T-Mobile . 12:54 AMM 24% Back Week 1 Antepartum Detail Submission Grade Week 1 A
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T-Mobile . 12:54 AMM 24% Back Week 1 Antepartum Detail Submission Grade Week 1 Antepartum Due: May 13, 2018 at 11:59 PM P.M. comes to the obstetric (OB) clinic because she has missed two menstrual periods and thinks she might be pregnant. She states she is nauseated, especially in the morning, so she completed a home pregnancy test and it was positive. As the intake nurse in the clinic you are responsible for gathering information from the patient. What are the positive, probable and positive signs of pregnancy? How will the Physician confirm pregnancy? What information will be important to include at every visit? 21 Dashboard Calendar TO DO Notifications InboxExplanation / Answer
1. ANS:
PROBABLE SIGNS
Generally an examiner (Midwife or Obstetrician) can observe these signs. These signs are most reliable indicators of pregnancy.
A. Uterine changes: It is the pregnancy true signs. It may include Hegar’s sign (the lower uterine segment softening), Uterine enlargement (at twelve weeks gestation) and Ballottment.
B. Cervical changes: Braxton-Hicks Contractions (throughout the pregnancy painless contractions occur) and Goodell’s sign (cervix softening).
C. Chadwicks’ sign (vaginal wall bluish discoloration)
D. Outlining of fetal body
E. Positive Pregnancy test
POSITIVE SIGNS: These are the unmistakable and definitive signs that strongly indicate pregnancy.
A. Fetal heart rate (heartbeat): Usually ranges from 120-160 bpm (beats per minute).
B. Fetal movement: Usually after 20 weeks where pregnant woman feel it.
C. Fetal outline on Ultrasound: It can shows fetal outline image the head, body and spine.
2. ANS: Genarally after suspecting the pregnancy, a woman can verify with a pregnancy test. To ascertain the pregnancy, the test uses urtne and blood as markers to indicate pregnancy. The indicators Include presumptive, probable, and positive signs.
A pregnancy test at home can be suspicious. To confirm further tests are done and this test might be giving a false positive. Braxton Hicks contraction or ‘prodromal laour’ are the uterine contractions that starts after six weeks of pregnancy.
Fetal heart tones are measured usIng fetoscope for calculating the number of heartbeats of the fetus. The fetal movement can be detected by the primary care practrtoner or the trainer.
3. ANS: Important information for pregnant women every visit:
Both the pregnacy women and doctor keep monitor below important information for every vist because if any unwanted changes taken placed in the body can easily identified through these regular checkups.
A. Antenatal (pregnancy) care: Try to keep in touch with a doctor or midwife as soon as possible. Antenatal visits can provide a good chance to ask any questions and to talk about any issues that you are unsure about, such as pains and aches, feeding your baby, the birth or any other concerns.
B. Routine pregnancy tests:
a. Weight and height: It is helped to to calculate your BMI (body mass index).
b. Ultrasound scans: It can work out the risk of baby having a chromosomal abnormality.
c. Pap test (smear test):It is a simple procedure to find early warning signs of cervical cancer might develop in the future.
d. Urine:It is checked for several things. Ex: protein or albumin detection in pre-eclampsia.
e. Blood pressure
f. Blood tests
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