Chapter 13 Flashcards
Gravidity
Pregnancy, does not mean that babies have necessarily been born
Parity
Number of pregnancies in which fetus or fetuses have reached viability (not the number of fetuses born)
Preterm
A pregnancy that has reached 20 weeks of gestation but ends before the completion of 37 weeks of gestation
Full Term
A pregnancy that has reached gestation 39 weeks
Presumptive Signs
Maternal signs, felt by the woman
Amenorrhea, nausea/vomiting, fatigue, breast changes, urinary symptoms, weight gain, quickening
Probable Signs
Observed by the examiner
Goodell’s sign, Chadwick’s sign, pregnancy tests, abdominal changes, ballottement
Positive Signs
Attributed only to the presence of a fetus
Fetal heart tones, uterine sounds, visualization of the fetus, palpating fetal movements
Uterus Adaptations to Pregnancy
Changes in size, shape, and position
Changes in contractility
Uteroplacental blood flow
Cervical changes
Braxton Hicks contractions
Hegar sign
Reproductive System Adaptations to Pregnancy
Leukorrhea
Chadwick sign
Operculum (mucus plug)
Goodell sign
Friability
Cardiovascular Adaptations to Pregnancy
Slight hypertrophy
Blood volume and composition increases significantly
Heart rate increases 10-15 beats
Physiologic anemia
Hypercoagulable state
Respiratory Adaptations to Pregnancy
Increased respiratory rate
Alkalosis
Renal Adaptations to Pregnancy
Urinary stasis that leads to UTIs
Normal fluid and electrolyte balance
Integumentary Adaptations to Pregnancy
Melasma
Linea nigra
Striae gravidarum
Palmar erythea
Pruritus
Musculoskeletal Adaptations to Pregnancy
Lordosis
Waddling gait
Gastrointestinal Adaptations to Pregnancy
Increased appetite
Decreased intestinal motility that can lead to constipation and/or hemorrhoids
Increased risk of gallstones
Pyrosis and ptyalism
