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9 Cards in this Set
- Front
- Back
Presumptive signs of pregnancy:
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**All subjective**
1. Amenorrhea 2. N/V 3. Urinary frequency 4. Fatigue 5. Breast tenderness, tingling, enlargement, and changes in color. 6. Vasomotor symptoms (fainting) 7. Skin changes 8. Congestion of vaginal mucous 9. Maternal belief that she is pregnant |
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Presumptive signs of pregnancy:
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**All objective**
1. Continuation of elevated basal body temperature. 2. Chadwick's sign 3. Appearance of Montgomery's tubercles or follicles. 4. Expression of colostrum 5. Breast changes. |
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Probable signs of pregnancy:
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1. Enlargement of ABD
2. Enlargement of uterus 3. Palpation of fetal outline 4. Ballotment 5. Change in the shape of uterus 6. Piskacek's sign 7. Hegar's sign 8. Goodell's sign 9. Palpation of braxton hicks contractions 10. Positive pregnancy test |
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Positive signs of pregnancy:
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1. FHTs
2. Sonographic evidence of pregnancy 3. Palpation of fetal movement |
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What is the average duration of human pregnancy?
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280 days
10 lunar months 9 calendar months |
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What is Naegle's rule
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A way to determine EDB (estimated date of birth)
Subtract 3 months Add 7 days Add 1 year Example: LMP 2 14 12 -3 +7 +1 EDB 11 21 13 |
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Additional information to help determine EDB:
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1. Complete menstrual history
2. Contraceptive history 3. Sexual history 4. Physical examination for signs and symptoms of pregnancy 5. Quickening |
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USG for gestational age determination:
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1. Crown rump length (CRL)
2. Biparietal diameter 3. Head circumference 4. ABD circumference 5. Femur length |
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Accuracy of ultrasound by trimester:
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*First trimester- accurate 3-5 days (MOST accurate)
*Second trimester- Biparietal diameter and femur length are must accurate within 7-10 days. *Third trimester- After 26 weeks all measurements are less accurate; variation in biparietal diameter and femur length is 14-21 days. |