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9 Cards in this Set

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Presumptive signs of pregnancy:
**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
Presumptive signs of pregnancy:
**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.
Probable signs of pregnancy:
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
Positive signs of pregnancy:
1. FHTs
2. Sonographic evidence of pregnancy
3. Palpation of fetal movement
What is the average duration of human pregnancy?
280 days
10 lunar months
9 calendar months
What is Naegle's rule
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
Additional information to help determine EDB:
1. Complete menstrual history
2. Contraceptive history
3. Sexual history
4. Physical examination for signs and symptoms of pregnancy
5. Quickening
USG for gestational age determination:
1. Crown rump length (CRL)
2. Biparietal diameter
3. Head circumference
4. ABD circumference
5. Femur length
Accuracy of ultrasound by trimester:
*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.