Questions and Answers
What is the appropriate term for the softening of the cervix and vagina during pregnancy?
What is Chadwick's sign?
What nursing interventions are appropriate for the prenatal patient in terms of prenatal care? (Select all that apply)
What information should the nurse include when educating a pregnant woman about exercising during pregnancy?
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What is the most appropriate nursing intervention for a patient who is not immune to the rubella virus?
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What is the nurse's initial action for a patient who shows a 10-pound weight gain from 2 weeks ago?
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How frequently will the nurse assist a patient to schedule prenatal appointments in an uncomplicated pregnancy?
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How would the nurse document the patient's obstetric history using the TPALM system?
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What is the nurse's first action when the fetal heart rate (FHR) drops to 120 beats/min from a rate of 160 beats/min?
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What is the expected delivery date for a woman whose last normal menstrual period began on August 5, 2013, using Nägele's rule?
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Study Notes
Signs of Pregnancy
- Goodell's Sign: Softening of the cervix and vagina, a probable indicator of pregnancy.
- Chadwick's Sign: Bluish or purplish discoloration of the vulva, vagina, and cervix, observed during physical examination as a probable pregnancy sign.
Nursing Interventions for Prenatal Care
- Improve health practices among pregnant women.
- Offer nutritional counseling tailored for pregnancy.
- Reduce risk factors affecting both mother and fetus.
- Reinforce the responsibilities that come with parenthood.
Exercise During Pregnancy
- Moderate exercise is beneficial; a regular schedule from the 8th week through delivery is recommended.
Rubella Immunization
- Pregnant women lacking immunity to rubella should be informed to receive the vaccine post-delivery, avoiding it during pregnancy.
Weight Gain Monitoring
- Marked weight gain in late pregnancy (such as 10 pounds in 2 weeks) may indicate gestational hypertension; initial action should be to take the patient's blood pressure.
Scheduling Prenatal Visits
- Routine prenatals are scheduled every 4 weeks until the 7th month; frequency increases thereafter.
Patient's Obstetric History (TPALM System)
- TPALM documentation example for a woman with a 2-year-old son and one previous abortion: Gravida 3, para 10110.
Fetal Heart Rate Monitoring
- Normal fetal heart rate (FHR) range at term: 110 to 160 beats/min. A drop to 120 beats/min is typically normal.
Calculating Expected Delivery Date
- Using Nägele's Rule, the expected delivery date for a woman with the last normal menstrual period on August 5, 2013, is May 12, 2014.
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Description
Test your knowledge on obstetrics with this quiz covering Chapter 4 concepts. Focus on identifying key signs of pregnancy and understanding their implications. Perfect for nursing students and healthcare professionals.
