Maternity Nursing Flashcards
First Trimester:
Week 1 -13
Presumptive signs of pregnancy:
amenorrhea, N/V, frequency, and breast tenderness
what is the name of the hormone that causes amenorrhea?
Progesterone
Probable signs of pregnancy:
positive pregnancy test, goodell, chadwick, hegar, uterine enlargement, braxton hicks contractions, pigmentation/changes of skin
Goodell’s Sign
softening of the cervix, second month
Chadwick’s sign
Bluish color of vaginal mucosa and cervix; week 4
Hegar’s Sign
softening of the lower uterine segment; 2nd/3rd month
Braxton Hicks contractions
throughout pregnancy; move blood through placenta
Pigmentation/Changes of Skin
Lina Nigra (dark line down abdomen), abdominal striae (stretch marks), facial chloasma (mask of pregnancy), darkening of areola
Positive Signs of Pregnancy
Fetal heartbeat (10-12 wks), Fetoscope (17-20wks), fetal movement, ultrasound
Gravidity:
number of times someone has been pregnant
Parity:
number of pregnancies in which fetus reaches 20 weeks
Viability
24 plus weeks= infant has ability to live outside uterus
Nutrition Teaching:
4 food groups, increase calories by 300 per day after 1st trimester, adolescent: increase calories by 500 after 1st trimester, increase protein 60g per day
Weight gain first trimester?
gain 4 pounds in first trimester
Why don’t women like to take iron?
Causes constipation and GI upset
You should take iron with what vitamin?
Vitamin C helps absorb
Folic acid prevents what defect?
Neural Tube Defect
Daily dose of vitamin?
400 mcg/day