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State the objective signs that signify ovulation.
-abundant thin clear cervical mucus
-spinnbarkeit (egg white stretchiness) of cerv mucus
-open cervical os
-slight drop in basal body temp and then 0.5-1F rise
-ferning under microscope
Ovulation occurs how many days before the next menstrual period?
State 3 ways to identify the chronological age of a pregnancy (gestation).
-10 lunar months
-9 calendar months w 3 trimesters of 3 mo each
What maternal position provides optimum fetal and placental perfusion during pregnancy?
**BUT ideal position of comfort for mother is side-lying (removes pressure from abd vessels; supports fetal, maternal, placental perfusion)
Name the major discomforts of the 1st trimester and one suggestion for amelioration of each.
N/V --> crackers before rising
fatigue --> rest periods/naps and 7-8 hrs of sleep at night
If the firsy day of a woman's last normal menstrual period was Feb 3, what is the EDB using Nagele rule?
-3 months, +7 days; Nov 10
At 20 wks gestation, the fundal height would be _______; the fetus would weight approx _________ and would look like _____________.
at the umbilicus
a baby; w/ hair, lanugo, and vernix; no subq fat
State the normal psychosocial responses to pregnancy in the 2nd trimester.
-ambivalence wanes, acceptance of pregnancy occurs
-pregnancy becomes "real"
-signs of maternal/fetal bonding occur
The hemodilution of pregnancy peaks at _____ wks and results in a(n) ________ in a woman's Hct.
28-32 wks; decrease
State 3 principles relative to the pattern of weight gain in pregnancy.
**TOTAL gain should avg 11.3-15.9 kg/ 25-25 lb
-gain should be consistent throughout pregnancy
-avg of 1 lb/wk in 2nd and 3rd trimesters
During pregnancy, a woman should add ________ calories to her diet and drink ________ of milk per day.
300 calories; 240 ml/ 8 oz per day
FHR can be auscultated by Doppler at ________ wks' gestation.
Describe the schedule of prenatal visits for a low-risk pregnant woman.
-once every 4 wks until 28 wks
-every 2 wks at 28-36 wks
-once a week until delivery
Name 5 maternal variables associated with diagnosis of a high-risk pregnancy.
-diagnosis of preeeclampsia, diabetes, or cardiac disease
- less than 3 months between pregnancies
-maternal age (under 17/over 34)
-parity (over 5)
Is one ultrasound examination useful in determining the presence of IUGR?
NO; serial measurements are needed to determine it
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