Normal Pregnancy Flashcards
ovum
conception to two weeks
embryo
2-8 weeks organs are forming (structure is being built/devolped)
fetus
8-40 weeks, growth and maturation of structure
4 weeks
fetal heart beat develops
8 weeks
body organs develop sex differentiation
12 weeks
heart beat with doppler
16 weeks
sex determination possible
20 weeks
quickening (movement felt), languago (soft fine hair developed all over body)
28 weeks
adipose tissue accumulates rapidly, survival excellence is acheived
38 weeks and up
less chance of respiratory distress
duration of pregnancy
240-300 days
viability
22 weeks and on
chorionic villa
fetal portion of placenta smooth, glistening
Decidue basalis
maternal portion of placenta, red fleshy
Placenta is connected by
umbilical cord
umbilical cord has
2 arteries
1 vein
important for mom to keep track of
kicks per day
mom should be on what type of diet
low sodium
c-sections are used to do what in premature births?
prevent trauma
preeclampcia
extremely high bp that is dangerous to mom and baby
areas of high fetal o2 concentration
head, neck, brain, heart
areas of low fetal o2 concentration
abdomen, lower body
Gravida
refers to pregnant women including a precent preganacy
Primigravida
womens first pregnancy
nulligravida
women who has never been pregnancy
multigravida
second or any subseqent pregnancies
para
births after 20weeks gestation regardless of viability
primipara
one birth at more then 20 weeks regardless of the viability
multipara
two or more births after 20 weeks gestation
term
36-42 weeks
preterm
after 20 weeks before 37
postterm
after 42 weeks
antepartum
conception to onset of labor
intrapartum
onset of labor to delivery of infant and placenta
neonate
birth through 28 days
still born
death of baby after 20 weeks
abortion
birth occuring before week 20 or baby under 500g
EDC or EDB
Expected date of confinement or birth
Nagele’s rule
date LMP- 3months + 7 days= date of conception
how accurate is nageles rule
+ or - 7 days
TPAL
T- number of infants born after 37 weeks
P- number of infants born between 20 and 37 weeks
A- number of pregnancies that that ended in spontaneous or therapeutic abortion
L- number of children currently alive
goodells sign
softening of cervix
chadwicks sign
bluish tint of cervix
First prenantal visit
pre pregnancy status maternal exam heart tones fundal height lab tests
frequency of follow up visits
every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
chance for the umbilical cord to wrap around the neck decreases after
week 36
rapid weight gain is a sign of
gestational diabetes
serum alpha fetoprotien
neural tube defect
serum glucose levels
gestational diabetes
uterine capacity
10ml to 5L
pH of the vagina is
3.6 to 6.0
vena cava syndrome
laying on back baby pushes on vena cava causing issues with breathing
CO increases
30-40 %
pulse increases
10-15bpm
peripheral and vascular resistance ______?
decreases
interthoracic volume remains ____?
unchanged
amount of air breathed in is
increased
intrathoracic volume remains
unchanged
musculoskeletal changes
relaxation of pelvis
physiological lordosis due to hormones
diastsis recti
gastrointestinal system changes
hCG increases
increased progesterone= decreased peristalsis, constipation, bloating, reflux
constipation increased bp = hemorrhoid
Renal system changes
first trimester-uterus presses on bladder and GFR increases
cholasma
mask of pregnancy/ hyperpigmentation
linea nigra
hair, belly button
straie gravidarum
stretch marks rt pregnancy
supplements for
vegans/vegetarians
encourage
what makes them happy/comfortable
