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Exam (elaborations)

CNUR 303 Lecture 1 Questions 2025/2026 with 100% Correct Solutions

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CNUR 303 Lecture 1 Questions 2025/2026 with 100% Correct Solutions

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CNUR 303 Lecture 1 Questions 2025/2026 with
100% Correct Solutions
Gravidity

pregnancy

Gravida

woman who is pregnant

multigravida

women who has had two or more pregnancies

Multipara

-woman who has completed two or more pregnancies to 20 weeks' gestation or more

Nulligravida

-women who has never been pregnant

Nullipara

-women who has not completed a pregnancy with fetus or fetuses beyond 20 weeks of gestation

Parity

-number of pregnancies in which fetus or fetuses have reached 20 weeks of gestation, not

number of fetuses (e.g., twins) born. Parity is not affected by whether the fetus is born alive or is

stillborn (i.e., showing no signs of life at birth).

Postdate or postterm

,-pregnancy that goes beyond 41 weeks of gestation

Preterm

-pregnancy that has reached 20 weeks of gestation but before completion of 36 weeks of

gestation

Primigravida

-woman who is pregnant for the first time

Primipara

woman who has completed one pregnancy with fetus or fetuses who have reached 20 weeks of

gestation

Term

-pregnancy from beginning of week 37 of gestation to end of week 40 plus 6 days of gestation

Viability

capacity to live outside the uterus; about 22 to 25 weeks of gestation

Presumptive signs of pregnancy

-Amenorrhea: absence of menstruation

-"Morning Sickness"

-Excessive Fatigue

-Urinary Frequency

-Changes in breasts

Probable signs of pregnancy

,-Goodell's Sign: softening of cervix

-Chadwick's Sign: purplish color

-Hegar's Sign: softening of the isthmus, lower segment of the uterus

-Positive Pregnancy Test

-Progressive Uterine Enlargement

-Palpation of Fundus: palpating the dome-shaped upper part of the uterus, called the fundus

Positive signs of pregnancy

-Fetal heart

-Fetal Movement

-Ultrasound

Uterus adaptations to pregnancy

-Changes in size, shape, and position

-Changes in contractility: braxton hicks (contractions of the uterus)

-Uteroplacental blood flow: changes related to fetal presence

-at 14 weeks you may begin to show your pregnancy

Changes in size shape and position of uterus

-Increases 20 times non pregnant state--hypertrophy and hyperplasia of myometrial cells

-10 weeks = size of orange

-12 weeks = size of grapefruit

-Weight increases 50 gm (2 oz) to 1100gm (2.5 lbs)

-Capacity increases from 10mL to 5000 mL or more

, -Shape changes from an inverted pear to a globe, as muscle walls strengthen & become more

elastic

Height of fundus

-estimates duration of pregnancy

-36 weeks at about xiphoid process

-height of the fundus is affected by amount of amniotic fluid, how large the fetus is, maternal

obesity etc so it isn't a definitive answer of gestation time

Ovary adaptations to pregnancy

-Amenorrhea

-Corpus Luteum - produces progesterone & estrogen in early pregnancy (until approximately 14

weeks, when placenta takes over)

-Follicle Stimulating Hormone (FSH) secreted by pituitary gland ceases so we don't release

anymore eggs

Cervix adaptations to pregnancy

-Mucous Plug: endocervical glands secrete a thick mucus (Luekorrhea) to prevent ascending

infection

-Goodell's sign: softening of the cervix (+ sign of pregnancy)

-Chadwick's sign: blue -purple discoloration hypervascularization

-Heger's sign: softening of the isthmus

Vagina and vulva adaptations to pregnancy

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