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OB Exam 1 Review. NURS 231

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A&P of Pregnancy ● Terms ○ Gravida: # of times of pregnancy ○ Para: # of births (past 20 weeks) ■ T: term pregnancies ■ P: preterm pregnancies (>20 weeks) ■ A: abortion/miscarriages ... (<20 weeks) ■ L: # of living children ○ Nulli: never (ex. nulligravida) ○ Primi: first time (ex. primigravida) ○ Multi: second time/multiple (ex. multigravida) ○ Viability: capacity to outside the uterus ○ Abortion: expulsion of products of conception: elective or spontaneous ○ Preterm: births less than 37 weeks ○ Full term: births between 39 and 40 weeks ○ Chadwick’s sign: cervix turns blue ○ Hegar’s sign: lower uterine segment softens ○ Goodell’s sign: softening of the cervix ○ Ballotment: passive movement of unengaged fetus ○ Ptyalism: increased saliva ● Classification of Signs of Pregnancy ○ Presumptive (subjective) ■ Breast changes ■ N/V ■ Amenorrhea (missed period) ■ Frequent urination ■ Fatigue ■ Uterine enlargement ■ Quickening ○ Probable (objective) ■ Blood serum Hcg + ■ Chadwick’s sign ■ Hegar’s sign ■ Goodell’s sign ■ US of gestational sac ■ Linea nigra ■ Striae (stretch marks) ■ Braxton hicks contractions ■ Ballottement ■ Fetal outline felt on exam ○ Positive ■ FHR (10-12 weeks) ■ Fetal movement felt by examiner ■ US visualization of fetus ● Pregnancy Tests ○ hCG detected earliest at 7-10 post conception ○ False/Positive result medications: ■ Anticonvulsants [Show More]

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