PREGNANCY Flashcards
Average pregnancy:
Average pregnancy: 9mo + 7 days/280 days/40 weeks
early pregnancy
<12 weeks
late pregancy
> 28 weeks
mid pregnancy
13-27 weeks
term pregancy
37 weeks -42 weeks
naegele’s rule
first day of last menstarul perid- 3 montha + 7 days + 1y ears
is bleeding during the first trimester normal?
Light bleeding during the first trimester is common. In fact, about 20 percent of women experience it, so if it’s happening to you, don’t worry — everything is probably fine. However, bleeding can sometimes be a sign of something serious
when would you be able to tell is someone is preganct by bimanual exam
around 12 weeks
physical changes
breast changes
uterus becomes larger
soft and enlarged cervix (hegar sign)
hegar sign and when does it occur
The Hegar sign is not a definitive indication of pregnancy, and the absence of it does not exclude a potential pregnancy.
softening of the isthmus(cervix)
signs to be seen in pregnancy
Chadwick sign is typically characterized by a bluish discoloration of the cervix, vagina, and vulva due to an increase in venous blood flow to the area.
Goodell sign is characterized by the softening of the cervical area.
first important symptom of diagnosis pregancy
Amenorrhea- its the FIRST and Most important symptom , has to be at least 10 days late
other causes of delayed menstruation
medications, emotional stress, disturbance in your sleep cycle, chronic disease
quickening
woman begins to feel movement in the lower abdomen (described as a fluttering or gas bubbles) - known as ‘quickening’
Palmer’s sign
Palmer’s sign – regular, rhythmic uterine vessel pulsations palpable on vaginal examination. Occurs as early as 4-8wks
. Piskacek’s sign
d. Piskacek’s sign - palpation of a small mass
name the signs
Palmer’s sign
Piskacek’s sign
hegar sign
chadwick
when do hcg levels peak
2nd and 3rd month
hcg is produced by what
placental signs
how do we divide the classification of diagnosis of pregnancy
- presumptive symptoms - amenorrhea
- objective signs- abdomen big, weight gain
- immunological signs - b hcg
how early can hcg be detected
8-10 days after
when will the yolk sac be visable
6 weeks
when will gestational sac be visable
5 week
fetal heart activity on us
6-7 weeks
difference between true sac and pseudo gestational sac
Round, regular shape
· Double ring sign (See above)
· Yolk sac and fetal pole present
· Increase in size by 1mm/day
· Not placed centrally
best presentation to have when giving birth
vertex (head flexed towards chin)
brow presntation
head is midway between vertex and hyperxtended
BPD
Biparietal diameter is used to estimate fetal weight and gestational age
