Nursing Tips

Hydatiform mole (molar pregnancy) is a type of Gestational Trophoblastic Disease. Key signs/symptoms of a molar pregnancy include: "Prune juice" discharge; Hyperemesis (severe n/v); Elevated hCG levels

Hydatiform Mole

Cathy Parkes

Hydatiform mole is a type of Gestational Trophoblastic Disease. Key S&S include: "Prune juice" discharge; Hyperemesis (severe n/v); Elevated hCG levels

Hydatiform Mole

Cathy Parkes

Hydatiform mole is a type of Gestational Trophoblastic Disease. Key S&S include: "Prune juice" discharge; Hyperemesis (severe n/v); Elevated hCG levels

How to calculate a pregnant patient's due date:  Add 9 months PLUS 1 week from the first day of their last menstrual period.  Example: Last menstrual period started on 6/1/20. Add 9 months PLUS 1 week. Expected due date = 3/8/21

Calculating Due Date

Rachel Simmons

How to calculate a pregnant patient's due date: Add 9 months PLUS 1 week from the first day of their last menstrual period.

Calculating Due Date

Rachel Simmons

How to calculate a pregnant patient's due date: Add 9 months PLUS 1 week from the first day of their last menstrual period.

Between 18 and 32 weeks gestation, the fundal height = gestational age.

Gestational Age

Cathy Parkes

Between 18 and 32 weeks gestation, the fundal height = gestational age.

Gestational Age

Cathy Parkes

Between 18 and 32 weeks gestation, the fundal height = gestational age.

Two types of ultrasonography used in pregnancy are transvaginal (ultrasound transducer placed in the patient's vagina) and abdominal (transducer placed on the outside of the abdomen).

Ultrasonography

Cathy Parkes

Two types of ultrasonography used in pregnancy are transvaginal (ultrasound transducer placed in the patient's vagina) and abdominal (transducer placed on the outside of the abdomen). 

Ultrasonography

Cathy Parkes

Two types of ultrasonography used in pregnancy are transvaginal (ultrasound transducer placed in the patient's vagina) and abdominal (transducer placed on the outside of the abdomen). 

Toxoplasmosis is a teratogenic parasitic infection acquired by consumption of raw or undercooked meat, or by handling cat feces.

Toxoplasmosis

Cathy Parkes

Toxoplasmosis is a teratogenic parasitic infection acquired by consumption of raw or undercooked meat, or by handling cat feces.

Toxoplasmosis

Cathy Parkes

Toxoplasmosis is a teratogenic parasitic infection acquired by consumption of raw or undercooked meat, or by handling cat feces.

The fetal heart tones cannot be assessed using a doppler until around 12 weeks gestational age. Prior to this time, heart tones can only be identified using ultrasound.

Assessing Fetal Heart Tones

Cathy Parkes

The fetal heart tones cannot be assessed using a doppler until around 12 weeks gestational age. Prior to this time, heart tones can only be identified using ultrasound.

Assessing Fetal Heart Tones

Cathy Parkes

The fetal heart tones cannot be assessed using a doppler until around 12 weeks gestational age. Prior to this time, heart tones can only be identified using ultrasound.

Probable signs of pregnancy include Chadwick's Sign, Goodell's Sign, Hegar's Sign, ballottement, and a positive pregnancy test. These findings are probably related to pregnancy, but could have other explanations.

Probable Signs of Pregnancy

Cathy Parkes

Probable signs of pregnancy include Chadwick's Sign, Goodell's Sign, Hegar's Sign, ballottement, and a positive pregnancy test. These findings are probably related to pregnancy, but could have other explanations.

Probable Signs of Pregnancy

Cathy Parkes

Probable signs of pregnancy include Chadwick's Sign, Goodell's Sign, Hegar's Sign, ballottement, and a positive pregnancy test. These findings are probably related to pregnancy, but could have other explanations.

A patient's estimated date of delivery can be determined using Naegele's Rule. After determining the first day of the patient's last period, subtract 3 months, then add 1 week and 1 year.

Naegele's Rule

Cathy Parkes

A patient's estimated date of delivery can be determined using Naegele's Rule. After determining the first day of the patient's last period, subtract 3 months, then add 1 week and...

Naegele's Rule

Cathy Parkes

A patient's estimated date of delivery can be determined using Naegele's Rule. After determining the first day of the patient's last period, subtract 3 months, then add 1 week and...

Supine hypotensive syndrome is caused by a pregnant patient's heavy uterus compressing the inferior vena cava when lying supine.

Supine Hypotensive Syndrome

Cathy Parkes

Supine hypotensive syndrome is caused by a pregnant patient's heavy uterus compressing the inferior vena cava when lying supine. Educate patients to rest either in a side-lying position, or with...

Supine Hypotensive Syndrome

Cathy Parkes

Supine hypotensive syndrome is caused by a pregnant patient's heavy uterus compressing the inferior vena cava when lying supine. Educate patients to rest either in a side-lying position, or with...

Positive signs of pregnancy include identification of fetal heart sounds, fetal movement felt by a healthcare provider, and ultrasound visualization of the fetus. There is no other explanation for these findings than pregnancy.

Positive Signs of Pregnancy

Cathy Parkes

Positive signs of pregnancy include identification of fetal heart sounds, fetal movement felt by a healthcare provider, and ultrasound visualization of the fetus. There is no other explanation for these...

1 comment

Positive Signs of Pregnancy

Cathy Parkes

Positive signs of pregnancy include identification of fetal heart sounds, fetal movement felt by a healthcare provider, and ultrasound visualization of the fetus. There is no other explanation for these...

1 comment
Maternal Serum Alpha-fetoprotein (MSAFP) is a test for genetic abnormalities performed between 15 and 20 weeks gestation.

Maternal Serum Alpha-fetoprotein (MSAFP)

Cathy Parkes

Maternal Serum Alpha-fetoprotein (MSAFP) is a test for genetic abnormalities performed between 15 and 20 weeks gestation.

Maternal Serum Alpha-fetoprotein (MSAFP)

Cathy Parkes

Maternal Serum Alpha-fetoprotein (MSAFP) is a test for genetic abnormalities performed between 15 and 20 weeks gestation.

First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative hCG level testing.

Lab Tests for First Trimester

Cathy Parkes

First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative...

Lab Tests for First Trimester

Cathy Parkes

First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative...

Warning signs in pregnancy include diarrhea, fever, chills, severe abdominal cramping, sever vomiting, vaginal bleeding, and decreased fetal activity. Notify your provider immediately.

Warning Signs in Pregnancy

Cathy Parkes

Educate patients about warning signs in pregnancy for which they should notify their provider: diarrhea, fever, chills, severe abdominal cramping or pain, severe vomiting, vaginal bleeding, and decreased fetal activity...

Warning Signs in Pregnancy

Cathy Parkes

Educate patients about warning signs in pregnancy for which they should notify their provider: diarrhea, fever, chills, severe abdominal cramping or pain, severe vomiting, vaginal bleeding, and decreased fetal activity...

Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.

Ectopic Pregnancy

Cathy Parkes

Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.

Ectopic Pregnancy

Cathy Parkes

Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.

Expected weight gain during pregnancy  Normal weight women: 25-35 pounds. Underweight women: 28-40 pounds. Overweight patients: 15-25 pounds.

Pregnancy Weight Gain

Cathy Parkes

Expected weight gain during pregnancy differs depending on the mother's pre-pregnancy weight.

Pregnancy Weight Gain

Cathy Parkes

Expected weight gain during pregnancy differs depending on the mother's pre-pregnancy weight.

A reactive (normal) test is indicated by a FHR with a normal rate, moderate variability, and two accelerations (greater than or equal to 15 bpm for greater than or equal to 15 seconds) in 20 minutes.

Nonstress Test (NST)

Cathy Parkes

A nonstress test (NST) is a non-invasive test done to examine the fetal heart rate and response to fetal movement.

Nonstress Test (NST)

Cathy Parkes

A nonstress test (NST) is a non-invasive test done to examine the fetal heart rate and response to fetal movement.

An Indirect Coombs test is used to determine if a pregnant patient is Rh-positive or Rh-negative.

Rh-Negative Patients

Cathy Parkes

An Indirect Coombs test is used to determine if a pregnant patient is Rh-positive or Rh-negative.

Rh-Negative Patients

Cathy Parkes

An Indirect Coombs test is used to determine if a pregnant patient is Rh-positive or Rh-negative.

Alpha-fetoprotein (AFP) levels are measured with prenatal bloodwork or with an amniocentesis.  HIGH levels of AFP are associated with neural tube defects. LOW levels of AFP are associated with chromosomal disorders (such as Down Syndrome).

AFP measurement

Cathy Parkes

During amniocentesis, alpha-fetoprotein (AFP) levels are measured. HIGH levels of AFP are associated with neural tube defects. LOW levels of AFP are associated with chromosomal disorders (such as Down Syndrome)....

AFP measurement

Cathy Parkes

During amniocentesis, alpha-fetoprotein (AFP) levels are measured. HIGH levels of AFP are associated with neural tube defects. LOW levels of AFP are associated with chromosomal disorders (such as Down Syndrome)....