CH.11 EXAM 1 UNIT PREGNANCY

A client makes an appointment with an obstetrician and assessment reveals positive Hegar and Chadwick signs. What should the nurse teach the client about these results?

She is probably pregnant, but this must be confirmed by other means

During late pregnancy, the nurse teaches a pregnant woman to lay on her left side to avoid what condition?

Supine hypotension syndrome

Which hormone would the nurse describe as being responsible for stimulating uterine contractions during labor and birth?

Oxytocin

The recommended weight gain pattern for a woman whose prepregnant weight is within the normal range would be

1 LB

First Trimester

1-13 weeks

between 14 and 20 weeks of gestation, and this elevation persists to term HOW MANY BPM DOES HR INCREASE

10-15 BPM 72=82-87 BPM

Obese (BMI = 30 or higher) total weight gain range

11-20 lb

Second Trimester

14-26 weeks

Overweight (BMI = 25-29.9) total weight gain range

15-25 lb

By 20 weeks' gestation, the fundus of the uterus is at the level of the umbilicus and measures 20 cm. A monthly measurement of the height of the top of the uterus in centimeters, which corresponds to the number of gestational weeks, is commonly used to date the pregnancy. Therefore for this client, the additional 4 cm would be the equivalent of 4 additional weeks making the gestational age of

24 WEEKS PREGNANT

Normal weight (BMI = 18.5-24.9) total weight gain range

25-35 lb

3rd trimester

27-40 weeks

underweight (BMI less than 18.5) total weight gain range

28-40 lb

How much does cardiac output increase and peak at 25 to 30 weeks gestation

30 to 50 percent

Probable (Time of Occurrence) s&s

Braxton Hicks contractions (16-28 weeks) Positive pregnancy test (4-12 weeks) Abdominal enlargement (14 weeks) Ballottement (16-28 weeks) Goodell sign (5 weeks) Chadwick sign (6-8 weeks) Hegar sign (6-12 weeks)

A mother comes in with her 17-year-old daughter to find out why she has not had a menstrual cycle for a few months. Examination confirms the daughter is pregnant with a fundal height of approximately 24 cm. The nurse interprets this finding as indicating that the daughter is approximately how many weeks pregnant?

By 20 weeks' gestation, the fundus of the uterus is at the level of the umbilicus and measures 20 cm. A monthly measurement of the height of the top of the uterus in centimeters, which corresponds to the number of gestational weeks, is commonly used to date the pregnancy. Therefore for this client, the additional 4 cm would be the equivalent of 4 additional weeks making the gestational age of 24 weeks.

The growing fetus is displacing the intestines and interfering with peristalsis, delaying the passage of fecal matter and resulting in

CONSTIPATION

what happens to the respiratory system during pregnancy

Enlargement of the uterus shifts the diaphragm up to 4 cm above its usual position. As muscles and cartilage in the thoracic region relax, the chest broadens with conversion from abdominal breathing to thoracic breathing. This leads to a 50% increase in air volume per minute. Tidal volume, or the volume of air inhaled, increases gradually by 30-40% (from 500 to 700 mL) as the pregnancy progresses.

Which hormones would the nurse most likely identify as being inhibited during the pregnancy?

FSH LH

Presumptive (Time of Occurrence) preg. symptoms

Fatigue (12 weeks) Breast tenderness (3-4 weeks) Nausea and vomiting (4-14 weeks) Amenorrhea (4 weeks) Urinary frequency (6-12 weeks) Hyperpigmentation of the skin (16 weeks) Fetal movements known as quickening (16-20 weeks) Uterine enlargement (7-12 weeks) Breast enlargement (6 weeks)

client in her 39th week of gestation arrives at the maternity clinic stating that earlier in her pregnancy, she experienced shortness of breath. However, for the past few days, she has been able to breathe easily, but she has also begun to experience increased urinary frequency. A nurse is assigned to perform the physical examination of the client. Which observation is most likely?

Fundal height has dropped since the last recording.

How much does HR increase during pregnancy ex 72 before pregnancy

HR should increase by 25% HR would be 90

Which statement by a pregnant client would validate that she understood the nurse's teaching regarding the risk of venous stasis during pregnancy?

My clotting times and bleeding times will be unchanged during this pregnancy even though I am at higher risk of clots in my leg vein."

How to alleviate HTN syndrome

Place the client in the left lateral position.

Positive (Time of Occurrence)

Ultrasound verification of embryo or fetus (4-6 weeks) Fetal movement felt by experienced clinician (20 weeks) Auscultation of fetal heart tones via Doppler (10-12 weeks)

The Centers for Disease Control and Prevention (CDC, 2019a) categorizes BMI as follows:

Underweight: lower than 18.5 Healthy weight: 18.5-24.9 Overweight: 25-29.9 Obese: 30 or higher

leukorrhea

Vaginal secretions increase during pregnancy and this is considered normal as long as no itching or burning is present

On a prenatal visit, a woman in her second trimester has an ultrasound that confirms that the baby is a girl. Which statement by the mother would be troubling to the nurse concerning this finding

We don't want to name her because we don't want to get too attached.

what happens to BP and HR during second trimester

decrease in her blood pressure during the second trimester. An increase in the heart rate of 10 to 15 beats per minute on average is also normal, due to the increased blood volume and increased workload of other organ systems.

What happens to the renal pelvis during pregnancy

dilated during pregnancy, possibly due to the effect of progesterone on smooth muscle. The glomerular filtration rate increases during pregnancy. The kidneys enlarge during pregnancy. The ureters elongate, widen, and become more curved above the pelvic rim.

hypotension syndrome

dizziness and clamminess when assuming a supine position. During the assessment, the nurse observes there is a marked decrease in the client's blood pressure

What happens when a pregnant woman lays on her back

she can experience vena cava syndrome. This results when the weight of the pregnant uterus presses against the vena cava. Additional symptoms of this include weakens nausea and dizziness. To manage this condition, pregnant women are encouraged to assume side lying positions instead of lying on their backs.

Goodell's sign

softening of the cervix pregnancy indication