NUR 631 exam 4
Study online at https://quizlet.com/_h60c7q
1. changes in preg- inc blood vol
nancy dec SVR
dec BP
inc HR
resp alkalosis
dec GI motility (constipation, reflux)
inc GFR, frequent urination
Lordosis
ligament laxity
linea nigra, striae, cholasma
2. location of Nonpregnant uterus = size of a small pear.
uterus 12 weeks: palpable at pubic symphysis.
nonpregnant, 12 20 weeks: at umbilicus.
weeks 20 weeks, 36 weeks: near xiphoid process.
36 weeks
3. GTPAL Gravida, Term, Preterm, Abortions, Living
4. gravida, para Gravida (gravidity): # of Pregnancies
Para (parady): # of live births
5. pallor of the eyes anemia
can indicate what
in pregnancy
6. chadwick's sign Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a
result of increased vascular congestion.
7. Goodell's sign softening of the cervix
8. hegar's sign
, NUR 631 exam 4
Study online at https://quizlet.com/_h60c7q
softening of the lower uterine segment (uterine isthmus) where cervix connects
to uterus
9. Prenatal Care -Every 4 weeks until 28 weeks gestation
Schedule -Every 2 weeks until 36 weeks gestation
-After week 36, weekly until birth
-As needed
10. each visit pt will Weight measurement
have what done Blood pressure
(pregnancy) Fundal height
Fetal heart rate (via Doppler after 10-12 weeks)
Fetal movements (maternal reporting)
Urinalysis for protein, glucose, infection
11. initial labs when Blood type and Rh factor.
pregnant CBC (check for anemia).
Rubella immunity.
Syphilis, HIV, Hepatitis B testing.Urinalysis and urine culture.
Pap smear (if due).
STI screening (gonorrhea, chlamydia).
12. glucose testing 24-28 weeks
occurs when
13. strep B testing 35-37 weeks
occurs when
14. Pregnancy dan- Vaginal bleeding.
ger signs Severe abdominal pain.
Severe headaches.
Visual changes (blurred vision, scotomas).
Sudden swelling of face, hands, or feet.
, NUR 631 exam 4
Study online at https://quizlet.com/_h60c7q
Decreased fetal movements.
Signs of preterm labor: contractions, pelvic pressure.
15. Gestational hy- BP of 140/90 or greater (no proteinuria)
pertension
16. Ectopic pregnan- unilateral Pelvic pain, bleeding, cramping, missed period
cy signs
17. Pre-eclampsia hypertension + proteinuria.
18. Gestational dia- a form of diabetes mellitus that occurs during some pregnancies
betes
19. Placenta previa implantation of the placenta over the cervical opening or in the lower region of
the uterus
painless bleeding in third trimester.
20. Placental abrup- Premature separation of placenta from uterus
tion painful bleeding with uterine tenderness.
21. Calculation of Add 1 year, subtract 3 months, and add 7 days to the first day of the LMP.
Estimated Due Example: LMP = July 10, 2024 ’EDD = April 17, 2025.
Date (EDD)
Naegele's rule
22. Fundal Height After 20 weeks, fundal height in cm Hgestational age in weeks.
and Gestational If fundal height >2 cm off ’consider growth restriction, macrosomia, or amniotic
Age Correlation fluid issues (oligo/polyhydramnios).
23. Vaccinations in Tdap between 27-36 weeks (protects baby from pertussis).
Pregnancy Influenza vaccine (any trimester).
24.
Study online at https://quizlet.com/_h60c7q
1. changes in preg- inc blood vol
nancy dec SVR
dec BP
inc HR
resp alkalosis
dec GI motility (constipation, reflux)
inc GFR, frequent urination
Lordosis
ligament laxity
linea nigra, striae, cholasma
2. location of Nonpregnant uterus = size of a small pear.
uterus 12 weeks: palpable at pubic symphysis.
nonpregnant, 12 20 weeks: at umbilicus.
weeks 20 weeks, 36 weeks: near xiphoid process.
36 weeks
3. GTPAL Gravida, Term, Preterm, Abortions, Living
4. gravida, para Gravida (gravidity): # of Pregnancies
Para (parady): # of live births
5. pallor of the eyes anemia
can indicate what
in pregnancy
6. chadwick's sign Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a
result of increased vascular congestion.
7. Goodell's sign softening of the cervix
8. hegar's sign
, NUR 631 exam 4
Study online at https://quizlet.com/_h60c7q
softening of the lower uterine segment (uterine isthmus) where cervix connects
to uterus
9. Prenatal Care -Every 4 weeks until 28 weeks gestation
Schedule -Every 2 weeks until 36 weeks gestation
-After week 36, weekly until birth
-As needed
10. each visit pt will Weight measurement
have what done Blood pressure
(pregnancy) Fundal height
Fetal heart rate (via Doppler after 10-12 weeks)
Fetal movements (maternal reporting)
Urinalysis for protein, glucose, infection
11. initial labs when Blood type and Rh factor.
pregnant CBC (check for anemia).
Rubella immunity.
Syphilis, HIV, Hepatitis B testing.Urinalysis and urine culture.
Pap smear (if due).
STI screening (gonorrhea, chlamydia).
12. glucose testing 24-28 weeks
occurs when
13. strep B testing 35-37 weeks
occurs when
14. Pregnancy dan- Vaginal bleeding.
ger signs Severe abdominal pain.
Severe headaches.
Visual changes (blurred vision, scotomas).
Sudden swelling of face, hands, or feet.
, NUR 631 exam 4
Study online at https://quizlet.com/_h60c7q
Decreased fetal movements.
Signs of preterm labor: contractions, pelvic pressure.
15. Gestational hy- BP of 140/90 or greater (no proteinuria)
pertension
16. Ectopic pregnan- unilateral Pelvic pain, bleeding, cramping, missed period
cy signs
17. Pre-eclampsia hypertension + proteinuria.
18. Gestational dia- a form of diabetes mellitus that occurs during some pregnancies
betes
19. Placenta previa implantation of the placenta over the cervical opening or in the lower region of
the uterus
painless bleeding in third trimester.
20. Placental abrup- Premature separation of placenta from uterus
tion painful bleeding with uterine tenderness.
21. Calculation of Add 1 year, subtract 3 months, and add 7 days to the first day of the LMP.
Estimated Due Example: LMP = July 10, 2024 ’EDD = April 17, 2025.
Date (EDD)
Naegele's rule
22. Fundal Height After 20 weeks, fundal height in cm Hgestational age in weeks.
and Gestational If fundal height >2 cm off ’consider growth restriction, macrosomia, or amniotic
Age Correlation fluid issues (oligo/polyhydramnios).
23. Vaccinations in Tdap between 27-36 weeks (protects baby from pertussis).
Pregnancy Influenza vaccine (any trimester).
24.
