Remar V2 Pregnancy

Hegar’s sign

Softening of the uterus

Goodell’s sign

Softening of the cervix

Chadwick sign

Bluish discoloration of the vagina and cervix

Positive signs of pregnancy

• Doppler ultrasound

• Fetal x-ray

• Fetoscope

Up to 28 weeks

Mother is seen monthly

16 weeks

Lanugo is formed

16-25 weeks baby first movement

28-36 weeks

Bi-weekly doctor visits

28 weeks

Alveoli and surfactant develops

36 weeks gestation

Rapid fat production occurs

Lightening

The movement of the fetus down in to the pelvis late in pregnancy

Gravidity

How many children mom has had even if miscarried or abortion

Parity

Number of pregnancies come to term

Amniocentesis Indication

• Fetal lung maturity

• Overall well-being

When to give an amniocentesis (Invasive Procedure)

16-20 weeks

Amniocentesis Client teaching

• Written consent

• Vital signs and FHR every 15 minutes

• Empty bladder before test

• Ultrasound to locate placenta

Amniocentesis watch for

• PROM ( premature rupture of membranes)

• Infection

• Decrease fetal movement

Rh Immune Globulin indication

This given to a Rh negative mother and baby is Rh positive

Rh administration ( when to give)

28 weeks gestation and 72 hours after birth ( IM injection)

Rh client education

Indirect Coombs Test: This shows if the mother has antibodies for Rh factor.

• Negative means no antibodies

• Positive baby develops jaundice and anemia (Tx: Phototherapy and folic acid)

Non stress test indication

• HR is irregular

• Decreased oxygenation

• Fetal well-being

Non-stress test administration

• after 28 weeks gestation

• Results 20 to 30 minutes

• Reactive= negative ( baby HR normal)

• Non- reactive = Abnormal ( baby isn’t moving )

Non- stress test client education

• Eat and drink before exam to help monitor baby’s movement

Morning sickness

• Due to hypoglycemia

• Eat dry carbs ( before getting bed)

• Sit up after meals

Back Pain (Pregnancy)

• Maintain good posture

• Use pelvic rocking

Leg Cramps ( Pregnancy)

Dorsiflex the foot

Pregnancy Diet

High protein with prenatal vitamins

Anemia (Pregnancy)

Normal during pregnancy ( more RBC develop for baby)

Kegels

Strengthens pelvic muscle to prevent urinary incontinence

Danger signs of pregnancy

• Vaginal bleeding

• Puffiness of face, hands & feet

• Sudden abdominal pain

• Abrupt flow of vaginal fluids