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Maternal Child Exam 1 Nursing Care during Pregnancy Exam
2022\2023
1. What risk factors are being assessed for in pre-conceptual
counseling?: Immune status, genetic disorders, medications, lifestyle,
reproductive history, family support
2. What health promotion is being discussed for in pre-conceptual
counseling?: Nutrition- folic acid 400mcg (1mg/day)
Ideal body weight
Avoidance of certain medications and alcohol
Smoking cessation
Safe sexual practices
3. What is the physical and psychological importance of the prenatal
period?: Health of the expectant mother and infant Diagnosis and treatment
of maternal disorders
Education and support for self-care and parenting
, Maternal Child Exam 1: Nursing Care during Pregnancy
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4. What is gravidity (G)?: Total number of pregnancies
Includes current pregnancy
Twins = 1
5. What is parity (P)?: Total number of previous pregnancies with fetuses
delivered >20 weeks (regardless of outcome)
Does not include miscarriages
Multiple births = one parity
Parity doesn't change until after delivery
6. What is GTPAL?: A more specific statement of obstetric history
Term = pregnancies > 37 completed - 42 weeks gestation
Preterm = 20 - < 37 completed weeks gestation
Abortions = < 20 weeks gestation (spontaneous, induced, and
elective) Living Children = Present children (tells neonatal issues)
Twins = 2
, Maternal Child Exam 1: Nursing Care during Pregnancy
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7. What are subjective presumptive signs of pregnancy?: Amenorrhea N /
V
Quickening (fetal movement)
Breast Changes: tenderness, enlargement
Urinary Frequency / Urgency
Abdominal enlargement
Skin Pigmentation Changes: Chloasma, Linea Nigra
Sleep Disturbances / Fatigue
Weight Changes
Increased BBT
8. What are objective probable signs of pregnancy?: Uterine enlargement
Hegar's Sign
Chadwick's Sign (cervix is bluish color due to increased blood flow)
Goodell's Sign
Ballottement (rebound movement from unengaged fetus’ after 16 weeks)