202. Last mentral period October 20, 2010. Use Nagels's rule to estimate date of birth:
July 27, 2011 (Add 7 days, subtract 3 months; correct yr.)
203. When fetus moves:
16 to 20 weeks
(Quickening is fetal movemnt first felt between 16 to 20 wks)
204. Client pregnant w/twins. Has 5-yr. old-delivered 38 wk., no abortion or fetal demise. Nurse documents GTPAL
G=2, T=1, P=0, A=0, L=1
205. Client pregnant w/twins, has 5 yr. old, what is gravida and para
Gravida II, para I
(Gravida refers to a woman who is pregnant. Parity means # of births after 20 wks gestation.)
206. Client w/positive pregancy test; Goodell's sign:
A softening of cervix.
207. Primipara in 2nd trimester; which would indicte abnormal physical finding:
Fetal heart rate of 180 beats per min.
(Fetal heart rate is 160-170 in 1st trimester; slows to 120-160 w/fetal growth)
208. Client at 28 wks; nurse measures fundal height as:
28 cm.
(During 2nd and 3rd trimesters fundal height in cm. equals fetus' age in weeks plus or minus 2 cm.)
209. Client experiencing irregular contractions; nurse tells her these are Braxton-Hicks:
Tell the client that these are common and that they may occur throughout the pregnancy.
210. Quickening
It is the fetal movement that is felt by the mother.
211. Probable signs of pregnancy
Ballottement
Chadwick's sign
Uterine enlargement
Braxton Hicks contractions
(probable signs - uterine enlargement; Hegar's sign-softening and thinning of lower uterine at about wk. 6; Goodell's sign-softening of cervix-beginning of 2nd month; Chadwick;s s
Positive signs
FHR detected by doppler transducer at 10-12 wks.; fetoscope at 20 wks; active fetal movement that are palpable by examiner; outline of fetus via ultrasound.