Signs of Pregnancy Quiz
29 Questions
100 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What are presumptive signs of pregnancy?

  • Abdominal enlargement
  • Breast tenderness
  • Fetal heart sounds
  • Amenorrhea (correct)

    • What are probable signs of pregnancy?

  • Fetal heart sounds
  • Hegar's sign (correct)
  • Nausea
  • Breast changes

    • What are positive signs of pregnancy?

  • Amenorrhea
  • Nausea
  • Fatigue
  • Visualization of the fetus (correct)

    • What is Chadwick's sign?

    <p>Bluish-purple coloration of the vaginal mucosa and cervix.</p> Signup and view all the answers

    What is Goodell's sign?

    <p>Softening of the cervical tip.</p> Signup and view all the answers

    What is ballottement?

    <p>Rebound of the unengaged fetus felt between the 16th and 18th week.</p> Signup and view all the answers

    What is the most common gynecologic malignancy that occurs during pregnancy?

    <p>Cervical cancer.</p> Signup and view all the answers

    What changes occur in the vagina and vulva during pregnancy?

    <p>Vaginal mucosa thickens, connective tissue loosens, smooth muscle hypertrophies, and vaginal vault lengthens.</p> Signup and view all the answers

    What is leukorrhea?

    <p>White or slightly gray mucoid vaginal discharge with a faint musty odor.</p> Signup and view all the answers

    What is the pH of vaginal secretions during pregnancy?

    <p>3.5-6.0.</p> Signup and view all the answers

    What stimulates prolactin during pregnancy?

    <p>Colostrum production by the end of the first semester.</p> Signup and view all the answers

    What changes occur in the breasts during pregnancy?

    <p>Fullness, heightened sensitivity, tingling, heaviness, and increased pigmentation.</p> Signup and view all the answers

    What causes supine hypotension?

    <p>The fetus pushing on the vena cava.</p> Signup and view all the answers

    What is the gravidity and parity of a woman pregnant for the fourth time with certain birth histories?

    <p>4-1-2-0-4.</p> Signup and view all the answers

    What is a presumptive sign of pregnancy for a woman at 10 weeks gestation?

    <p>Amenorrhea</p> Signup and view all the answers

    Which of the following is a positive sign of pregnancy?

    <p>Fetal movement palpated by the nurse-midwife.</p> Signup and view all the answers

    At 14 weeks of gestation, where would the fundus be palpated?

    <p>Slightly above the symphysis pubis</p> Signup and view all the answers

    What is noted as Hegar's sign during a physical examination?

    <p>Softening of the lower uterine segment</p> Signup and view all the answers

    Which cardiovascular change is normal during the second trimester?

    <p>Increased pulse rate</p> Signup and view all the answers

    The mother's blood volume increases by 25%.

    <p>False</p> Signup and view all the answers

    Is slight hypertrophy (enlargement) of the heart normal during pregnancy?

    <p>True</p> Signup and view all the answers

    What cardiac auscultatory changes happen by the end of the first trimester?

    <p>Audible splitting of S1 and S2, development of S3 sounds, systolic ejection murmurs.</p> Signup and view all the answers

    How should a pregnant woman's blood pressure be measured?

    <p>In the same arm while seated, with back and arm supported at the level of the right atrium.</p> Signup and view all the answers

    By what percentage does cardiac output increase during pregnancy?

    <p>30-50%</p> Signup and view all the answers

    What changes occur in the upper respiratory tract during pregnancy?

    <p>Nasal congestion, edema, and hyperemia develop.</p> Signup and view all the answers

    Why might a woman in her seventh month of pregnancy experience nasal congestion?

    <p>Normal respiratory change from elevated estrogen levels</p> Signup and view all the answers

    What should nurses know about leukorrhea during pregnancy?

    <p>It is a result of estrogen and progesterone.</p> Signup and view all the answers

    What is the gravidity and parity for a woman who had one spontaneous abortion and one stillbirth?

    <p>3-1-0-1-0.</p> Signup and view all the answers

    Which adaptations occur during pregnancy related to fetus presence?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Signs of Pregnancy

    • Presumptive signs include symptoms felt by the woman: amenorrhea, fatigue, nausea, vomiting, polyuria, breast changes, and quickening (fetal movements typically felt between 16-20 weeks).
    • Probable signs observed by the examiner suggest pregnancy: abdominal enlargement, Hegar's sign (softening of the lower uterus), Chadwick's sign (bluish cervix), Goodell's sign (softening of cervical tip), ballottement, Braxton Hicks contractions, positive pregnancy tests.
    • Positive signs confirm pregnancy through objective evidence: fetal heart sounds, visualization via ultrasound, palpitated fetal movement by an experienced examiner.

    Specific Signs and Terms

    • Chadwick's Sign: Description of the bluish-purple discoloration in the cervix and vaginal mucosa due to increased vascularity during pregnancy.
    • Goodell's Sign: Indicates softening of the cervical tip; an early sign of pregnancy.
    • Ballottement: A technique felt between 16-18 weeks where the examiner taps the cervix to feel the unengaged fetus rebound.
    • Quickening: Initial sensation of fetal movement, occurring around 14-16 weeks for multiparous women; nulliparous women may not feel it until after 18 weeks.

    Obstetric History and GTPAL

    • GTPAL stands for Gravida (number of pregnancies), Term (number of term births), Preterm (number of preterm births), Abortion (number of miscarriages), Living (number of living children).
    • Example: A woman pregnant for the fourth time with a history of one term birth and two preterm births would be noted as 4-1-2-0-4.

    Physiological Changes in Pregnancy

    • The vaginal changes during pregnancy include thickening of the vaginal mucosa, loosening of connective tissue, hypertrophy of smooth muscle, and lengthening of the vaginal vault.
    • Leukorrhea: A normal white or mucoid vaginal discharge with a faint odor during pregnancy.
    • Vaginal pH during pregnancy is between 3.5-6.0, increasing susceptibility to infections like candidiasis.

    Cardiovascular Changes

    • Blood volume increases by about 50% during pregnancy, causing physiological changes.
    • Cardiac output rises by 30-50%, pulse rate increases by 10-15 beats/min, and shifting blood pressure patterns occur.
    • Supine hypotension may happen when the fetus compresses the vena cava, causing decreased blood flow.

    Upper Respiratory Tract Changes

    • Increased vascularity results in nasal congestion, sinus stuffiness, and changes in voice.
    • Growth of capillaries leads to susceptibility to mild upper respiratory infections and nosebleeds.

    Breasts and Lactation

    • Breast changes include fullness, sensitivity, increased pigmentation of nipples, and enlargement of Montgomery's glands.
    • Prolactin stimulates colostrum production by the end of the first trimester; lactation is inhibited until after birth.

    Nursing Assessment and Education

    • Nurses should measure blood pressure with the patient seated and supported; changes in positioning can affect readings.
    • Engagement in education about changes helps reassure clients, emphasizing normal vs. abnormal signs of pregnancy.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge on the different signs of pregnancy, including presumptive and probable indicators. This quiz will cover key changes that might indicate pregnancy from both a woman's perspective and a medical examination. Understand the symptoms and signs that are significant in determining pregnancy.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser