What are the 3 types of signs of pregnancy

Presumptive, probable, and definitive

What are presumptive signs of pregnancy?

Nausea, Vomiting, Bloating, Pain, Etc

What are probable signs of pregnancy?

Hegars sign, gooddell sign, chadwicks sign

What is hegar's sign? When is it palpable?

Softening of the lower 3rd of the uterus(isthmus) palpable at 4-6 wks

What is chadwicks sign

Color change of the cervix and vaginal labia to be a blue tinge due to increased bloodflow

G - Gravida, # of pregnancies T - Term, # of pregnancies to 37 weeks and above P - Preterm, # of pregnancies delivered between 20-36 wks A - Abortions, # of pregnancies ending spontaneously or induced before 20 weeks L - Living children

What is the formula to calculate due date?

First day of LMP minus 3 months + 7 days

Does teen pregnancy carry an increased risk?

More at risk for preterm delivery and low birthweight, poverty, abuse, neglect, intellectual disability.

Higher incidence of preterm delivery and low birth weight, higher rate of pregnancy complications (GDM, HTN, Placenta previa, difficult labor). Downs risk also increased

Anemia in pregnancy Hgb bench mark, at what trimester is there the greatest need for iron intake? Food examples?

<11g/dL is considered anemic in pregnancy. 2nd trimester has the greatest need for iron intake. Green veggies, pork, liver, beef, taters with skin.

Gestational Diabetes, what percent convert to type 1 or type 2 years after?

15-50% will cover to type 1 or type 2 years later. Caused by insulin resistance caused by placenta along with stress from pregnancy.

What is the criteria to be low risk for GDM?

Under 25, Normal prepregnancy weight, Caucasian, No previous abnormal GTT, No known family with DM

What are the risks to mom for GDM?

Preeclampsia(HTN, proteinuria), Ketoacidosis, difficult labor, large baby, polyhydraminos.

What is polyhydramnios? What can it cause for the fetus?

Increase of amniotic fluid 2/2 fetal polyuria 2/2 fetal hyperglycemia. The fetus can twist their tubes into knots

Fetal post birth hypoglycemia is caused by

After birth maternal glucose is gone and infant still has pancreas thats used to working OT so its still producing insulin

What is IUGR? What can it cause?

Intrauterine growth restriction that is caused by vascular changes that decreased efficiency to the placenta. Causes incongruent growth.

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Exam 1.4

Question	Answer
What are the 3 types of signs of pregnancy	Presumptive, probable, and definitive
What are presumptive signs of pregnancy?	Nausea, Vomiting, Bloating, Pain, Etc
What are probable signs of pregnancy?	Hegars sign, gooddell sign, chadwicks sign
What is hegar's sign? When is it palpable?	Softening of the lower 3rd of the uterus(isthmus) palpable at 4-6 wks
What is gooddells sign?	Softening of the cervix
What is chadwicks sign	Color change of the cervix and vaginal labia to be a blue tinge due to increased bloodflow
What is GTPAL?	G - Gravida, # of pregnancies T - Term, # of pregnancies to 37 weeks and above P - Preterm, # of pregnancies delivered between 20-36 wks A - Abortions, # of pregnancies ending spontaneously or induced before 20 weeks L - Living children
What is the formula to calculate due date?	First day of LMP minus 3 months + 7 days
First trimester weeks	1-12 weeks pregnant
Second trimester weeks	13-27 weeks pregnant
Third trimester weeks	28-40 weeks pregnant
Does teen pregnancy carry an increased risk?	More at risk for preterm delivery and low birthweight, poverty, abuse, neglect, intellectual disability.
Advanced maternal age is at what age?	35
AMA risks	Higher incidence of preterm delivery and low birth weight, higher rate of pregnancy complications (GDM, HTN, Placenta previa, difficult labor). Downs risk also increased
What should you recommend for AMA mothers?	Quad screen and amniocentesis
Anemia in pregnancy Hgb bench mark, at what trimester is there the greatest need for iron intake? Food examples?	<11g/dL is considered anemic in pregnancy. 2nd trimester has the greatest need for iron intake. Green veggies, pork, liver, beef, taters with skin.
Gestational Diabetes, what percent convert to type 1 or type 2 years after?	15-50% will cover to type 1 or type 2 years later. Caused by insulin resistance caused by placenta along with stress from pregnancy.
What is the criteria to be low risk for GDM?	Under 25, Normal prepregnancy weight, Caucasian, No previous abnormal GTT, No known family with DM
What are the risks to mom for GDM?	Preeclampsia(HTN, proteinuria), Ketoacidosis, difficult labor, large baby, polyhydraminos.
What is polyhydramnios? What can it cause for the fetus?	Increase of amniotic fluid 2/2 fetal polyuria 2/2 fetal hyperglycemia. The fetus can twist their tubes into knots
Macrosomia is	A large body d/t extra glucose
What are the risks to the baby for GDM?	Macrosomia, hypoglycemia, IUGR
Fetal post birth hypoglycemia is caused by	After birth maternal glucose is gone and infant still has pancreas thats used to working OT so its still producing insulin
What is IUGR? What can it cause?	Intrauterine growth restriction that is caused by vascular changes that decreased efficiency to the placenta. Causes incongruent growth.

Created by: maternalstudysets

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