Term
| Signs of pregnancy classified into 3 groups |
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Definition
1. presumptive
2. probable
3. positive |
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Term
| Presumptive signs DEFINITION |
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Definition
| Changes that are experienced by the woman that make her think that SHE MAY BE PREGNANT. They changes may be subjective or objective. Signs may also be result of physiological factors other than pregnancy. (peristalsis, pelvic congestion, and tumors) |
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Term
| Presumptive Signs of pregnancy |
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Definition
Amenhorrhea
Fatigue
N/V
Urinary frequency
breast changes - darkened aerola, enlarged montgomery's tubules
quickening - slight fluttering of movements of fetus felt by a woman - usually btw 16-20 wks gestations
Uterine enlargement
Linea nigra
Choasma
Striae gravidarum |
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Term
| Probable signs DEFINITION |
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Definition
| Changes that make EXAMINER suspect woman is preg (primarily r/t physical changes of uterus). Signs can be cause dby physiological factors other than preg |
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Term
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Definition
Abdominal enlargement r/t changes in uterine size, shape, position
cervical changes
Chadwick's sign - deepened violet-bluish color of vaginal mucoas secondary to increased vascularity of the area
Goddell's sign - softening of cervical tip
Braxton Hick - false contractions, painless, irregular, and usually relieved by walking
Positive preg test
Fetal outline felt by examiner |
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Term
| Positive Signs DEFINITION |
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Definition
| Signs that CAN ONLY BE EXPLAINED BY PREGNANCY! |
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Term
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Definition
| fetal heart sounds, visualization of fetus in ultrasound, fetal movement palpated by an experienced examiner |
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Term
| hCG - when is it detected in urine and blood? |
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Definition
| can be detected 6-11 days in serum and 26 days in urine after conception following implantation |
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Term
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Definition
| Begins with implantation, peaks at about 60-70 days of gestation, and then declines until around 80 days of pregnancy, when it begins to gradually increase until term |
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Term
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Definition
| Can indicate multifetal pregnancy, ectopic pregnancy, hydatidiform mole (gestational trophoblastic disease), or a genetic abnormality such as Down syndrome. Lower blood |
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Term
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Definition
| May suggest a miscarriage or ecopic pregnancy |
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Term
| Meds that can cause false positive or false negative pregnancy tests |
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Definition
anticonvulsants
diuretics
tranquilizers |
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Term
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Definition
| first voided morning specimens!! |
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Term
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Definition
| Take first day of woman's last period, subtract 3 months and add 7 days and 1 year! |
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Term
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Definition
| Measure uterine funal height in centimeters from the symphysis pubis to top of the uterine fundus (btw 18 and 30 wks gestation) -- estimate gestational age equal to that of fundal ehight |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| Number of pregs in which fetus or fetuses reach viability (approx 20 to 24 wks or fetal wt more than 500 g (2 lb) regardless of whether the fetus is born alive or not |
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Term
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Definition
| No preg beyond stage of viability |
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Term
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Definition
| has completed one preg to stage of viability |
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Term
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Definition
| has completed 2 or more pregs to stage of viability |
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Term
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Definition
| Gravidty, term birth (38 weeks or more), preterm births (from viability up to 37 wks), abortions/miscarriages (prior to viability), living children |
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Term
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Definition
| Uterus will increase in size and change shape and position. Ovulation and menses ceases |
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Term
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Definition
| cardiac output and blood volume increase (45 - 50% at term) to meet the greater metabolic needs. Heart rate increases during pregnancy |
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Term
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Definition
| maternal O2 needs increase, during last trimester - the size of chest may enlarge, allowing for lung expansion as uterus pushes upward. Increased resp rate and decreased total lung capacity |
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Term
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Definition
| body alteration and weight increase necessitate an adjustment in posture. Pelvic joints relax |
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Term
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Definition
| N/V may occur due to hormonal changes and/or an increase of pressure within abdominal cavity as the pregnant pt's stomach and intestines are displace within the abdomen. Constipation may occur due to increased transit time of food thru GI system and thus increased water absorption |
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Term
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Definition
| filtration rate increases during preg secondary to the influence of preg hormones and an increase in blood volume and metabolic demands. The amt of urine produced remains the same. Urinary frequency is common during preg. |
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Term
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Definition
| Placenta becomes an endocrine organ that produces large amts of hCG, progesterone, estrogen, human placental lactogen, and prostaglandins. Hormones are very active during preg and function to maintain preg and prep body for delivery. |
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