Midterm Exam: NR 602 NR602 Latest Update

Midterm Exam: NR 602/ NR602 (Latest 2025/ 2026 Update)

Primary Care of the Childbearing and Childrearing Family Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain

Amenorrhea:

• Highly suggestive of preg. in a healthy fem w/ regular & predictable period. Difficult to determine in a

female w/ irregular periods or in those who do not keep track of their menstrual cycles

Nausea & vomiting:

• Common symptom (~50% of pregnancies) typically occurring between 2- 16 wks. gest

Breast engorgement & darkening of areolas:

• Occurs as early as 6-8 wks. gest

Breast tenderness Fatigue Urinary Frequency

Slight increase in body temperature:

• Rise in temp. coincides w/ luteal phase & is the result of progesterone

"Quickening":

• Mother feels baby's movements for 1st time; starts @ 16 wks some say btw 18-20 wks

Presumptive Signs of pregnancy

• a high likelihood of preg. but there are still other conditions that may cause the findings.
• Enlarged uterus
• (+) urine or blood preg. test (β-hCG)
• Preg. tests are considered probable because β-hCG also presents in ovarian cancer, choriocarcinoma,

increased gonadotropins at menopause & molar pregnancies

• Braxton Hicks contractions (may be palpated by 28 weeks)

Uterine soufflé (soft blowing sound due to blood pulsating through the placenta)

• Integumentary pigment changes

Probable Signs of pregnancy ovarian cancer, choriocarcinoma increased pituitary gonadotropins at menopause molar pregnancies( abnormal fertilized egg or overgrowth of trophoblasts, which form the placenta) Dx differentials for (+) (β-hCG) 1 / 2

Cervical softening (around 4 wks.) Probable Signs of pregnancy: Goodell's sign: Blueish coloration of the vagina & cervix (6-8 wks)

Probable Signs of pregnancy: Chadwick sign

(softening of lower uterine segment)

Probable Signs of pregnancy: Hegar's sign

• Fetal heart rate auscultated by fetoscope at 17-20 weeks or by Doppler at 10-12 weeks
• Palpable fetal outline and fetal movement after 20 weeks
• Visualization of fetus with cardiac activity by ultrasound (fetal parts visible by 8 weeks)
• Pregnancy and fundal height measurement
• US & visualization of the fetus

positive (diagnostic signs) of pregnancy the topmost portion of the uterus and is known as the roof of the uterine cavity Fundus Preg. & fundal height measurement As pregnancy progresses, the fundus rises out of the pelvis The fundus is located @ the level of the symphysis pubis at x weeks Preg. & fundal height measurement

at 12 wks. gestation:

Preg. & fundal height measurement By week x, the fundus rises midway between symphysis pubis and the umbilicus.Preg. & fundal height measurement

at 16 wks. gestation:

Preg. & fundal height measurement By x weeks’ gestation, the fundus is typically at the same height as the umbilicus.Preg. & fundal height measurement 20 weeks' gestation Preg. & fundal height measurement during x weeks the fundus enlarges approx. 1cm/wk.Preg. & fundal height measurement >20 wks. gestation Preg. & fundal height measurement

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