HESI Maternity and Pediatrics| 275 Questions and Answers Graded A+
How is EDD calculated using Nagele's rule? - 1. Determine the first day of the LMP 2. Subtract 3 months 3. Add 7 days 4. Adjust the year What is gravidity? - the number of pregnancies including current pregnancy. includes miscarriages, ectopic pregnancies, stillbirths. What is parity? - number of births in which the fetus is carried past 20 weeks gestation(not number of fetuses [e.g., twins] GTPAL - Gravida, Term, Preterm, Abortions, Living What are presumptive signs of pregnancy? - Subjective signs perceived by the woman - Signs: amenorrhea, breast changes & tenderness, nausea - Symptoms: N/V, urinary freq, weight gain, fatigue, quickening (fetal movement), discoloration of vaginal mucosa Probable signs of pregnancy - Uterine enlargement, Goodell's sign, Chadwick's sign, Hegar's sign, Ballottement, + Pregnancy test, Braxton Hicks contractions Goodell's sign - softening of the cervix Chadwick's sign - Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased vascular congestion.Hegar's sign - softening of the lower uterine segment Ballottement - The rebounding of the fetus against the examiner's fingers on palpation Positive signs of pregnancy - audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of fetus How to measure Fundal Height - Symphysis pubis to top of uterine fundus. # of cm is usually equivalent to gestation age, give or take 1-2 cm --At 36 weeks fetus moves down into the pelvis, measurement not as r
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