Nicole Shared "first exam" - 28 Picmonics
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first exam
Presumptive Signs of Pregnancy
- Amenorrhea
- Fatigue
- Urinary Frequency
- Nausea and Vomiting
- Breast Changes
- Quickening
1 min
Probable Signs of Pregnancy
- Goodell Sign
- Chadwick Sign
- Hegar Sign
- Positive Serum and Urine Sample
- Braxton Hicks Contractions
- Ballottement
2 mins
Positive Signs of Pregnancy
- Fetus on Ultrasound
- Fetal Heart Rate by Doppler or Fetoscope
- Fetal X-ray
- Fetal Movements
1 min
Discomforts of Pregnancy - First Trimester
- Breast Tenderness
- Supportive Bra
- Nausea and Vomiting
- Frequent Small Meals
- Urinary Frequency and Urgency
- Frequently Empty Bladder
- Leukorrhea
- Perineal Pad
- Ptyalism
2 mins
Discomforts of Pregnancy - Second Trimester
- Supine Hypotension
- Side-lying Position
- Food Cravings
- Heartburn (Pyrosis)
- Constipation
- Moderate Exercise
- Varicose Veins
- Elevate Legs
- Backache
- Pelvic Tilt Exercise
- Considerations
- Nutrition
2 mins
Discomforts of Pregnancy - Third Trimester
- Shortness of Breath (SOB)
- Rest Periods
- Return of Urinary Frequency and Urgency
- Empty Bladder Regularly
- Leg Cramps
- Stretching Exercises
- Ankle Edema
- Elevate Legs
2 mins
Ovulatory Hormones I - Follicular Phase
- Characteristics
- 0-14 Days
- GnRH Stimulates FSH and LH
- Follicle Secretes Estrogen
- Negative Feedback from Estrogen
- Increased Estrogen Leads to Positive Feedback
- FSH and LH Surge
- LH Spike Leads to Ovulation
2 mins
Ovulatory Hormones II - Luteal Phase
- Days 15-28
- Corpus Luteum
- Secretes Progesterone
- Negative Feedback inhibits FSH and LH
- No pregnancy forms Corpus Albicans
- Stops Estrogen Secretion
- Endometrial Sloughing - Menses
- GnRH secretion produces new follicular phase
2 mins
Fetal Circulation
- Placenta
- Umbilical Vein
- Ductus Venosus
- Right Atrium
- Foramen Ovale
- Left Atrium
- Aorta
- Right Ventricle
- Ductus Arteriosus
- Umbilical Arteries
2 mins
Postnatal Circulation
- Infant Breathes
- Decreased Pressure in Pulmonary Vasculature
- Decreased Right Heart Pressure
- Increased Left Atrial Pressure
- Closes Foramen Ovale
- Increased O2
- Decreased Prostaglandins
- Closed Ductus Arteriosus
- Pharmacologic Intervention of Ductus Arteriosus
- Open with Prostaglandins
- Closed with Indomethacin
3 mins
Newborn Assessment
- APGAR
- Umbilical Cord
- 2 Arteries 1 Vein
- Eye Prophylaxis
- Fontanels
- Vitamin K Injection (Phytonadione)
- Gestational Age Assessment (GAA)
- Measurements
- Birth Weight
- Head Circumference
- Length
- Considerations
- Keep Warm
- ID Bands
3 mins
APGAR Score
- 1 and 5 Minutes
- Appearance
- Pulse
- Grimace
- Activity and Muscle Tone
- Respiration
- Total Scores
- Gentle Stimulation
- Oxygen
2 mins
Hyperbilirubinemia
- Cause/Mechanism
- Increased Unconjugated Bilirubin
- Assessment
- Jaundice
- Kernicterus
- Interventions
- Early Feedings
- Heme Oxygenase Inhibitors
- Phototherapy
- Protect Eyes
- Monitor for Dehydration
- Considerations
- Monitor Bilirubin Levels
3 mins
Age 2 Months - Developmental Milestones
- Gross Motor
- Holds Head Up, But Unsteady
- Moves Both Arms and Both Legs
- Fine Motor
- Opens Hands Briefly
- Tracks Objects to the Midline
- Language/Communication
- Produces Sounds Aside from Crying
- Reacts to Loud Noise
- Social / Cognitive
- Social Smile
- Recognizes Parents
- Soothed When Spoken to or Picked Up
2 mins
Age 4 Months - Developmental Milestones
- Gross Motor
- Keeps Head Steady Without Support
- Pushes Up on Elbows While on Tummy
- Fine Motor
- Holds a Toy in Hands
- Moves Hands Towards Mouth
- Language/Communication
- Cooing
- Turns to Voice
- Social / Cognitive
- Chuckles
- Enjoys Looking Around
- Looks at Hands With Interest
- Opens Mouth When Hungry
2 mins
Age 6 Months - Developmental Milestones
- Gross Motor
- Sits Propped Up On Hands
- Rolls
- Fine Motor
- Raking Grasp
- Language/Communication
- Makes Squealing Noises
- Blows "Raspberries"
- Turn-Taking in Sounds
- Social / Cognitive
- Laughs
- Enjoys Looking at Self in a Mirror
- Recognizes Familiar People
- Closes Lips to Signal Fullness
- Puts Objects in Mouth
- Reaches for Desired Toys
2 mins
Age 9 Months - Developmental Milestones
- Gross Motor
- Sits Up Independently
- Fine Motor
- Transfers Objects Between Hands
- Uses Fingers to Pull Food Toward Self
- Language/Communication
- Produces Various Sounds Like "mamamama" and "bababababa"
- Raises Arms to be Lifted Up
- Social / Cognitive
- Separation Anxiety
- Shows Facial Expressions
- Looks When Calling Name
- Smiles or Laughs at Peek-a-boo
- Looks for Dropped Objects Out of Sight
- Bangs Two Items Together
2 mins
Age 1 Year - Developmental Milestones
- Gross Motor
- Pulls Up to Stand
- First Steps
- Fine Motor
- Drinks From an Open Cup with Assistance
- Two-Finger Pincer Grasp
- Language/Communication
- Understands “No”
- Waves "Bye-Bye"
- "Mama & Dada"
- Social / Cognitive
- Plays Pat-A-Cake
- Puts Block in Cup
- Searches for Hidden Toys
2 mins
Age 18 Months - Developmental Milestones
- Gross Motor
- Walks Independently
- Climbs On/Off Furniture Without Help
- Fine Motor
- Drinks from Open Cup Independently
- Scribbles
- Eats with Fingers
- Tries to Use a Spoon
- Stacks Three Blocks
- Language/Communication
- Attempts Three-word Phrases
- Follows One-step Commands
- Social / Cognitive
- Checks While Moving Away
- Points to Objects
- Engages With Toys Simply
- Copies Parent Doing Chores
- Extends Hands for Washing
2 mins
Age 2 Years - Developmental Milestones
- Gross Motor
- Kicks a Ball
- Runs
- Walks Up Stairs With Help
- Fine Motor
- Stacks Six Blocks
- Feeds Self With a Spoon
- Language / Communication
- Two-Word Phrases
- Points to Book Items as Prompted
- Demonstrates Varied Gestures
- Identifies Body Parts When Prompted
- Social / Cognitive
- Shows Empathy
- Holds and Manipulates Objects Simultaneously
- Engages With Multiple Toys
2 mins
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