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U of C Well Woman 8063 Exam 2

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Presumptive signs of pregnancy

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Terms in this set (97)

Presumptive signs of pregnancy

subjective physiologic changes reported by the woman; least reliable; suggestive of pregnancy but not diagnostic: amenorrhea, breast changes, vaginal changes, skin changes, n/v, urinary frequency, fatigue, fetal movement

What is the EDB?

Estimated Date of Birth

Probably signs of pregnancy

positive pregnancy test; Goodell's sign; Hegar sign; Chadwick sign; Braxton Hicks contractions; ballottment
**Provider can observe or palpate signs, objective signs on physical exam: must verify pregnancy by another method
Probable signs: enlarged abdomen, positive pregnancy test, vaginal changes, cervical changes, increase BBT

What is the Chadwicks sign:

What is Jacquemier's sign?

the first blue area

What is Goodell's sign?

softening of the cervix

What is Hegar's sign?

Uterine softening

Fundal height by weeks of gestation

12 weeks: at symphysis pubis
16 weeks: Halfway between symphysis pubis and umbilicus
20 weeks: At Umbilicus
28 weeks: halfway between umbilicus and xiphisternum
36 weeks: at xiphisternum

Positive signs of pregnancy

audible fetal heartbeat-6 weeks, fetal movement felt by examiner-Leopold's Maneuvers, ultrasound visualization of fetus
Diagnostic of pregnancy
Absolute proof of pregnancy
Findings directly attributable to the fetus

What are the Leopold maneuvers?

1) Feel fundus
2) Feel baby's back
3) Feel pelvic inlet
4) Feel baby's head

Trimester Terminology:

First: week 1 through end of week 14
Second: Week 15 to end of 28 week
Third: Week 29- birth
(14 week segments)

Timing of gestational events: 8 weeks:

Uterus size of a navel orange

Timing of gestational events 6 weeks:

embryo and fetal heart activity observed on u/s, positive Chadwicks sign (blue cervix_, Positive Goodells (soft cervix), Positive Ladin's (softening of midline uterus), Hegars (uterine softening) and Mcdonalds signs (uterus will flex against cervix)

timing of gestational events: 10-12 weeks

FHS heard with doppler

timing of gestational events 12 weeks

Uterus palpable at symphysis pubis