NURS 456: Exam 1 Questions with Correct
Verified Solutions
explain the terms gravida and para
gravida = counts how many times you have been pregnant including current pregnancy
- could be a full term pregnancy or only 3 weeks
Para = how many times a women has carried a pregnancy passed 20 weeks
- status won't change until after delivery
Example: first pregnancy at 26 weeks
Gravida 1, Para 0
what is GTPAL
gives much more detail than just gravida and para
- tells gravida number, current term, any pre-term babies before, any miscarriages before, how
many living children
- mom could have a gravida of 3 but not have any living children
how do we estimated EDD
estimated due date
- LMP - 3mo + 7 days
- uses Nagel's rule
,what are the dates for Pre term, late pre term, early term, full term, late term, and post
term
preterm = 20-37 weeks
late preterm = 34 - 36 weeks
Early = 37-38
Full = 39-40
Late = 40-41
Post = over 42 weeks
what are presumptive pregnancy signs
subjective information provided by the mom that only she feels
- fatigue, breast changes, N/V, no period, urinary frequency, fetal movement
- lots of other things could be the culprit besides pregnancy
what are probable signs of pregnancy
objective information noted by the doctor
- positive test
- Good Ole's sign (softening of cervix 6-8 weeks)
- Chadwick's sign (blue vaginal mucosa 6-8 weeks)
- Hagar's sign (soft uterus 6-12 weeks)
- Ballottement's sign (passive fetus movement at 16-18 weeks)
- all of these point towards pregnancy but still could be caused by other things
what are positive signs of pregnancy
, - fetal heart sounds, US image, fetal movement felt by the doctor
- once these are found they will not go away, if they do seek emergent care
when a women first finds out she is pregnant what are some things that she will begin to
think about
- must accept pregnancy (may have nerves, guilt, regret even if it was planned)
- thinking about how life and current role will change (stay at home, new job, can't hang out with
friends as much, change priorities)
- establish bond with fetus (grows greatest once hear the heart sounds, feel kick)
- prepare to baby (get the room ready, ready books, by clothes)
- consider cultural backgrounds and how that may effect care (birth at home, medications,
midwife, female doctor)
what are the dates for trimesters
1 = 1-13
2 = 14-26
3 = 27-40
- during first visit will discuss due date and start talking about s/s and education that is pertinent
to the time now
- don't need to discuss things that will happen in 3rd trimester during first few weeks
what is the best way to gauge the age of the fetus
- want to do an US in the first trimester to best understand how many weeks along the fetus is
- after that baby's will grow different and can be hard to measure
Verified Solutions
explain the terms gravida and para
gravida = counts how many times you have been pregnant including current pregnancy
- could be a full term pregnancy or only 3 weeks
Para = how many times a women has carried a pregnancy passed 20 weeks
- status won't change until after delivery
Example: first pregnancy at 26 weeks
Gravida 1, Para 0
what is GTPAL
gives much more detail than just gravida and para
- tells gravida number, current term, any pre-term babies before, any miscarriages before, how
many living children
- mom could have a gravida of 3 but not have any living children
how do we estimated EDD
estimated due date
- LMP - 3mo + 7 days
- uses Nagel's rule
,what are the dates for Pre term, late pre term, early term, full term, late term, and post
term
preterm = 20-37 weeks
late preterm = 34 - 36 weeks
Early = 37-38
Full = 39-40
Late = 40-41
Post = over 42 weeks
what are presumptive pregnancy signs
subjective information provided by the mom that only she feels
- fatigue, breast changes, N/V, no period, urinary frequency, fetal movement
- lots of other things could be the culprit besides pregnancy
what are probable signs of pregnancy
objective information noted by the doctor
- positive test
- Good Ole's sign (softening of cervix 6-8 weeks)
- Chadwick's sign (blue vaginal mucosa 6-8 weeks)
- Hagar's sign (soft uterus 6-12 weeks)
- Ballottement's sign (passive fetus movement at 16-18 weeks)
- all of these point towards pregnancy but still could be caused by other things
what are positive signs of pregnancy
, - fetal heart sounds, US image, fetal movement felt by the doctor
- once these are found they will not go away, if they do seek emergent care
when a women first finds out she is pregnant what are some things that she will begin to
think about
- must accept pregnancy (may have nerves, guilt, regret even if it was planned)
- thinking about how life and current role will change (stay at home, new job, can't hang out with
friends as much, change priorities)
- establish bond with fetus (grows greatest once hear the heart sounds, feel kick)
- prepare to baby (get the room ready, ready books, by clothes)
- consider cultural backgrounds and how that may effect care (birth at home, medications,
midwife, female doctor)
what are the dates for trimesters
1 = 1-13
2 = 14-26
3 = 27-40
- during first visit will discuss due date and start talking about s/s and education that is pertinent
to the time now
- don't need to discuss things that will happen in 3rd trimester during first few weeks
what is the best way to gauge the age of the fetus
- want to do an US in the first trimester to best understand how many weeks along the fetus is
- after that baby's will grow different and can be hard to measure
