Normal Pregnancy Flashcards
1st trimester
1-12weeks (issues that come up are genetic)
2nd trimester
12-26 weeks (issues are maternal)
3rd trimester
27-40wks
when is baby viable
24weeks
3 different signs and symptoms of pregnacy
presumptive, probable, positive/diagnostic
presumptive signs of pregnancy
breast tenderness, amenorrhea, N/V, breast enlargement, urinary frequency, uterine enlargement, fatigue, hyperpigmentation of skin, fetal movements (quickening)
probably signs of pregnancy
positive pregnancy test, Goodell’s sign, Chadwick’s sign, Hegar’s sign
cervical softening (5 weeks)
Goodell’s sign
vascularization - bluish color of the cervix (6-8 weeks)
Chadwick’s sign
softening of the isthmus of the uterus (area between the cervix and the uterine body (6-12 weeks)
Hegar’s sign
uterus is______ structure. placenta is _______
muscular, vascular
probably signs of pregnancy
abdominal enlargment, Braxton Hicks contractions, Ballottement (baby bounceable to see if baby is free from obstruction_
baby bounceable to see if it is free from obstruction
ballottement
fundus will rise above symphysis pubis at how many weeks
12
how much of increase in blood volume in pregnancy
50%
putting out immature cells that clump together
hypercoagulable
dark line on belly
linea nigra
does glucose cross the placenta
yes. insulin does not. stores it as fat (large baby)
normal weight gain for normal woman
25-35 lbs. 1st trimester 3-5 lb and 2nd-3rd 1-2 lb wk
underweight women weight gain
IBW + 25-35 lbs (excessive vomiting). 1st trimester >5-6lbs and 2nd-3rd 1-2 lbs weeks
overweight women weight gain
15-25 lbs. 1st trimester 1-2 lbs and 2nd-3rd 2-3 lb week
Physiological response to pregnancy
Ambivalence-Introversion-Acceptance-Mood swings-Body image change
dad looking like mom and pregnant
couvade syndrome
when is alpha fetal protein (genetic anomalies)
13-15 weeks
when is amniocentesis
16-18 weeks
GTT (glucose tolerance)
27-30 weeks
Group B Test
36 weeks (2 doses antibiotic before baby comes)
term
38-42 wks
Determining Due Date
1st day of LMP, minus three months, plus seven days = EDD
Para
the term used with numerals to indicate the number of pregnancies carried to more than 20 wks gestation
all pregnancies
gravida
check up visit schedule
Q 4 weeks through 28 weeks. Q two weeks from 29-36 wks. Q wk from 37 wks to birth
PUBS
percutaneous umbolical blood sampling
chorionic villi sampling
top babies head
leukorrhea
increase vaginal discharge
where is edema not good
face. high BP and pre eclampsia
lecithin, sphingomyelin
Test for fetal lung maturity