Prenatal Growth Flashcards
Probable sign of pregnancy: Hegar sign
Softening of the uterine isthmus
Probable sign of pregnancy: Chadwick sign
Bluish or cyanosis color of cervix and upper vagina
Probable sign of pregnancy: Goodall sign
Softening of cervix
Probable sign of pregnancy: Piskacek sign
Asymmetrically, softened enlargement of the uterine corner caused by placental development
Preconception care of women: improve
Knowledge, attitudes and behavior related to preconception health
Preconception care of women: assure all
Childbearing women receive preconception health
Preconception care of women: reduce risk of
Adverse pregnancy outcomes through inter conception interventions
Preconception care of women: reduce
Disparities in adverse pregnancy outcomes
Preconception care of women: provide
More prenatal, equal care and education
Stages of development: morula
Solid mass of cells developing from cleavage
Stages of development: blastocyst
Ball of cells formed from morula
Stages of development: embryonic disk
Inner mass of cells of blastocyst
Stages of development: gastrula
Composed of 3 tissues: ectoderm (outer), mesoderm (middle) and endoderm (inner)
Germ layer theory
Ectoderm, mesoderm and endoderm are the foundation of the body systems
What is the ectoderm responsible for developing?
The skin cells of epidermis, neurons of the brain, pigment cells (think outside)
What is the mesoderm responsible for developing?
Skeletal muscle cells, cardiac muscle cells, smooth muscle cells in Gut (think M for muscle)
red blood cells
tubule cells of kidney
What is the endoderm responsible for developing?
Lung cells (alveolar), thyroid cells, digestive cells (pancreatic )
Neural tube formed
- ectodermal plate expands
- neural folds rise
- neural folds fuse and become neural tube
Risks for teen pregnancy
- low birth weight
- high mortality
- nutritional competition
Risks for much older (35+) in regards to pregnancy
- prematurity
- low birth weight
- chromosomal issues
- multiple pregnancies
Recommended weight gain during pregnancy: healthy women with normal BMI
25-35lbs
Recommended weight gain during pregnancy: overweight women (BMI >25)
15-25lb
Recommended weight gain during pregnancy: underweight women (BMI <25)
28-40lb
Recommended weight gain during pregnancy: obese women (BMI >30)
11-20lb
Infants of obese mothers may be(4)
- premature
- stillbirth
- neonatal death
- congenital abnormalities
Diabetes in pregnant women and fetal effects
- increased congenital abnormalities, risk of intrauterine death
- hypo glycemia/calcemia
- resp distress
- hyperbilirubinemia
UTIs are associate with (NOT the cause)
Preterm labor
Bonding with the fetus, leaning into
- Bonding into the unknown child
- complex b/c fetus as part of self and independent
Learning to give and fetus
Give of herself
Ensure with baby
Safe passage and acceptance of child
Stages of labor: what are they
Dilation, pushing, placental and recovery
Stages of labor: dilation
Onset of labor to complete cervix dilation
Stages of labor: three stages of dilation
Latent, active and transition
Stages of labor: pushing
From complete dilation of cervix to birth
Stages of labor: Placental
Birth to delivery of placenta
Stages of labor: recovery
First 4hours after childbirth
Physiological and psychological adjustments
Stages of labor: highest risk during recovery
- possibility of postpartum hemorrhage: greater than 1000mL with S&S of hypovolemia
- tachycardia in mom
Role of nurse: need to be aware
Of how culture, tradition and acculturation affect mom
Culture and care
Culture plays a big role in delivery of care
Normal fetal HR and normal RR
110-160
25-40
