Questions and Answers
What danger sign of pregnancy is indicated by fever and chills?
What abnormal symptom suggests severe preeclampsia during pregnancy?
At what point in gestation can the fetal heart tones typically be detected via Doppler ultrasound?
At what gestational age is the height of the uterine fundus measured in cm closely correlating with weeks of gestation?
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What does persistent vomiting during pregnancy primarily indicate?
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At which gestational week is the uterus at the level of the umbilicus?
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Which of the following indicates a potential risk of placenta previa?
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When should the bladder be emptied before measuring fundal height?
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Which condition is indicated by the symptom of fluid leakage from the vagina during pregnancy?
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What can severe and persistent headaches indicate in a pregnant individual?
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Which of the following symptoms is NOT typically associated with severe preeclampsia?
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Abdominal pain or cramping during pregnancy may indicate which of the following conditions?
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Which symptom during pregnancy suggests a potential issue with the placenta?
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Study Notes
Danger Signs of Pregnancy
- Fever and chills can indicate pyelonephritis.
- Persistent vomiting suggests hyperemesis gravidarum.
- Dysuria points to a urinary tract infection (UTI).
- Swelling of the face and fingers may indicate severe preeclampsia.
- Severe and persistent headache can be a sign of severe preeclampsia.
- Blurring of vision is associated with severe preeclampsia.
- Vaginal bleeding may suggest conditions such as placenta previa, placenta abruption, abortion, hydatidiform mole, ectopic pregnancy, or preterm labor.
- Abdominal pain or cramping can indicate preterm labor or severe eclampsia.
- Changes in the frequency or intensity of fetal movements should be monitored closely.
Fetal Heart Rate Monitoring
- The best location for detecting fetal heart tones is over the fetal back.
- Normal fetal heart rate ranges from 110 to 160 bpm, with variability of 10-15 bpm.
- Fetal heart tones can be detected by transvaginal ultrasound at 5-6 weeks gestation.
- Doppler ultrasound can detect fetal heart tones at around 10 weeks.
- The earliest fetal heart tones can be heard with a standard non-amplified stethoscope at 16 weeks.
- At 20 weeks, 80% of women can hear fetal heart sounds with a stethoscope.
- By 22 weeks, fetal heart tones are audible in all women.
Measuring Fundal Height
- Fundal height is measured along the abdominal wall from the top of the symphysis pubis to the top of the fundus.
- The bladder should be emptied before measuring fundal height for accuracy.
- Between 20-34 weeks AOG, fundal height in centimeters closely correlates with AOG in weeks.
- The uterus can be felt above the pubic symphysis at 12 weeks AOG.
- At 16 weeks AOG, the uterus is located midway between the symphysis pubis and umbilicus.
- The uterus reaches the level of the umbilicus at 20-22 weeks AOG.
- At 28 weeks AOG, the uterus is situated between the umbilicus and xiphoid process.
- At 40 weeks AOG, fundal height may decrease as the fetal head enters the pelvic cavity.
Danger Signs of Pregnancy
- Fever and chills can signal pyelonephritis, a serious kidney infection.
- Persistent vomiting may indicate hyperemesis gravidarum, a severe form of morning sickness.
- Dysuria, or painful urination, is often a sign of a urinary tract infection (UTI).
- Swelling of the face and fingers can be a symptom of severe preeclampsia, a pregnancy complication.
- Severe and persistent headaches may also suggest severe preeclampsia and require immediate attention.
- Blurring of vision is another potential indicator of severe preeclampsia.
- Vaginal bleeding can suggest several serious conditions including:
- Placenta previa (placenta covering the cervix)
- Placenta abruption (detachment of the placenta from the uterus)
- Abortion, hydatidiform mole (abnormal growth of tissue in the uterus)
- Ectopic pregnancy (implantation outside the uterus)
- Preterm labor
- Abdominal pain or cramping may signal preterm labor or severe eclampsia, indicating a need for urgent evaluation.
- Changes in frequency or intensity of fetal movements should be monitored, as reduced movement can indicate fetal distress or other issues.
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Description
Test your knowledge on the danger signs of pregnancy with this quiz. Learn about the various symptoms that could indicate complications during pregnancy, including fever, vomiting, and changes in fetal movements. Understand the implications of these symptoms for both the mother and the fetus.
