NURS405 Study Guide - Midterm Guide: Stretch Marks, Fundal Height, Renal Blood Flow
23 Apr 2015
School
Department
Course
Professor
Document Summary
40weeks, 9months, 280days: first day of last menstrual period until day of birth. Terminology: gravidity: pregnancy, mulitgravida: woman has had 2 or more pregnancies, nulligravida: never been pregnant. Parity: # pregnancies in which the fetuses reached 20 weeks. Preterm is <37weeks; posterm is > 41weeks; term is 37-41. **gtpal = gravida term birth preterm birth abortion/miscarriage living children. Presumptive: subjective changes felt by woman amenorrhea, fatigue, breast changes, nausea/vomiting, quickening. Probable: objective changes by examiner hegar/goodell/chadwick"s sign, ballottement, pregnancy test. Positive: presence of fetus fetal heart tones, visualizing fetus, palpating fetal movements. Between 38-40 weeks fundal height decreases as fetus descends and engages: hegar"s sign = softening and compressibility of lower uterine segment/uterine isthmus pelvis (lightening) Occurs at 6 weeks: goodell"s sign = softening of cervical tip beginning at 6 weeks muscle and connective tissue become loose, edematous, highly elastic, increased volume velvety appearance. Supine hypotension = after lying on back, fall in systolic by >30mmhg after 4-
