Solutions
Presumptive Signs of Pregnancy - ANSWER✔✔-Amenorrhea, N&V, breast
tenderness or changes, deepening pigmentation, urinary frequency,
fatigue, increased basal body temperature, and quickening (at 16 weeks).
Probable Signs of Pregnancy - ANSWER✔✔-Goodell's sign (cervical
softening at 4wk), Chadwick's sign (blue color of vagina & cervix at 6-8
wk), enlarged uterus, (+) urine or blood pregnancy test.
Positive Signs of Pregnancy - ANSWER✔✔-Palpation of fetus, ultrasound
visualization of fetus, and fetal heart tones.
12 week Fundal Height - ANSWER✔✔-The fundus should be at the level of
the symphysis pubis
16 week Fundal Height - ANSWER✔✔-The fundus should be between the
symphysis pubis and umbilicus
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,20 week Fundal Height - ANSWER✔✔-The fundus should be at the level of
the umbillicus
25-35 week Fundal Height - ANSWER✔✔-The fundus should measure
from the symphysis pubis and correlate with with gestational week (+/- 2
cm)
Naegele's Rule - ANSWER✔✔-Add 7 days to LMP, subtract 3 months, add
1 year; Used to calculate due date
Tier 1 Birth Control - ANSWER✔✔-Fail rate <1%; IUD, DMPA (Depo),
Progestin implant, sterilization
Tier 2 Birth Control - ANSWER✔✔-Fail rate 2-3%; OCP, COC's,
transdermals, cervical ring.
Tier 3 Birth Control - ANSWER✔✔-Fail rate roughly 20%; Barrier methods,
can protect against STIs
Caldwell-Moloy Classification - ANSWER✔✔-Four basic pelvic types:
gynecoid, android, anthropoid, and platypelloid
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, FSH - ANSWER✔✔-Gonadotrophin: targets the ovaries, where it
stimulates the growth and development of the primary follicles and results
in the production of estrogen and progesterone.
LH - ANSWER✔✔-Gonadotrophin: targets the developing follicle within
the ovary; it is responsible for ovulation, corpus luteum formation, and
hormone production in the ovaries.
Hypothalamus - ANSWER✔✔-Releases gonadotropin-releasing hormone
(GnRH) in a pulsatile manner to initiate negative feedback system.
Stimulates gonadotrophins->FSH&LH release-> Estrogen/Progesterone
release-> Pituitary gland notes Estrogen/Progesterone levels and regulates
the cycle by altering further FSH/LH release.
Ovarian Cycle - ANSWER✔✔-The 28 days of the menstrual cycle as they
apply to events in the ovary. The ovarian cycle has three subphases: the
follicular phase, ovulation, and the luteal phase.
Follicular Phase - ANSWER✔✔-The first phase of the ovarian cycle, during
which a follicle (an oocyte and its surroudning cells) enlarges and matures.
This phase is under the control of FSH from the anterior pituitary, and
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