N113 - Signs and Symptoms of Pregnancy
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