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OB LEC > SAS#7 > Flashcards

SAS#7 Flashcards

1
Q

ACCEPTING THE PREGNANCY - “ I am pregnant”

A

1st Trimester:

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2
Q

Sonogram - done between

A

18 - 22 weeks

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3
Q

ACCEPTING THE BABY - “ I am going to have a baby!”

A

2nd TRIMESTER

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4
Q

PREPARING FOR PARENTHOOD - “ I am going to be a mother.”

A

3rd TRIMESTER

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5
Q

Feeling of both pleased and not pleased

A

Ambivalence

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6
Q

Give up or alter the present role

A

Grief

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7
Q

PHYSIOLOGIC CHANGES

A
  1. Presumptive
  2. Probable
  3. Positive
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8
Q

Least indicative of pregnancy & individually may be symptoms of
other conditions
❏ Subjective
❏ Amenorrhea
❏ Nausea and vomiting
❏ Breast Changes
❏ Urinary Frequency
❏ Skin changes: Chloasma, Linea Nigra, Striae Gravidarum
❏ Diaphoresis
❏ Leukorrhea
❏ Weight Gain
❏ Quickening : 18-20th (primipara)
14-16th (multipara)

A

Presumptive Signs

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9
Q

❏ Can be documented by the examiner
❏ Objective
❏ More reliable than presumptive signs but still are not positive
❏ Uterine enlargement
❏ Goodell’s Sign - softening of cervix
❏ Hegar’s Sign- softening of lower uterine segment
❏ Chadwick’s Sign- bluish discoloration
❏ Mcdonald’s Sign - ease in flexing the body of the uterus against cervix
❏ Braxton-Hicks contractions - painless and irregular; relieved by walking
❏ Ballotement - fetal rebound against examination
❏ Positive pregnancy test : HCG

A

PROBABLE SIGN

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10
Q

❏ Fetal parts on palpation by examiner
❏ Fetal skeleton on X-ray (safe from 16 weeks)
❏ Fetal outline on ultrasonography
❏ Fetal Heart Tone is audible
➔ Normal range: 120-160 bpm
➔ FUNIC souffle: sound of blood in the cord
➔ Uterine souffle: NOT a diagnostic sign

A

POSITIVE SIGNS

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11
Q

palpated as a firm globe under the abdominal wall,
under symphysis pubis

A

12th week:

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12
Q

palpated at the level of the umbilicus

A

20th to 22nd week

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13
Q

for primigravida, fetal head settle into the pelvis, uterus
returns to its height at 36 weeks (LIGHTENING)

A

38th week:

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14
Q

Goodell’s Sign
➢ Consistency of non-pregnant uterus:
pregnant uterus:

A

like the tip of the nose
like the earlobe

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15
Q

to seal out bacteria

A

Operculum

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16
Q

plasma
volume increases faster than
RBC’s volume; woman’s body
compensates by producing more
RBC’s making levels near
normal by 2nd trimester

A

PSEUDOANEMIA

17
Q

Fetus requires __
mg of Fe

A

350-400

18
Q

Mother has total need of
__ F

A

800 mg

19
Q

Inadequate Folic Acid
leads to

A

megalohemoglobinemia &
risk for NTD’s

20
Q

Foods rich in folic acid

A

Spinach, Asparagus,
Legumes

21
Q

Cardiac output increases by

A

25-50%

22
Q

Blood volume increases by

A

30 to 50

23
Q

blood flow to the
lower extremities is impaired by
the pressure of the expanding
uterus on veins and arteries ( peripheral blood flow)

A

3rd trimester

24
Q

Best position for pregnant

A

LEFT SIDE-LYING

25
Q

produced by the ovary that decrease gastric motility;
helpful because it slows down blood flow to the GIT & increases flow
to the uterus

A

RELAXIN

26
Q

Total body H2O
increases to

A

7.5 ml

27
Q

Increased adrenal activity increases levels of

A

CORTICOSTEROID & ALDOSTERONE

28
Q

Underweight: <19.8;
weight gain
must be

A

28-40lbs

29
Q

Overweight: 26-29; weight gain
must be from

A

15-25lbs

30
Q

Non- Pregnant:
Pregnant:
Lactating

A

2,200 cal/day
+300 (2500)
+500 (2700cal)

31
Q

less interest due to
fatigue,N/V

A

1tri

32
Q

increase interest in sex

A

2nd tri

33
Q

less interest due to
discomfort

A

3rd tri

34
Q

Take _____ as ordered.

A

Amphogel

35
Q

Increased or decrease in fetal
movement
Sign that the fetus lacks

A

O2

36
Q

starts in the back & sweep forward across the
abdomen like the tightening of a band

A

TRUE LABOR

OB LEC (11 decks)

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