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maternity bc3

assessment guide

QuestionAnswer
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
Created by: Coley
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