pregnancy Flashcards

1
Q

what weeks are T1

A

conecption/one till 12/13

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2
Q

what weeks are T2

A

14 till 27

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3
Q

what weeks are T3

A

28 till 40

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4
Q

name function of the placenta

A

key endocrine organ (hormones)
suppplies nutrients and O2
removes waste products
acts as physical barrier

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5
Q

name the stages of T1

A

the blastogenetic stage
the embryonic stage
the foetal stage

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6
Q

what weeks are the blastogenesis stage

A

1-2

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7
Q

what weeks are the embronic stage

A

2-8

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8
Q

what weeks are the foetal stage

A

8+

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9
Q

what is the average weight increase during T2

A

25-875g

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10
Q

when does the foetal become viable

A

after T2

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11
Q

what T does the baby quadruple in weight

A

T3

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12
Q

what happens during T3

A

stores of fat and other nutrients developed
maturation of organs

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13
Q

how much extra energy is required during T3

A

200kcal

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14
Q

name some metabolic and physical changes that occur during pregnancy

A

25-30% blood increase
increased oestrogen and progesterone
heart burn increased
urinary output increased

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15
Q

name the benefits of exercise during labor

A

weight bearing - decrease length of labour
makes foetal stress less frequent
more likely to continue exercise after birth

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16
Q

what is the average pregnancy weight gain

A

12kgs

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17
Q

name the benefits of desirable weight gain

A

optimizes maternal survival
reduces complications in labour
gives the greatest foetal growth

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18
Q

how much weight gain comes from the foetus

A

3300-3500g

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19
Q

how much weight comes from the placenta

A

650g

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20
Q

what is the average total weight gain during pregnancy

A

11500-13500g

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21
Q

why is extra energy required

A

increased mass of uterus
formation of feotus
expanded blood volume
additional cost of locomotion

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22
Q

why is protein required

A

growth of the foetus and maternal tissues

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23
Q

why does a foetus need amino acids

A

processes of protein synthesis, carbon accretion, oxidative metabolism and biosynthesis

24
Q

what is the RNI for protein

A

0.75g per kg of body weight per day

25
what are the best source of LCPUFAs
oily fish, eggs, meat
26
what should you limit oily fish to
2 a week
27
what seafood should you avoid
shark, swordfish and marlin
28
what vitamins are required in extra
A, B2 (riboflavin), Folate, C and B1 (thiamine)
29
ho much more vit A is required
100ug a day
30
how much extra riboflavin/B2 is required
300ug daily
31
how much extra folate is required
100ug daily
32
how much extra vit C is required
10mg a daily (only T3)
33
how much extra thiamine/vit B1 is required
100ug daily (only T3)
34
what is vit A required for
growth and maintenance
35
what is vit D used for
prevention of rickets
36
what is an adversion
disgust to the smell or taste of a food/drink
37
common early adversions
tea, coffee, alcohol, fried foods
38
common late adversions
sweet foods
39
what is PICA
desire for substances not fit for food
40
how many woman experience nausea and vomiting
60-80%
41
what causes morning sickness
increase in oestrogen and progesterone
42
recommendations to help morning sickness
eat plain crackers when you first wake up small frequent meals rich in CHO ginger tea keep hydrated avoid tea/coffee
43
what is hyperemesis gravidarium
persistent vomiting before the 20th week of gestation
44
what T does heart burn commonly occur
3rd
45
how is heartburn caused
abdorminal pressure caused by enlarged uterus
46
recommendations for heart burn
small frequent meals, eat slowly, milk and yohurt, avoid lying 1-2 hours after eating
47
what causes constipation and haemorrhoids
progesterone slows peristalic action of smooth muscle in bowel enlarging uterus displaces internal organs
48
reccomendations for constipation and haemorrhoids
increase fluid intake high fibre diet increased physical activity
49
what is pre-eclampsia
hypertension and oedema
50
what are the risk factors for pre-eclampsia
<20 or >40 high BMI family history
51
what is the only cure of pre-eclampsia
early delivery or C section
52
what is gestational diabetes mellitus
a type of diabetes developed during pregnancy in woman that have never had diabetes before
53
what is the treatment for gestational diabetes
low sugar, high fibre diet insulin sometimes required
54
what are the risks of smoking
increased chance of miscarriage and still birth poor growth and low birth weight premature delivery decreases O2 to baby increases heart rate of baby
55
alcohol during pregnancy may result in what
spontaneous abortion CNS impairment birth defects
56
what is caffeine a risk factor for
miscarriage
57
what is reccomended max intake
200mg/day (roughly 2 mugs)