What is the name of the hormone that induces amenorrhea? - ✔✔ progesterone- makes the temperature go up after ovulation
How often should you have
... [Show More] sex if you are trying to get pregnant? - ✔✔ every other day
What can be one of the first signs of pregnancy? - ✔✔ urinary frequency
Presumprtive signs of pregnancy - ✔✔ amenhorrhea
n/v
urinary frequency
breast tenderness
hydatidiform mole (molar pregnancy) - ✔✔ neoplasm of grape like vesicles that can become malignant
goodell's sign - ✔✔ softening of the cervix- an indication of pregnancy
Chadwick's sign - ✔✔ bluish color of the vaginal mucosa and cervix; occurs around the 4th week; indicates pregnancy
Hegar's sign - ✔✔ softening of the lower uterine segment
occurs around the 2nd or 3rd month
linea nigra - ✔✔ dark line down the center of the abdomen
facial chloasma - ✔✔ mask of pregnancy
darkening of the areola can be a sign of - ✔✔ pregnancy
When is fetal heart beat heard? - ✔✔ 10-12 weeks with doppler
17-20 weeks with fetoscope
gravidity - ✔✔ the number of times someone has been pregnant
parity - ✔✔ the number of times in which the fetus reaches 20 wks
Viability - ✔✔ ability of the fetus to survive outside the womb
24 weeks
TPAL - ✔✔ term, preterm, abortion, living
spontaneous abortion - ✔✔ miscarriage
most miscarriages occur by when - ✔✔ 20 wks
Naegele's Rule - ✔✔ add 7 days to first day of LMP, subtract 3 months, add 1 year
How accurate is naegele's rule - ✔✔ plus or minus 2 wks
First trimester is weeks - ✔✔ 1-13
How much protein should a client eat during the first trimester of pregnancy? - ✔✔ 60 g
weight gain in the first trimester - ✔✔ 1-4 pounds total
What are the biggest complaints with iron? - ✔✔ constipation and GI upset
take iron with vit - ✔✔ c
folic acid prevents - ✔✔ neural tube defects (myomeningocele)
Foods with iron - ✔✔ liver, spinach
how much folic acid a day during pregnancy - ✔✔ 400 mcg
best exercises during the first trimester - ✔✔ walking and swimming
During pregnancy dont let heart rate get above - ✔✔ 140
What should a pregnant person avoid to prevent overheating? why? - ✔✔ hot tubs and heating blankets- overheating can cause birth deffects
What are you going to tell a pregnant person about taking meds? - ✔✔ dont take anything without asking your doctor first
what is smoking during pregnancy associated with? - ✔✔ small for gestational age, decreased birth weight, cleft lip or palate, and a doubled risk of placental abruption
How often should a pregnant client visit the primary health care provider?
first 28 wks
28-36 wks
after 36 wks - ✔✔ once a month
every 2 wks
weekly until delivery
Before an ultrasound, what will you ask the client to do? - ✔✔ drink water to distend the bladder
pushes the uterus up closer to the and surface to get a good picture of baby
What do you have a client do before an ultra sound normally, other that pregnancy? - ✔✔ void
Second trimester is weeks - ✔✔ 14-26
Recommended calorie increase for the 2nd trimester? - ✔✔ 300 calories a day, or 500 if an adolescent
Expected weight gain in second trimester? - ✔✔ 1 pound a week
Should the client be experiencing
n/v
breast tenderness
urinary frequency
during the 2nd trimester - ✔✔ no, yes, no
quickening - ✔✔ the first movement of the fetus in the uterus that can be felt by the mother. Happens around 16-20 wks, and happens sooner the more babies the client has
fetal heart rate during second trimester? - ✔✔ 110-160
kegel exercises help to keep what from doing what - ✔✔ keep your uterus from falling out
Third trimester is weeks - ✔✔ 27-40
weight gain in 3rd trimester - ✔✔ 1 pound a week
s/s of pre eclampsia - ✔✔ increased blood pressure
proteinuria
edema
Two or more pounds of weight gain in a week after the 2nd trimester, think - ✔✔ pre eclampsia
bp definition for pre eclampsia - ✔✔ 160/110 or greater that is documented 6 hours apart
How is fetla position/presentation determined? - ✔✔ Leopold maneuvers
Leopold maneuvers - ✔✔ have the client void first
do between contractions
Where do you put the doppler on a fetus in utero? - ✔✔ back
lightening - ✔✔ usually occurs 2 weeks before term
when the presenting part of the fetus descends into the pelvis
the client will notice that she is able to breath more easily bc the pressure on the diaphragm decreases
causes the client the pee more often again [Show Less]