Physiologic Changes Flashcards
How many times does the uterus increase in size during pregnancy
5x
Change from globular to…
Oval
Weight of the uterus when not pregnant
60g
Weight of the uterus when pregnant
1000g / 1kg
at the level of the symphysis pubis
12 weeks
halfway between symphysis pubis and umbilicus
16 weeks
at the level of the umbilicus
20weeks
two fingers above umbilicus
24 weeks
midway between umbilicus and xiphoid process
30
32 weeks
at the level of xiphoid process
36 weeks
two fingers below xiphoid process, drops its level
because of lightening
40 weeks
softening of the lower uterine
segment(isthmus)
Hegar’s Sign
intermittent, irregular, painless,
abdominal muscle tightening by
about 4 months; more
pronounced at 8 months
Braxton
Hicks
Contractions
when the lower uterine segment or the cervix is tapped by the examiner's finger and left there, the fetus floats upward, then sinks back and a gentle tap is felt on the finger
Ballottement
(Uterus) Consistency of earlobe
Goodell’s
Sign
protective mucous plug in the cervical canal • serves to seal the uterus • protects the fetus and fetal membranes from infection.
Operculum
purplish discoloration of the
vagina due to increase
vascularity
Chadwick’s
sign
whitish mucoid, non foul, non
pruritic vaginal secretions due
to increase estrogen level
Leukorrhea
helps vagina resistant to
bacterial invasion for the
length of the pregnancy
pH more
acidic
dark brown line that
runs from the
umbilicus to the
symphysis pubis
Linea Nigra
pink or reddish, whitish
streaks appearing on the
sides of the abdominal wall
due to stretching of the skin
Striae
Gravidarum
(Stretch
Marks)
Silvery white streaks weeks
after birth
Striae
albicantes
Mask of Pregnancy
brownish hyper
pigmentation of the skin
over the face, cheeks ,
nose, neck and forehead
due to increased
melanocyte stimulating
hormones
Melasma/Chloasma
small red or purple clusters, spidery appearance on the skin surface due to dilation of the capillaries
Vascular spiders
or Telangiectasias