Pregnancy adaptions

Question 1

Who does pregnancy involve?

Answer 1

• woman (physiological & psychological)
• father of baby
• extended family (siblings, grandparents)

Question 2

ways to diagnose a pregnancy

Answer 2

presumptive
probable
positive

Question 3

probable diagnosis

Answer 3

lab tests

Question 4

presumptive diagnosis

Answer 4

because of s/s:
missed period
morning sickness
fainting
frequent urination

Question 5

positive diagnosis

Answer 5

ultrasound - when you see a fetus (around 9-10 weeks)

Question 6

TPAL

Answer 6

Term
Preterm
Abortion
Living

Question 7

gravidity

Answer 7

how many times a person has been pregnant (T+P+A)

Question 8

parity

Answer 8

how many times a person has given birth

Question 9

reproductive changes during first trimester

Answer 9

menses cease
cervix softens, turns blueish
uterus increases in size, shape, and position
breasts are large and tender

Question 10

cardiovascular changes during first trimester

Answer 10

increased cardiac output
increased HR
increased blood volume
increased risk for blood clots

Question 11

respiratory changes during first trimester

Answer 11

oxygen needs increase
diaphragm pushed up
enlarged chest

Question 12

musculoskeletal changes during first trimester

Answer 12

relaxin provides mobility

body posture/center of gravity changes

Question 13

GI changes during first trimester

Answer 13

n/v
constipation/diarrhea
motility

Question 14

renal changes during first trimester

Answer 14

UTI

increased frequency

Question 15

endocrine changes during first trimester

Answer 15

placenta secretes hormones to maintain pregnancy

Question 16

integumentary changes during first trimester

Answer 16

hyperpigmentation

increased circulation to skin

Question 17

ways to determine delivery date

Answer 17

Nagele’s Rule

McDonald’s technique

Question 18

Nagele’s Rule

Answer 18

uses the last menstrual period, goes back 3 months, adds 7 days, then adds a year

Question 19

McDonald’s technique

Answer 19

measures the fundus and determines age of fetus; this can be done starting the 2nd trimester

Question 20

warning signs during third trimester

Answer 20

bleeding

sudden gush of fluid

Question 21

pregnancies at risk

Answer 21

advanced maternal age (35+)

multifetal pregnancy