Chamberlain College of Nursing NR 327 WEEK 2 OB EDAPT NOTES

NURSING CARE DURING PREGNANCY: Presumptive signs of pregnancy: Subjective indicators that the woman may be pregnant but may also be caused by other non-pregnancy-related conditions. These may include:  amenorrhea (absence of menstruation)  nausea, vomiting  breast changes (swelling, tenderness, darkening areolae) Probable signs of pregnancy: Objective indicators confirmed upon examination but may also be caused by other non-pregnancy-related conditions. These may include:  uterine enlargement  Goodell’s sign (cervical softening)  ballottement (upon abdominal palpation a rebound is felt)  positive pregnancy test (detects presence of HCG in blood or urine)  Chadwick’s sign (increased vascularity noted upon pelvic exam) Positive signs of pregnancy: These signs only occur in pregnancy and confirm the presence of the fetus. These include:  palpation of the fetal outline  visualization of the pregnancy on ultrasound  presence of the fetal heartbeat