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maternity bc3
assessment guide
Question | Answer |
---|---|
Normal Vitals during pregnancy | Temp: 97-99.6; Pulse: 60-90 may increase 10 beats during pregancy; R 16-24/min; BP less than or equal to 135/85 (falls in second trimester) |
Weight gain during pregnancy | 1st trimester: 3.5-5lbs2nd trimester: 12-15lbs3rd trimester: 12-15lbs |
Edema during pregnancy | small amount of dependent edema, especially in last weeks of pregnancy |
fetal heartbeat | 120-160/minfunic souffle |
laboratory evaluationQuad marker screen | blood test performed at 15-20 wks gestation. evaluates four factors: maternal serum alpha-fetoprotein (MSAFP), unconjugated estriol (UE), hCG, & inhibin-A |
elevated MSAFP | neural tube defect, underestimated gestational age, multiple gestation |
lower than normal MSAFP | Down Syndrome, trisomy 18 |
higher than normal hCG & inhibin A | Down syndrome |
lower than normal UE | Down syndrome |