Clin. teachng
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This document discusses signs and tests used to diagnose pregnancy in the second and third trimesters. In the second trimester, signs include chloasma and breast changes. Abdominal exams check for fetal heartbeat, uterine and funic souffles through auscultation, and internal ballottement through vaginal exams. Sonography is also used. In the third trimester, fundal height is measured to assess gestational age, with landmarks at the umbilicus, ensiform cartilage, and coming back down at 40 weeks.
Clin. teachng
- 3. SECOND TRIMESTER ( 13 – 28 WEEKS ) • Chloasma • Breast changes Abdominal Examination Inspection Palpation
- 4. • Auscultation * FHS * Uterine soufflé * Funic or fetal soufflé • Vaginal Examination * Internal ballottement • Investigations * Sonography
- 7. LAST TRIMESTER ( 29 - 40 WEEKS ) • Symptoms • Signs • Fundal height : * The distance between the umbilicus and the ensiform cartilage is divided into three equal parts. * 32 weeks - corresponds to the junction of the upper and middle third * 36th week – up to the level of ensiform cartilage * 40th week - comes down to 32 week level at 40th week