeks? - Answer -
Above the symphysis pubis; above the umbilicus
During pregnancy, the fundus should be above the symphysis pubis at _____-_____
weeks; and above the umbilicus at _____-_____ weeks. - Answer -10-12; 20-22
What is Braun Von Fernwald's Sign? - Answer -The softening and enlargement at the
implantation site
The softening and enlargement at the implantation site is known as what sign? -
Answer -Braun Von Fernwald's Sign
, *seen around 5th week
What is Piscacek's Sign? - Answer -The tumor-like enlargement at the site of
implantation
A tumor-like enlargement at the site of implantation is called _______________'s sign -
Answer -Piscacek's
What is Uterine soufflé? - Answer -The soft blowing sound of blood flow through the
placenta
What is the soft, blowing sound of blood flowing through the placenta? - Answer -
Uterine Soufflé
When listening for uterine soufflé, when your hear the blood flow through the placenta,
what does this mimic? - Answer -The mother's HR
When listening for uterine soufflé, when your hear the blood flow through the umbilical
cord, what does this mimic? - Answer -The fetal HR
What are Braxton Hicks Contractions? - Answer -Small contractions that stimulate the
blood flow to uterus but are often interpreted as false labor.
What are some characteristics of Braxton Hicks contractions? - Answer --Painless
-Irregular
-Can occur throughout pregnancy but should go away with activity
*suggest walking around
When should fetal parts be palpable? - Answer -24 weeks
What is causing all the skin color changes in pregnancy? - Answer -The increased
pigment is a result of hormonal changes
What are some skin changes during pregnancy? - Answer -- Abdominal straie ("stretch
marks")
- Linea Nigra
- Darkening of areola
- Facial Melasma (Chloasma) - "Mask of Pregnancy"
What is facial Melasma (Chloasma)? When does it happen and what causes it? -
Answer -The "mask of pregnancy"
- darkening around cheekbones, temple area, forehead
- happens around 16 weeks
- Estrogen believed to be the cause
