Flashcards in Adaptation to Pregnancy for Concepts Deck (92)
Weight increase for uterus in pregnancy
From 2 oz. to 2.2 lbs.
What is the capacity increase of the uterus?
10 mL to 5 L
What happens to the uterine wall in the first half of pregnancy?
What causes the uterine wall to thicken?
When do you start experiencing Braxton-Hicks?
4 months on
What happens to the mucous lining of the cervix?
Proliferation of glands near the external os
What happens to the cervix during pregnancy?
Shorter, softer, more elastic, and larger in diameter
What causes the cervix to become shorter, softer, more elastic and larger in diameter?
What sign is it when cervix becomes bluish in color because of an increase blood supply?
Lump or softening of uterus probably where the implantation occurred
What causes mucosa to thicken and connective tissue to loosen in the vagina?
What happens to the pH in the vagina and why?
More acidic to decrease growth of bacteria
What produces milk?
What hormone tells the breasts to make milk?
Breasts grow because of...
Glands of the breasts are changed by...
First milk but not true milk
When do you start to make colostrum?
By the third month
Secrete lubricant to keep nipple supple for baby
What happens to oxygen consumption?
Goes up 15%
What happens to airway resistance?
It is lowered
Switch from abdominal to what kind of breathing?
Mucous lining of the nose thickens causing?
What happens to the blood volume in pregnancy?
Increases 30-50% (hypervolemic)
What is the RBC range?
What do RBC have to drop below to be truly anemic?
What is the hemoglobin cut off to true anemia?
What hormone maintains pregnancy?
What hormone makes things grow?
Plasma volume increase is greater than RBC increase
Dilution anemia of pregnancy
Easier to make clots
What happens to WBC's?
What is the normal WBC count and the pregnancy count?
Normal: 5,000-11,000 Pregnancy: 12,000-15,000
What is the WBC count postnatal?
What happens to the cardiac output and HR?
What happens to the BP in the second trimester?
Why does BP go down in second trimester?
Arterial tree relaxes because of progesterone
What are two signs of preeclampsia?
Hypertension and protein in the urine
What causes decreased intestinal tone and motility?
What does peristaltic action slowing in the GI tract benefit?
Increased nutrient consumption
What happens to salivary pH and why can this be bad?
More acidic and can cause periodontal disease
How long does morning sickness usually last?
First 12 weeks
What hormone makes you nauseated?
What happens to gall bladder emptying and what can this cause?
It slows causing gall stones
How much does glomelular filtration rate increase?
What happens to urea and creatinine?
Levels go down
What happens to renal threshold for glucose and where can you see this?
It diminishes and can be seen in the urine
What happens to the ureters during pregnancy?
They become floppy increasing the risk for UTI
Which ureter is usually more problematic?
What is the #1 cause of preterm labor?
What happens to hair and nail growth?
What happens to subdermal fat?
What hormone causes changes in pigmentation?
Melanocyte stimulating hormone
What is caused by decreased connective tissue strength and elevated adrenal steroids?
Lumbar curve in late pregnancy
How does the pelvis rotate?
Forward and downward
Separation of the abdominal muscles
Who is most at risk for diastisis recti?
Young, thin, undernourished women
Are presumptive signs objective or subjective?
Are probable signs objective or subjective?
Mother's perceptions of fetal movements
When does quickening occur?
When do you begin to worry if there is no quickening?
What method says your abdomen increases 1cm/wk?
Where is fundus palpable at from 10-12 weeks?
Just above the symphysis pubis
Where is fundus palpable at from 20-24 weeks?
Level of umbilicus
Palpating a structure (the fetus) in fluid
What is HcG produced by?
When can the fetal heart beat be heard with the fetoscope?
When can you hear the fetal heart beat with Doppler ultrasound?
What is the normal fetal heart rate?
When can you begin to feel fetal movements?
When can you see the fetal outline on an ultrasound?
6-6 1/2 weeks
Mother is neither happy or sad at news of pregnancy
Mother is happy and finds pleasure in pregnancy
Mother turns in on herself
Mental picture of body
Who invented the developmental tasks of pregnancy?
Which developmental task is making sure the baby and the woman herself are healthy?
How does a woman ensure safe passage?
Go to the doctor, take vitamins, change diet, stop smoking or drinking, etc.
Which developmental task is making sure the baby is wanted regardless of gender, race, or physical malformation?
Acceptance of child by others
Which developmental task is it when the mother seeks acceptance of herself as a mother?
Which developmental task is suffering on behalf of the child to ensure life of the child?
Giving if oneself
Father is ambivalent and fantasizes about the child
Father accepts the pregnancy
Father's role becomes more defined and prepares for child's birth and needs
Father unintentionally develops systems of pregnancy
Couvade syndrome (mit leiden)
Father avoids direct involvement but watches
Father has strong emotional response to pregnancy