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Unit 2

How do you know if your pregnant? (3 signs) presumptive sign, probable sign, positive sign
Presumptive signs (5) subjective data that the woman reports - amenorrhea(most common), nausea, fatigue, swollen tender breasts, frequent urination
probable signs (7) data collected by a trained examiner - chadwicks sign, hegars sign, goodells sign, enlarging uterus, braxton-hicks contractions, ballottement, positive pregnancy test
positive signs (3) dx of pregnancy b/c nothing else can cause these signs - ultrasound visualation of the gestational sac or fetus, fetal heart beat, palpation of fetal movement
hematologic changes (3) increased blood volume and hemodilution, hypercoagulability, venous stasis - lowers blood supply
nutritional requirements of pregnancy 1st trimester - total wt gain 3-4lbs; 1lb gain per wk in 2nd & 3rd trimester; poor wt gain <16lbs = low birth weight; 300 extra calories required each day in 2nd and 3rd trimester; folic acid - 40mcg recommended; pica
when is the first feeling of movement by fetus? 16-20weeks
When is the heart rate doppled? (which weeks) 10-12 weeks
How often are prenatal visits? every month until 32 weeks; biweekly (twice per month) 32-36 weeks; weekly at 36 weeks-birth
Routine tests: when are they done? (MSAFP, glucose tolerance, antibody screen & RhoGam, group B beta strep MSAFP - 15-20wks, glucose tolerance 24-28wks, antibody screen & RhoGam if Rh (-) 28wks, group B beta strep 35-37wks
how often are kick counts? daily assessment - healthy fetus is 10-12x per day
how do we establish fetal well being? (8) kick counts, ultra sound, MSAFP markers, triple marker/quad check, amniocentesis, chorionic villus sampling, NST, CST
hydatidform mole and s/sx, tx molar pregnancy - benign growth of placental tissue - error in chromosomes - non-viable mass of cells that grow rapidly - s/sx - brown to bright red vaginal discharge; also higher than normal HcG levels - then no HR; tx - DNC - scrap out inside of uterus
abruptio placentae premature separation of a normally implanted placenta - detaches prematurely -partial/complete, concealed/apparent
complications of hypertensive disorders (5) can cause maternal and/or fetal injury or death, seizures, develop pulmonary edema, cerebral edema - stroke, decreased blood flow to liver
TORCH toxoplasmosis, other (including hep b, syphilis, varicella, herpes), rubella, cytomegalovirus, herpes simplex virus
Created by: breinard