N113 - Signs and Symptoms of Pregnancy
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| What are presumptive changes? | Subjective changes - what she tells you
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| What are probable changes? | Objective changes that we can measure or see.
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| What are positive signs? | Fetal heart beat by doppler - 10-12 weeks - fetoscope 17-20 weeks, Fetal movement felt by examiner, ultrasound - as early as 10 days
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| What is Goodell's sign? | Softening of cervix
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| What is Chadwick's sign? | bluish/purple color of the cervix & vagina
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| What is McDonald's sign? | ease in flexing body of uterus against the cervix
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| When is the fundus palpable above the symphysis pubis? | At 10-12 weeks at umbilicus at 20 weeks.
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| What is ballotment? | When rebound is felt by examiner when cervix is pressed.
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| How is EDC calculated by Nagele's rule? | Last menstrual period minus 3 months + 7 days
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| What are Duvall's Stages? | Pregnancy Validation, Fetal embodiment, Fetal distinction & Role transition
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| What are the stages of acceptance? | 1st trimester - pregnancy verification, 2nd trimester - development of new identity & role, 3rd trimester - focus on body image & delivery
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| What are some psychological findings that occur with the father? | Couvade (koovad) - experience pregnancy symptoms, proof of masculinity and become dominant (abusive), 1st tri - strive to accept pregnancy, 2nd tri - accepts reality when movement is felt
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