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Maternity > A & P of Pregnancy Recorded (Chapter 13) > Flashcards

A & P of Pregnancy Recorded (Chapter 13) Flashcards

1
Q

does maternal physiologic adaptations affect all body systems

A

yes

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2
Q

what stimulates growth in the first semester

A

estrogen and progesterone

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3
Q

what cellular change occurs in pregnancy
- size and increase

A

hyperplasia and hypertrophy

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4
Q

decidua

A

base of the placenta

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5
Q

when and where does show occur

A

after 14 weeks uterus at symphysis pubis

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6
Q

show depends on

A

height and weight

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7
Q

lightening weeks and what does it mean

A

38-40 weeks
baby drops

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8
Q

when does lightening occur in primp

A

2 weeks before labor

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9
Q

when does lightening occur in multipip

A

start of labor

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10
Q

what happens to the fundal height during lightening

A

drops

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11
Q

hegar sign

A

softening of lower uterine segment

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12
Q

when does hegar sign occur

A

6wks gestation

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13
Q

7 weeks uterus size

A

large hens egg

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14
Q

10 week uterus size

A

organe

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15
Q

12 weeks uterus size

A

grapefruit

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16
Q

after third month uterine enlargement is primarily result of

A

mechanical pressure of growing fetus

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17
Q

uterus size before and then after pregnancy

A

pear shape
spherical/globular
ovid

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18
Q

1st tri uterus is a what organ

A

pelvic

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19
Q

when does the uterus rises out of pelvis into abdomen

A

12 weeks

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20
Q

when is abdominal enlargement less apparent in who

A

primp with muscular tone, and posture

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21
Q

abdominal enlargement contributes

A

altered center of gravity

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22
Q

when do Braxton hicks occur

A

4th month

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23
Q

do Braxton hicks go away with walking or exercise

A

yes

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24
Q

how to differentiate Braxton hicks and true labor

A

don’t increase intensity/duration or cause cervival changes

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25
Q

ballottement time frame

A

16-18 weeks

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26
Q

ballottement what is ti

A

passive movement of the unengaged fetus, palpating by bouncing finger on cervix and feeling rebound

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27
Q

quickening

A

first recognition of fetal movements, feeling life, kicks

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28
Q

quickening nuliparis

A

18th or later

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29
Q

quickening time frame for non nulparis

A

14-16

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30
Q

Goodell sign

A

softening of the cervix
due to increase vascularity, slight hypertrophy, hyperplasia

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31
Q

Goodell sign time frame

A

6 weeks

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32
Q

friability

A

tissue is easily damaged
can result in slight bleeding after sex or exam

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33
Q

operculum

A

mucus plug
- barrier against bacteria

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34
Q

when does implantation bleeding start

A

6-12 days after conception

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35
Q

the first 6-10 weeks what secretes estrogen and progesterone

A

corpus lutetium

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36
Q

after 10 weeks the corpus lutetium stops secreting and what does

A

placenta

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37
Q

Chadwick sign

A

violet blue color of vaginal mucosa and cervix due to increase vascularity
- 6-8wks

38
Q

vaginal flora changes which causes the pH to

A

lower

39
Q

what does vaginal flora do

A

helps prevent ascending bacterial infection that can contribute to preterm labor

40
Q

vaginal flora changes

A

increase in 4 or more lactobacilli
decrease in anaerobic

41
Q

Montgomery tubercles

A

hypertrophy around areola

42
Q

striae gravidarum

A

stretch marks

43
Q

estrogen stimulates what in the breasts

A

growth/proliferation of milk ducts

44
Q

progesterone causes what of the breasts

A

growth/development of mammary lobes

45
Q

lactogenesis stage 1

A

colostrum

46
Q

blood volume increases by

A

40-50

47
Q

cardiac output increases by

A

30-50

48
Q

what is supine hypotensive syndrome

A

don’t want laying on back to alleviate pressure on major vessels

49
Q

what happens to the heart and diaphragm

A

rise

50
Q

what is physiologic anemia

A

increase in plasma more than RBC = dilution

51
Q

what is the classification of anemia

A

hbg <11
hct <33

52
Q

what state is pregnancy

A

hypercoagnulble

53
Q

pregnancy related dyspnea

A

begin 1-2 tri occurs with mild exertion or rest
later pregnancy: mechanical pressure increase dyspnea

54
Q

what replaces abdominal breathing

A

chest since the diagphram is less possible to descend

55
Q

what is normal in pregnancy for respiration

A

mild hyperventilation

56
Q

pregnancy is a state of ABG

A

respiratory alkalosis

57
Q

n/v past 1st trimester with fever is

A

possible illness

58
Q

when does N/V peak

A

by 9 weeksw

59
Q

when does n/v subside

A

end of first tri

60
Q

epulis
- growth of gums

A

can be inflamed
soft tooth brush

61
Q

ptyalism

A

excessive salivation

62
Q

pyrosis

A

heart burn

63
Q

why does excessive salivation and heart burn occur

A

due to pressure of GI, smooth muscles relaxation, and decrease peristalsis

64
Q

why does constipation occur

A

due to increase water absorption or other causes

65
Q

gallbladder and the liver leads to thickening of the bile which paired with slight increase in cholesterol leads to

A

gallstone

66
Q

why does abdominal discomfort occur

A

normally due to normal maternal alterations

67
Q

why is appendicitis hard to diagnosis

A

displaced upward and laterally

68
Q

urine flow rate is slowed which leads to

A

urine stasis = UTI

69
Q

common s/s of UTI

A

bladder irritability, frequency, nocuturia, urgency

70
Q

tubular reabsorption of glucose is impaired causing

A

glycosuria to occur at varying times and degrees

71
Q

large amount of water loss in early pregnancy leading to

A

increase thirst

72
Q

edema in later pregnancy leads to

A

decrease renal blood flow

73
Q

hyperpigmentation is stimulated by the anterior pituitary hormone

A

melanotropin
which is increased during pregnancy

74
Q

melasma
- what is it and time

A

blocky brown, hyperpigmentation over cheeks, nose, forehead,
16 weeks

75
Q

linea nigra

A

pigmented line

76
Q

angiomata

A

vascular spiders

77
Q

palmar erythema

A

increase estrogen levee

78
Q

pelvic instability increases

A

fall risk

79
Q

what happens to the spine

A

lordosis

80
Q

tension headaches can be due to

A

hormonal changes
eye strain
emotional tension
nasal congestion
fatigue

81
Q

is headache not relieved with Tylenol a red flag

A

yes preeclamp

82
Q

what glands enlarge

A

thyroid
pituitary

83
Q

pancreas
- insulin needs do what during pregnancy

A

increase

84
Q

what is the earliest biochemical marker for pregnancy

A

hCG

85
Q

presumptive

A

subjective, changes experienced by the woman

86
Q

probable

A

objective, changes, observed/pervived by examiner
strongly suggest pregnancy

87
Q

positive

A

objective, changes observed/percived by examiner
indicative proof of pregnancy

88
Q

presumptive ex:

A

amenorrhea
fatigue
breast changes

89
Q

probable ex

A

hegar sign, ballottment, pregnancy tests

90
Q

positive ex:

A

fetal heart tones, ultrasound

91
Q
A

Maternity (15 decks)

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