Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 14 Women’s Health^521



  • Breast enlargement

  • Softening of cervix

  • Increased pigmentation and enlargement of areolae

  • Chadwick’s sign—vagina and cervix show a blue hue from increased vas-
    culature


INTERPRETING TEST RESULTS



  • Human chorionic gonadotropin (hCG):

    • plasma hCG—positive 3 to 4 weeks after LMP.

    • urine hCG—positive one week after first missed menses.

    • serum hCG—will also be elevated in ectopic pregnancy, trophoblastic
      tumors.



  • Fetal heart tones—a positive test of pregnancy.

  • Ultrasound—confirms pregnancy.


TREATMENTS



  • Regular visits with health care provider.

  • Prenatal vitamins.

  • Routine labwork.

  • Ultrasound.


NURSING DIAGNOSES



  • Altered nutrition

  • Body image disturbance


NURSING INTERVENTIONS



  • Discuss bodily changes.

  • Stress importance of prenatal vitamins.

  • Reinforce diet, exercise.

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