NUR 684 Study Questions Solved 100% Correct |
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Signs and symptoms of pregnancy- Presumptive - ✔✔SUBJECTIVE findings felt by the
woman; suggestive but not diagnostic:
-amenorrhea
-breast fullness/tenderness
-N/V
-urinary frequency
-fatigue
**Quickening- perception of fetal movement**
Signs and symptoms of pregnancy- Probable - ✔✔OBJECTIVE findings observed by examiner;
highly suggestive but not diagnostic:
-uterine enlargement
-Goodell's sign
-Hegar's sign
-Chadwick's sign
**Positive pregnancy test**
Goodell's sign (define) - ✔✔**Softening of cervix**
Hegar's sign (define) - ✔✔**Softening of uterine isthmus**
Chadwick's sign (define) - ✔✔**Blue hue to vaginal mucosa & cervix**
,Signs and symptoms of pregnancy- Positive - ✔✔OBJECTIVE findings that are only attributed
to presence of fetus & diagnostic of pregnancy:
-Fetal heart tones
-Visualization of fetus
-Fetal movement felt be examiner
What is the biological marker for pregnancy tests? - ✔✔**Human chorionic gonadotropin
(HCG)**
When does quickening occur? - ✔✔Between 16-20 weeks
After quickening occurs, ask about what signs/symptoms? - ✔✔-Contractions
-Leakage of fluid
-Vaginal bleeding
Qualitative vs. quantitative pregnancy tests - ✔✔Qualitative- positive or negative; urine or
serum
Quantitative- serum only; measure amount of HCG & helps determine gestational age
ELISA pregnancy test - ✔✔-Qualitative urine test
-Reliable at 7-10 days post conception
-Detects HCG levels as low as 5-50 mIU/mL
-False positives are rare (except after recent pregnancy & some tumors of pancreas, ovaries, or
breast
-Most common type for in-office & home testing
,Beta subunit radioimmunoassay (RIA) pregnancy test - ✔✔-Qualitative or quantitative serum
test
-Reliable at 7 days post conception
-Detects HCG levels as low as 5 mIU/mL
-Usually performed in laboratories
Average duration of pregnancy - ✔✔280 days or 40 weeks from LMP
Term birth (how long gestation?) - ✔✔38-42 weeks
Preterm (how long gestation?) - ✔✔After 20 weeks but before 38 weeks
Stillbirth (define) - ✔✔Infant born dead after 20 weeks gestation
Abortion (define) - ✔✔Termination of pregnancy before the end of 20 weeks; can be
spontaneous or induced
Estimating due date - ✔✔-Establish if menstrual cycles & LMP were normal
-Establish if recently discontinued hormonal contraception
**Naegele rule
Naegele rule - ✔✔Subtract 3 months from first day of LMP and add 7 days
~Can only be used it pt has regular menstrual cycles
Gravida (define) - ✔✔Total number of times pregnant
, Para (define) - ✔✔Number of pregnancies that reached 20+ weeks gestation regardless of
outcome
Living (define) - ✔✔Number of children currently living
GTPAL - ✔✔Gravida, Term, Preterm, Abortion, Living
Initial prenatal visit- history - ✔✔-Gynecologic (ex. menstrual, contraceptive)
-Obstetric
-Medical/surgical
-Psychosocial hx
-Family health hx
Menstrual history- components - ✔✔-Age at menarche
-Cycle intervals/length/amount of bleeding
-Any abnormal bleeding
-Date of LMP (first day)
-Date of conception if known
Gynecologic history- components - ✔✔-Sexual hx (# of partners, orientation, condom use,
etc.)
-Hx of STIs
-Hx of sexual assault
-Hx or current genitourinary conditions (ex. vaginitis, UTIs, fibroids, etc.)
Verified Answers
Signs and symptoms of pregnancy- Presumptive - ✔✔SUBJECTIVE findings felt by the
woman; suggestive but not diagnostic:
-amenorrhea
-breast fullness/tenderness
-N/V
-urinary frequency
-fatigue
**Quickening- perception of fetal movement**
Signs and symptoms of pregnancy- Probable - ✔✔OBJECTIVE findings observed by examiner;
highly suggestive but not diagnostic:
-uterine enlargement
-Goodell's sign
-Hegar's sign
-Chadwick's sign
**Positive pregnancy test**
Goodell's sign (define) - ✔✔**Softening of cervix**
Hegar's sign (define) - ✔✔**Softening of uterine isthmus**
Chadwick's sign (define) - ✔✔**Blue hue to vaginal mucosa & cervix**
,Signs and symptoms of pregnancy- Positive - ✔✔OBJECTIVE findings that are only attributed
to presence of fetus & diagnostic of pregnancy:
-Fetal heart tones
-Visualization of fetus
-Fetal movement felt be examiner
What is the biological marker for pregnancy tests? - ✔✔**Human chorionic gonadotropin
(HCG)**
When does quickening occur? - ✔✔Between 16-20 weeks
After quickening occurs, ask about what signs/symptoms? - ✔✔-Contractions
-Leakage of fluid
-Vaginal bleeding
Qualitative vs. quantitative pregnancy tests - ✔✔Qualitative- positive or negative; urine or
serum
Quantitative- serum only; measure amount of HCG & helps determine gestational age
ELISA pregnancy test - ✔✔-Qualitative urine test
-Reliable at 7-10 days post conception
-Detects HCG levels as low as 5-50 mIU/mL
-False positives are rare (except after recent pregnancy & some tumors of pancreas, ovaries, or
breast
-Most common type for in-office & home testing
,Beta subunit radioimmunoassay (RIA) pregnancy test - ✔✔-Qualitative or quantitative serum
test
-Reliable at 7 days post conception
-Detects HCG levels as low as 5 mIU/mL
-Usually performed in laboratories
Average duration of pregnancy - ✔✔280 days or 40 weeks from LMP
Term birth (how long gestation?) - ✔✔38-42 weeks
Preterm (how long gestation?) - ✔✔After 20 weeks but before 38 weeks
Stillbirth (define) - ✔✔Infant born dead after 20 weeks gestation
Abortion (define) - ✔✔Termination of pregnancy before the end of 20 weeks; can be
spontaneous or induced
Estimating due date - ✔✔-Establish if menstrual cycles & LMP were normal
-Establish if recently discontinued hormonal contraception
**Naegele rule
Naegele rule - ✔✔Subtract 3 months from first day of LMP and add 7 days
~Can only be used it pt has regular menstrual cycles
Gravida (define) - ✔✔Total number of times pregnant
, Para (define) - ✔✔Number of pregnancies that reached 20+ weeks gestation regardless of
outcome
Living (define) - ✔✔Number of children currently living
GTPAL - ✔✔Gravida, Term, Preterm, Abortion, Living
Initial prenatal visit- history - ✔✔-Gynecologic (ex. menstrual, contraceptive)
-Obstetric
-Medical/surgical
-Psychosocial hx
-Family health hx
Menstrual history- components - ✔✔-Age at menarche
-Cycle intervals/length/amount of bleeding
-Any abnormal bleeding
-Date of LMP (first day)
-Date of conception if known
Gynecologic history- components - ✔✔-Sexual hx (# of partners, orientation, condom use,
etc.)
-Hx of STIs
-Hx of sexual assault
-Hx or current genitourinary conditions (ex. vaginitis, UTIs, fibroids, etc.)
