NUR 254 Exam 1 with question and answer 100 % correct
Terms in this set (138)
Presumtive signs of pregnancy SUBJECTIVE
-Nausea/vomiting
-amenorrhea
-breast changes
-fatigue
-urinary frequency
-quickening (fetal movement)
Probable signs of pregnancy EXAMINER OBJECTIVE FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
-Ballotment
nonstress test A method for evaluating fetal status during the antepartum
period by observing the response of the fetal heart rate to
fetal movement.
accelerations should be 15x15 at 36wks
Cerclage suturing of the cervix to prevent it from dilating prematurely
during pregnancy, thus decreasing the chance of a
spontaneous abortion or premature birth
Estrogen - Responsible for enlargement ofuterus, breasts, and genitals
- supports melanocyte-stimulating hormone in
hyperpigmentation of skin
- vasular changes
- alters sodium and water retention
Progesterone - inhibits uterine contractility
- promotes the development of secretory ducts for lactation
- Reduced smooth muscle tone (inc. risk for
heartburn, constipation, UTI)
Human chorionicsomatomammotropi - produced by placenta
- Affects glucose and protein metabolism
- Decreases maternal metabolism of glucose
- increases resistance to insulin
,Relaxin - softens cervix (goodells sign)
- causes connective tissues of symphysis pubis to be
more moveable
- inhibits uterine activity
Oxytocin - produced by posterior pituitary
- stimulates uterine contractions
- stimulates milk ejection
Eclampsia Tonic clonic Seizure with pre-eclampsia
Ectopic pregnancy Pregnancy that is located outside of the uterus
S/S of ectopic pregnancy three classic signs and symptoms before rupture: abdominal
pain, delayed menses, abnormal vaginal bleeding.
Methotrexate - dissolves ectopic (tubal) pregnancies by destroying cells
- urine and stool could contain toxic levels of drug for up to 7
days. double flush toilet
-
What to avoid on methotrexate - folic acid
- "gas forming" foods
- sun
avoid sex unti beta-hCG levels are undetectable
- Do not take any analgesics stronger than Tylenol (they
will mask symptoms of tubal rupture)
Antidote for Magnesium Toxicity calcium gluconate
gestational diabetes diagnosis criteria Failed 1hr OGTT, and met 2 or more of the criteria in the 3hr
OGTT
Magnesium sulfate Medication used for prevention of seizures and neonatal
neuroprotection
S/S of DIC - signs of thrombosis
- bleeding from at least 3 unrelated sites
- epitaxis
- hypotension
- tachycardia
Interventions for DIC Monitor for bleeding and signs of shock
insert foley- watch I&O and renal function
Oxygen, volume replacement, blood therapy, possible
heparin
Disseminated Intravascular Coagulation - Activation of coagulation which is widespread and can lead
(DIC) to excessive clotting and hemorrhage
It is never a primary diagnosis, most often triggered
by placental abruption
, Preterm labor The progressive dilation of the cervix prior to 36wks of
pregnancy and after 20 weeks gestation.
Pre-eclampsia diagnosis criteria BP greater than 140/90 2x greater than 4 hours apart, often
with proteinuria.
molar pregnancy also known as gestational trophoblastic disease; abnormal
proliferation of trophoblastic cells in the first trimester
not a viable pregnancy
-dark brown discharge
-cannot become pregnant within one year and have frequent
checks for cancer
Presents often with a "snowstorm" pattern
Hegar's sign softening of the lower uterine segment
Goodell's sign softening of the cervix
Chadwick's sign Bluish-purple coloration of the vaginal mucosa and cervix
ballotment Rebounding of the fetus against the examiner's finger on
palpation. When the examiner taps the cervix, the fetus floats
upward in the amniotic fluid.
Positive signs of pregnancy -hearing fetal heart sounds
-Visualization of the fetus
-feeling of fetal movement by examiner
Gravida total number of pregnancies
Para number of pregnancies 20 weeks or >
Term 37-40+ weeks (posterm 42+ weeks)
Preterm 20-36 6/7 weeks
Abortion prior to 20 weeks
Living Number of living children
Naegle's rule - estimate due date LMP - 3 months + 7 days
Terms in this set (138)
Presumtive signs of pregnancy SUBJECTIVE
-Nausea/vomiting
-amenorrhea
-breast changes
-fatigue
-urinary frequency
-quickening (fetal movement)
Probable signs of pregnancy EXAMINER OBJECTIVE FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
-Ballotment
nonstress test A method for evaluating fetal status during the antepartum
period by observing the response of the fetal heart rate to
fetal movement.
accelerations should be 15x15 at 36wks
Cerclage suturing of the cervix to prevent it from dilating prematurely
during pregnancy, thus decreasing the chance of a
spontaneous abortion or premature birth
Estrogen - Responsible for enlargement ofuterus, breasts, and genitals
- supports melanocyte-stimulating hormone in
hyperpigmentation of skin
- vasular changes
- alters sodium and water retention
Progesterone - inhibits uterine contractility
- promotes the development of secretory ducts for lactation
- Reduced smooth muscle tone (inc. risk for
heartburn, constipation, UTI)
Human chorionicsomatomammotropi - produced by placenta
- Affects glucose and protein metabolism
- Decreases maternal metabolism of glucose
- increases resistance to insulin
,Relaxin - softens cervix (goodells sign)
- causes connective tissues of symphysis pubis to be
more moveable
- inhibits uterine activity
Oxytocin - produced by posterior pituitary
- stimulates uterine contractions
- stimulates milk ejection
Eclampsia Tonic clonic Seizure with pre-eclampsia
Ectopic pregnancy Pregnancy that is located outside of the uterus
S/S of ectopic pregnancy three classic signs and symptoms before rupture: abdominal
pain, delayed menses, abnormal vaginal bleeding.
Methotrexate - dissolves ectopic (tubal) pregnancies by destroying cells
- urine and stool could contain toxic levels of drug for up to 7
days. double flush toilet
-
What to avoid on methotrexate - folic acid
- "gas forming" foods
- sun
avoid sex unti beta-hCG levels are undetectable
- Do not take any analgesics stronger than Tylenol (they
will mask symptoms of tubal rupture)
Antidote for Magnesium Toxicity calcium gluconate
gestational diabetes diagnosis criteria Failed 1hr OGTT, and met 2 or more of the criteria in the 3hr
OGTT
Magnesium sulfate Medication used for prevention of seizures and neonatal
neuroprotection
S/S of DIC - signs of thrombosis
- bleeding from at least 3 unrelated sites
- epitaxis
- hypotension
- tachycardia
Interventions for DIC Monitor for bleeding and signs of shock
insert foley- watch I&O and renal function
Oxygen, volume replacement, blood therapy, possible
heparin
Disseminated Intravascular Coagulation - Activation of coagulation which is widespread and can lead
(DIC) to excessive clotting and hemorrhage
It is never a primary diagnosis, most often triggered
by placental abruption
, Preterm labor The progressive dilation of the cervix prior to 36wks of
pregnancy and after 20 weeks gestation.
Pre-eclampsia diagnosis criteria BP greater than 140/90 2x greater than 4 hours apart, often
with proteinuria.
molar pregnancy also known as gestational trophoblastic disease; abnormal
proliferation of trophoblastic cells in the first trimester
not a viable pregnancy
-dark brown discharge
-cannot become pregnant within one year and have frequent
checks for cancer
Presents often with a "snowstorm" pattern
Hegar's sign softening of the lower uterine segment
Goodell's sign softening of the cervix
Chadwick's sign Bluish-purple coloration of the vaginal mucosa and cervix
ballotment Rebounding of the fetus against the examiner's finger on
palpation. When the examiner taps the cervix, the fetus floats
upward in the amniotic fluid.
Positive signs of pregnancy -hearing fetal heart sounds
-Visualization of the fetus
-feeling of fetal movement by examiner
Gravida total number of pregnancies
Para number of pregnancies 20 weeks or >
Term 37-40+ weeks (posterm 42+ weeks)
Preterm 20-36 6/7 weeks
Abortion prior to 20 weeks
Living Number of living children
Naegle's rule - estimate due date LMP - 3 months + 7 days
