Pregnancy adaptions Flashcards
Who does pregnancy involve?
- woman (physiological & psychological)
- father of baby
- extended family (siblings, grandparents)
ways to diagnose a pregnancy
presumptive
probable
positive
probable diagnosis
lab tests
presumptive diagnosis
because of s/s: missed period morning sickness fainting frequent urination
positive diagnosis
ultrasound - when you see a fetus (around 9-10 weeks)
TPAL
Term
Preterm
Abortion
Living
gravidity
how many times a person has been pregnant (T+P+A)
parity
how many times a person has given birth
reproductive changes during first trimester
menses cease
cervix softens, turns blueish
uterus increases in size, shape, and position
breasts are large and tender
cardiovascular changes during first trimester
increased cardiac output
increased HR
increased blood volume
increased risk for blood clots
respiratory changes during first trimester
oxygen needs increase
diaphragm pushed up
enlarged chest
musculoskeletal changes during first trimester
relaxin provides mobility
body posture/center of gravity changes
GI changes during first trimester
n/v
constipation/diarrhea
motility
renal changes during first trimester
UTI
increased frequency
endocrine changes during first trimester
placenta secretes hormones to maintain pregnancy
integumentary changes during first trimester
hyperpigmentation
increased circulation to skin
ways to determine delivery date
Nagele’s Rule
McDonald’s technique
Nagele’s Rule
uses the last menstrual period, goes back 3 months, adds 7 days, then adds a year
McDonald’s technique
measures the fundus and determines age of fetus; this can be done starting the 2nd trimester
warning signs during third trimester
bleeding
sudden gush of fluid
pregnancies at risk
advanced maternal age (35+)
multifetal pregnancy
