N113 - Signs and Symptoms of Pregnancy

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Created by:

jrb265  on April 28, 2009

Subjects:

obstetrics, nursing

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N113 - Signs and Symptoms of Pregnancy

What are presumptive changes?
Subjective changes - what she tells you
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What are presumptive changes? Subjective changes - what she tells you
What are probable changes? Objective changes that we can measure or see.
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
What is Goodell's sign? Softening of cervix
What is Chadwick's sign? bluish/purple color of the cervix & vagina
What is McDonald's sign? ease in flexing body of uterus against the cervix
When is the fundus palpable above the symphysis pubis? At 10-12 weeks at umbilicus at 20 weeks.
What is ballotment? When rebound is felt by examiner when cervix is pressed.
How is EDC calculated by Nagele's rule? Last menstrual period minus 3 months + 7 days
What are Duvall's Stages? Pregnancy Validation, Fetal embodiment, Fetal distinction & Role transition
What are the stages of acceptance? 1st trimester - pregnancy verification, 2nd trimester - development of new identity & role, 3rd trimester - focus on body image & delivery
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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