Nursing Care Related To Care Psychological and Physiologic Changes of Pregnancy Flashcards
Accept the reality of pregnancy
1st trimester (Accepting the Pregnancy)
Accepting the reality of having a baby
2nd trimester
Interested in attending prenatal and childbirth classes
Nest Building
What are the 10 emotional responses to pregnancy?
- Ambivalence
- Grief
- Narcissism
- Introversion vs. Extroversion
- Body image & boundary
- Stress
- Couvade Syndrome
- Emotional Lability
- Changes in sexual desire
- Changes in the expectant family
A combination of pleasure and anxiety
Ambivalence
Seeing the fetal outline on screen may promote acceptance
Sonogram
The moment the woman feels fetal movement proof of the child’s existence
Quickening
A trimester when the mother tries to imagine, role-play, fantasize
2nd Trimester
T/F Progesterone decreases temperature slightly early in the pregnancy due to corpus luteum activity
False ( the progesterone increases slightly
Blood loss at a normal vaginal birth
300 to 400 ml
Symptoms of Supine Hypotensive Syndrome
lightheadedness, faintness, palpitations
Increased saliva formation
Hyperpytalism
Blood volume normally increases during pregnancy. The extent of this increase is what percentage of pregnancy volume?
30 to 50%
Test of blood serum reveals HCG
Serum laboratory tests
Feeling of tenderness, fullness, or tingling; enlargement and darkening of areola
Breast Changes
Sense of having to void frequently
Frequent urination
Color change of the vagina from pink to violet
Chadwick’s sign
Softening of the cervix
Goodell’s sign
General feeling of tiredness
Fatigue
Uterus can be palpated over symphysis pubis
Uterine enlargement
When lower uterine segment is tapped on an bimanual examination, the fetus can be felt to rise against abdominal wall
Ballottement
Fetal movement felt by woman
Quickening
Periodic uterine tightening occurs
Braxton Hicks contractions
Fetal outline can be palpated through abdomen
Fetal outline felt by examiner
Line of dark pigment on abdomen
Linea negra
Dark pigment on face
Melasma
Red streaks on abdome
Striae gravidarum