Maternal & Fetal Assessment + Pregnancy Complications – NURS 242 OB Study Guide – Galen College of Nursing

OB/PEDS (NURS 230)
MATERNITY EXAM 1 STUDY GUIDE
GALEN COLLEGE OF NURSING

, Signs of pregnancy
o Presumptive (Mom)- Amenorrhea, fatigue, N/V, breast
tenderness, Frequency, quickening (first fetal movements)
o Probable (Doctor)- Low Heggar’s sign, Soft Goodell’s, Blue
Chadwick’s, + Pregnancy test, Braxton hicks, Balltoment
o Positive (Baby)- Fetal tones, visualization, palpation of fetal
movements (Hear, See, and Feel baby)

Pregnancy Terms Naegal’s Rule- Due date
Gravida- # of pregnancies estimate
Term- 37-40+ weeks 1st day of
from month
Abortion- Any pregnancy before 20
to the day
weeks



• Fetal assessment- HR 110-160, Uterine height should equal
Gestational age +/-2, Fetal movement should be seen
Cardiac Changes Respiratory Changes
• Blood volume increases • Increased oxygen
40-50% requirements
o Results in anemia
• Ligaments of rib cage relax
• Cardiac output increases
30-50%
• Diaphragm displaced
• Increased risk for clotting
due to increased clotting
• Upper respiratory more
time and factors
vascular: congestion, nose
bleeds, change in voice