Expected Physiological Changes During Pregnancy Flashcards
pre-conception recommendations
- 0.4 mg folic acid daily
- healthy diet and weight
- regular physical activity
- cease tobacco use
- abstain from drugs and alcohol
- screen for genetic disorders
- use contraception until intending to conceive
how long is pregnancy
40 weeks
10 lunar months - 280 days
first trimester
weeks 1 - 12 and 6 days
second trimester
week 13 - 26 and 6 days
third trimester
week 27 - 40
preterm
born prior to 37 weeks
term
born 37 - 42 weeks
post-term
after 42 weeks
why is post-term birth concerning
placenta can get old and calcify
initial visit
- questions, feelings, hopes about pregnancy
- ask about LMP, medications, supplements
- education about drugs, alcohol, tobacco, caffeine
- ask about cramping or bleeding
Kelly is having her 4th pregnancy. She has had 1 miscarriage and one term baby who is 4 years old and a set of preterm twins who are now 2 years old. What is her GTPAL?
G = 4 T = 1 P = 1 A = 1 L = 3
During the 1st prenatal exam, Sally had laboratory tests done by drawing blood. Which tests will be obtained?
CBC - test for anemia and platelets
Rh factor - if Rh negative your immune system may attack an Rh positive fetus
Rubella titer - maternal rubella infection during first 6 weeks can cause blindness, deafness, developmental delays
Maternal serum alpha-fetoprotein
around 16 weeks
checks for down syndrome or spina bifida
Kelly’s LMP (1st day of last menses) it is estimated the pregnancy is approximately 6 weeks gestation. At this gestational age, which findings on a sonogram would confirm the pregnancy?
Fetal Pole
Cardiac Activity
Gestational Sac
striae gravidarum
stretch marks
may initially appear dark or red and become pale over time
