EMRG1305 TERM TEST REVIEW Flashcards
What is the germinal stage of pregnancy?
0-2 weeks
What is the embryonic stage of pregnancy?
3-8 weeks
What is the fetal stage of pregnancy?
from week 9 till birth
What happens to the blood volume during pregnancy?
increases by 1.2-1.6L, normal is 4-5L
What is supine hypotension syndrome?
Potential for compression of the inferior vena cava by the uterus when they lay supine after 20 weeks.
A decrease in preload, causes the decrease in cardiac output. Leading to hypotension or syncope.
How do you position a patient that has supine hypotension syndrome?
Left lateral position
When performing CPR on a pregnant patient, how should you position the patient if they are >20 weeks gestation?
Manually displace the abdomen to the left
What happens to the respiratory system during pregnancy?
The diaphragm moves up into the chest
Stuffy, runny nose and epistaxis
What happens to your GI system during pregnancy?
nausea and vomiting because of elevated progesterone.
relaxation of smooth muscle causes decreased gastric mobility = constipation.
Crowding of digestive system causes heartburn
What happens to your metabolism during pregnancy?
Your metabolism increases substantially during pregnancy
Anabolic state
Increase in maternal fat stores and small increases in insulin sensitivity.
Catabolic state
Decreased insulin sensitivity
Gravida
how many times you have been pregnant, includes miscarriages and abortions, past 20 weeks
Para
of pregnancies a women carried past 28 weeks live or dead. (only babies that have come out)
Amniotic Sac
the fluid filled, bag like membrane where the fetus grows
Abortion
Expulsion of the fetus, from any causes before the 20th week
Ectopic pregnancy
Any egg that attaches outside the uterus, usually the fallopian tube
Primipara
The patient has only had one birth/delivery
Multipara
The patient has had 2 or more deliveries
Frequency of Contractions
Measured as the interval between. The time between the start of one contraction and the start of the next.
Duration of a contraction
How long one contraction lasts- timed from when the contraction starts to when it ends
Braxton Hicks contractions
False labour pains, are contractions of the uterus that typically are not felt until the second or third trimester of the pregnancy. The body’s way of preparing for true labour, but do not indicate that labour has begun.
Stage 1- Dilation and effacement of the cervix
Longest stage, begins with uterine contraction that gradually increase in frequency, strength and length. Fetus descends into the pelvis. Until full dilation of 10cm. Broken down into early labour and active labour.
Early Labour
Beginning of labour. Contractions are mild and irregular.
Look for bloody show- pink, red, or brown discharge.
Patient will be walking and talking through contractions.
20-30 seconds long
