Podcast
Questions and Answers
Which of the following is NOT part of the initial prenatal visit for a pregnant woman?
Which of the following is NOT part of the initial prenatal visit for a pregnant woman?
What is the primary purpose of a 1-hour glucose tolerance test during pregnancy?
What is the primary purpose of a 1-hour glucose tolerance test during pregnancy?
During pregnancy, a woman might experience conflicting emotions. What are these conflicting emotions often characterized as?
During pregnancy, a woman might experience conflicting emotions. What are these conflicting emotions often characterized as?
Which of these is NOT a stage in establishing a mother's relationship with the fetus?
Which of these is NOT a stage in establishing a mother's relationship with the fetus?
Signup and view all the answers
What is the recommended timing for a Group B Strep screen during pregnancy?
What is the recommended timing for a Group B Strep screen during pregnancy?
Signup and view all the answers
What factor is considered to be evidence of gestational hypertension?
What factor is considered to be evidence of gestational hypertension?
Signup and view all the answers
Which of these is NOT a typical assessment performed during a follow-up prenatal visit?
Which of these is NOT a typical assessment performed during a follow-up prenatal visit?
Signup and view all the answers
Which of the following is NOT a potential benefit of prenatal care for pregnant women?
Which of the following is NOT a potential benefit of prenatal care for pregnant women?
Signup and view all the answers
What is the significance of the alpha fetal protein (AFP) test during pregnancy?
What is the significance of the alpha fetal protein (AFP) test during pregnancy?
Signup and view all the answers
Which of these is NOT a stage in a father's adjustment to pregnancy?
Which of these is NOT a stage in a father's adjustment to pregnancy?
Signup and view all the answers
Which of these signs are considered probable signs of pregnancy?
Which of these signs are considered probable signs of pregnancy?
Signup and view all the answers
During which trimester is a Hemoglobin level of 10.5 considered anemic in pregnancy?
During which trimester is a Hemoglobin level of 10.5 considered anemic in pregnancy?
Signup and view all the answers
Which of the following hormones is primarily responsible for stimulating milk let-down?
Which of the following hormones is primarily responsible for stimulating milk let-down?
Signup and view all the answers
Which of the following hormonal changes is NOT associated with pregnancy?
Which of the following hormonal changes is NOT associated with pregnancy?
Signup and view all the answers
Which of the following is the most accurate method for determining the estimated date of birth (EDB)?
Which of the following is the most accurate method for determining the estimated date of birth (EDB)?
Signup and view all the answers
According to Naegele's rule, if a woman's last menstrual period (LMP) began on August 10th, what would her estimated due date be?
According to Naegele's rule, if a woman's last menstrual period (LMP) began on August 10th, what would her estimated due date be?
Signup and view all the answers
What is the typical duration of a full-term pregnancy?
What is the typical duration of a full-term pregnancy?
Signup and view all the answers
Which of these is a presumptive sign of pregnancy?
Which of these is a presumptive sign of pregnancy?
Signup and view all the answers
Which of the following is a characteristic of the uterus during the second trimester of pregnancy?
Which of the following is a characteristic of the uterus during the second trimester of pregnancy?
Signup and view all the answers
What is the term for the noticeable bluish discoloration of the vaginal mucosa during pregnancy?
What is the term for the noticeable bluish discoloration of the vaginal mucosa during pregnancy?
Signup and view all the answers
Which of the following is NOT a symptom associated with supine hypotensive syndrome?
Which of the following is NOT a symptom associated with supine hypotensive syndrome?
Signup and view all the answers
A pregnant woman complains of frequent nosebleeds. Which physiological change during pregnancy is most likely responsible for this?
A pregnant woman complains of frequent nosebleeds. Which physiological change during pregnancy is most likely responsible for this?
Signup and view all the answers
Which of the following is a normal change in the gastrointestinal system during pregnancy?
Which of the following is a normal change in the gastrointestinal system during pregnancy?
Signup and view all the answers
What is the name for the dark line that appears down the midline of the abdomen during pregnancy?
What is the name for the dark line that appears down the midline of the abdomen during pregnancy?
Signup and view all the answers
Which term describes the separation of the abdominal muscles during pregnancy?
Which term describes the separation of the abdominal muscles during pregnancy?
Signup and view all the answers
A pregnant woman experiences frequent headaches and lightheadedness. Which of the following is a possible cause of this?
A pregnant woman experiences frequent headaches and lightheadedness. Which of the following is a possible cause of this?
Signup and view all the answers
Which of the following statements is true about the immune system during pregnancy?
Which of the following statements is true about the immune system during pregnancy?
Signup and view all the answers
Which of the following is a probable sign of pregnancy?
Which of the following is a probable sign of pregnancy?
Signup and view all the answers
What is the name given to the pre-milk substance produced by the breasts during the first few days after birth?
What is the name given to the pre-milk substance produced by the breasts during the first few days after birth?
Signup and view all the answers
What is the term for the soft, easily damaged cervix during pregnancy?
What is the term for the soft, easily damaged cervix during pregnancy?
Signup and view all the answers
Which of the following is NOT a physiological change in the respiratory system during pregnancy?
Which of the following is NOT a physiological change in the respiratory system during pregnancy?
Signup and view all the answers
Which of the following is a symptom of supine hypotensive syndrome during pregnancy?
Which of the following is a symptom of supine hypotensive syndrome during pregnancy?
Signup and view all the answers
Which of the following is a possible cause of pica during pregnancy?
Which of the following is a possible cause of pica during pregnancy?
Signup and view all the answers
Which of the following is a presumptive sign of pregnancy?
Which of the following is a presumptive sign of pregnancy?
Signup and view all the answers
What is the recommended daily calorie increase for pregnant women in the second trimester?
What is the recommended daily calorie increase for pregnant women in the second trimester?
Signup and view all the answers
Which of the following is NOT a recommended strategy for managing heartburn during pregnancy?
Which of the following is NOT a recommended strategy for managing heartburn during pregnancy?
Signup and view all the answers
What is the recommended approach for managing leg cramps during pregnancy?
What is the recommended approach for managing leg cramps during pregnancy?
Signup and view all the answers
Which of the following is NOT a recognized sign or symptom of a potential pregnancy complication?
Which of the following is NOT a recognized sign or symptom of a potential pregnancy complication?
Signup and view all the answers
What is the recommended approach to managing constipation during pregnancy?
What is the recommended approach to managing constipation during pregnancy?
Signup and view all the answers
Which of the following immunizations is generally safe for pregnant women?
Which of the following immunizations is generally safe for pregnant women?
Signup and view all the answers
What is the recommended approach for managing ankle edema during pregnancy?
What is the recommended approach for managing ankle edema during pregnancy?
Signup and view all the answers
Which of the following describes a common strategy for alleviating nausea and vomiting during pregnancy?
Which of the following describes a common strategy for alleviating nausea and vomiting during pregnancy?
Signup and view all the answers
What is the recommended approach for managing urinary frequency during pregnancy?
What is the recommended approach for managing urinary frequency during pregnancy?
Signup and view all the answers
Which of the following is a potential risk associated with smoking during pregnancy?
Which of the following is a potential risk associated with smoking during pregnancy?
Signup and view all the answers
What is the recommended weight gain for a woman who has a normal BMI during pregnancy?
What is the recommended weight gain for a woman who has a normal BMI during pregnancy?
Signup and view all the answers
Which of the following is NOT a risk associated with adolescent pregnancy?
Which of the following is NOT a risk associated with adolescent pregnancy?
Signup and view all the answers
What is the recommended weight gain per week for a woman who is obese during pregnancy?
What is the recommended weight gain per week for a woman who is obese during pregnancy?
Signup and view all the answers
Which of the following conditions is NOT typically associated with a multifetal pregnancy?
Which of the following conditions is NOT typically associated with a multifetal pregnancy?
Signup and view all the answers
Which of the following is NOT a risk associated with advanced maternal age in pregnancy?
Which of the following is NOT a risk associated with advanced maternal age in pregnancy?
Signup and view all the answers
A patient presents with a history of one pregnancy resulting in a live birth at 38 weeks gestation. Using the GTPAL system, how would you document this patient's obstetrical history?
A patient presents with a history of one pregnancy resulting in a live birth at 38 weeks gestation. Using the GTPAL system, how would you document this patient's obstetrical history?
Signup and view all the answers
A patient presents to the clinic with a positive urine pregnancy test. Which of the following statements regarding this test is TRUE?
A patient presents to the clinic with a positive urine pregnancy test. Which of the following statements regarding this test is TRUE?
Signup and view all the answers
A patient presents with a history of two pregnancies, both resulting in live births at 39 and 40 weeks gestation. Using the G/P system, how would you document this patient's obstetrical history?
A patient presents with a history of two pregnancies, both resulting in live births at 39 and 40 weeks gestation. Using the G/P system, how would you document this patient's obstetrical history?
Signup and view all the answers
A patient has a quantitative serum hCG level of 500 mIU/mL. Which of the following is a possible explanation for this elevated level?
A patient has a quantitative serum hCG level of 500 mIU/mL. Which of the following is a possible explanation for this elevated level?
Signup and view all the answers
Which of the following is a FALSE statement regarding pregnancy-related physiological changes?
Which of the following is a FALSE statement regarding pregnancy-related physiological changes?
Signup and view all the answers
Flashcards
Gravida
Gravida
The total number of pregnancies a patient has had.
Para
Para
The number of pregnancies reaching at least 20 weeks.
GTPAL
GTPAL
An acronym to categorize pregnancies: Gravida, Term, Preterm, Abortions, Living children.
hCG Testing
hCG Testing
Signup and view all the flashcards
False Positives/Negatives
False Positives/Negatives
Signup and view all the flashcards
Adolescent Pregnancy Risks
Adolescent Pregnancy Risks
Signup and view all the flashcards
Advanced Maternal Age Risks
Advanced Maternal Age Risks
Signup and view all the flashcards
Multifetal Pregnancy Issues
Multifetal Pregnancy Issues
Signup and view all the flashcards
Weight Gain Recommendations (Normal BMI)
Weight Gain Recommendations (Normal BMI)
Signup and view all the flashcards
Weight Gain for Obese Mothers
Weight Gain for Obese Mothers
Signup and view all the flashcards
Presumptive signs
Presumptive signs
Signup and view all the flashcards
Probable signs
Probable signs
Signup and view all the flashcards
Positive signs
Positive signs
Signup and view all the flashcards
Physiologic anemia in pregnancy
Physiologic anemia in pregnancy
Signup and view all the flashcards
Naegele's Rule
Naegele's Rule
Signup and view all the flashcards
Pituitary hormones in pregnancy
Pituitary hormones in pregnancy
Signup and view all the flashcards
Placental hormones
Placental hormones
Signup and view all the flashcards
Trimester Definitions
Trimester Definitions
Signup and view all the flashcards
Weight Gain During Pregnancy
Weight Gain During Pregnancy
Signup and view all the flashcards
Caloric Intake in Pregnancy
Caloric Intake in Pregnancy
Signup and view all the flashcards
Kegel Exercises
Kegel Exercises
Signup and view all the flashcards
Oral Health in Pregnancy
Oral Health in Pregnancy
Signup and view all the flashcards
Moderate Physical Activity
Moderate Physical Activity
Signup and view all the flashcards
Complications Recognition
Complications Recognition
Signup and view all the flashcards
Heartburn Relief
Heartburn Relief
Signup and view all the flashcards
Constipation Solutions
Constipation Solutions
Signup and view all the flashcards
Urinary Frequency Management
Urinary Frequency Management
Signup and view all the flashcards
Travel Guidelines
Travel Guidelines
Signup and view all the flashcards
Maternal Acceptance of Pregnancy
Maternal Acceptance of Pregnancy
Signup and view all the flashcards
Father's Role in Pregnancy
Father's Role in Pregnancy
Signup and view all the flashcards
Benefits of Prenatal Care
Benefits of Prenatal Care
Signup and view all the flashcards
Initial Prenatal Visit Components
Initial Prenatal Visit Components
Signup and view all the flashcards
Gestational Hypertension
Gestational Hypertension
Signup and view all the flashcards
Fetal Assessment Parameters
Fetal Assessment Parameters
Signup and view all the flashcards
1-Hour Glucose Tolerance Test
1-Hour Glucose Tolerance Test
Signup and view all the flashcards
Group B Strep Screening
Group B Strep Screening
Signup and view all the flashcards
Alpha-Fetoprotein (AFP)
Alpha-Fetoprotein (AFP)
Signup and view all the flashcards
Genetic Screening in Pregnancy
Genetic Screening in Pregnancy
Signup and view all the flashcards
Uterine Position Changes
Uterine Position Changes
Signup and view all the flashcards
Cervical Changes
Cervical Changes
Signup and view all the flashcards
Chadwick's Sign
Chadwick's Sign
Signup and view all the flashcards
Montgomery Tubercles
Montgomery Tubercles
Signup and view all the flashcards
Supine Hypotensive Syndrome
Supine Hypotensive Syndrome
Signup and view all the flashcards
Blood Volume Increase
Blood Volume Increase
Signup and view all the flashcards
Chloasma
Chloasma
Signup and view all the flashcards
Linea Nigra
Linea Nigra
Signup and view all the flashcards
Increased GFR
Increased GFR
Signup and view all the flashcards
Striae Gravidarum
Striae Gravidarum
Signup and view all the flashcards
Respiratory Alkalosis
Respiratory Alkalosis
Signup and view all the flashcards
Musculoskeletal Changes
Musculoskeletal Changes
Signup and view all the flashcards
False Contractions
False Contractions
Signup and view all the flashcards
Hypercoagulable State
Hypercoagulable State
Signup and view all the flashcards
Study Notes
Pregnancy and Childbirth
- Determining Gravida and Para: Gravida is the total number of pregnancies, Para is number of pregnancies reaching 20 weeks. GTPAL and G/P used for recording.
- Pregnancy Tests: Quantitative serum testing (measures hCG in blood) is highly accurate. Qualitative hCG testing (measures hCG in urine) is less precise. hCG detectable in urine/blood 7-8 days before expected period, doubling every few days. High hCG linked to Down's syndrome, multiple gestations. Low hCG linked to ectopic pregnancy, miscarriage. False positives can occur with certain medications.
- Uterus Changes: Uterus size, shape, and position change due to elevated estrogen and progesterone.
- Uteroplacental Blood Flow: Blood flow through uterine arteries to the placenta increases as pregnancy progresses.
Body System Changes
- CV System: Blood volume increases 40-45%, Cardiac output 30-50% to compensate for blood loss during delivery and postpartum. Supine hypotensive syndrome is a possible effect in later stages- caused by baby position and pressure on vena cava.
- Respiratory System: Maternal oxygen consumption increases, estrogen increases vascularity in upper respiratory tract causing congestion and nosebleeds. Mild hyperventilation normal in pregnancy.
- GI System: Nausea/vomiting (N/V) peaks during early pregnancy (8-12 weeks). Pica occurs in pregnancy, meaning cravings for non-food items. Increased progesterone causes decreased smooth muscle motility leading to constipation.
- Renal System: Increased glomerular filtration rate (GFR). Risk for UTIs increased during pregnancy.
- Integumentary System: Hyperpigmentation (chloasma or melasma). Stretch marks (striae gravidarum). Spider veins (angiomas).
- Musculoskeletal System: Center of gravity shifts forward, lordosis develops. Diastasis recti (separation of abdominal muscles).
- Neurologic System: Headaches may be related to hormonal shifts. Carpal tunnel syndrome a possibility late in pregnancy due to swelling.
- Immune System: Pregnancy has a complex relationship with the immune system to allow for the acceptance of a fetus which is genetically different, and mother's role in preventing infection while not rejecting the fetus.
Screening
- Prenatal Care: Screening tests for infectious diseases and metabolic conditions are common.
- Follow up Visit: Physical exam (HTN) and lab work such as glucose tolerance tests to measure blood sugar levels. Detecting group B strep infection of which treatment can be provided during delivery. Various screenings including quad screens and ultrasounds.
- Fetal Assesment: Include gestational age, fetal heart tones, and fundal height assessments
Additional
- Pregnancy Signs: Presumptive (felt by woman), Probable (observed by doctor), Positive (only detected by fetus).
- Estimating Due Date: Naegele's rule calculates the estimated due date (EDD) based on the first day of the last menstrual period (LMP). Ultrasound measurements of the embryo's size can be more accurate.
- Prenatal Care Strategies: The chapter also includes information on strategies for confirming pregnancy and discussing important considerations such as maternal weight gain. Women with low or high BMI need tailored weight gain recommendations to support healthy pregnancy outcome.
Important considerations during pregnancy
- Pregnancy hormones: Important hormones involved including Prolactin, Oxytocin, Estrogen and progesterone are briefly mentioned and their functions are touched upon..
- Nutritional considerations: Important to consume nutritious foods and appropriate calories for the stages of pregnancy, including increased calorie consumption during the third trimesters as well as maintaining a healthy weight gain range for each BMI group.
- Physical activities: Important to maintain healthy postural and physical activity routines during pregnancy.
- Preventative care: Health professionals should perform necessary preventative care to mitigate risks during pregnancy.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Explore the essentials of pregnancy and childbirth, including key concepts like Gravida and Para, the accuracy of pregnancy tests, and the changes in the uterus and body systems during pregnancy. This quiz covers vital physiological adaptations and monitoring aspects essential for expectant mothers.