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Flashcards in Adaptation to Pregnancy for Concepts Deck (92):
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Weight increase for uterus in pregnancy

From 2 oz. to 2.2 lbs.

1

What is the capacity increase of the uterus?

10 mL to 5 L

2

What happens to the uterine wall in the first half of pregnancy?

Thickens

3

What causes the uterine wall to thicken?

Estrogen

4

When do you start experiencing Braxton-Hicks?

4 months on

5

What happens to the mucous lining of the cervix?

It thickens

6

Proliferation of glands near the external os

Mucous plug

7

What happens to the cervix during pregnancy?

Shorter, softer, more elastic, and larger in diameter

8

What causes the cervix to become shorter, softer, more elastic and larger in diameter?

Estrogen

9

What sign is it when cervix becomes bluish in color because of an increase blood supply?

Chadwick's

10

Lump or softening of uterus probably where the implantation occurred

Hegar's sign

11

What causes mucosa to thicken and connective tissue to loosen in the vagina?

Progesterone

12

What happens to the pH in the vagina and why?

More acidic to decrease growth of bacteria

13

What produces milk?

Acini

14

What hormone tells the breasts to make milk?

hPL

15

Breasts grow because of...

Estrogen

16

Glands of the breasts are changed by...

Progesterone

17

First milk but not true milk

Colostrum

18

When do you start to make colostrum?

By the third month

19

Secrete lubricant to keep nipple supple for baby

Montgomery tubercles

20

What happens to oxygen consumption?

Goes up 15%

21

What happens to airway resistance?

It is lowered

22

Switch from abdominal to what kind of breathing?

Thoracic

23

Mucous lining of the nose thickens causing?

Nasal stuffiness

24

What happens to the blood volume in pregnancy?

Increases 30-50% (hypervolemic)

25

What is the RBC range?

38-42%

26

What do RBC have to drop below to be truly anemic?

34%

27

What is the hemoglobin cut off to true anemia?

11 mg/dL

28

What hormone maintains pregnancy?

Progesterone

29

What hormone makes things grow?

Estrogen

30

Plasma volume increase is greater than RBC increase

Dilution anemia of pregnancy

31

Easier to make clots

Hypercoaguable

32

What happens to WBC's?

Increase

33

What is the normal WBC count and the pregnancy count?

Normal: 5,000-11,000 Pregnancy: 12,000-15,000

34

What is the WBC count postnatal?

25,000

35

What happens to the cardiac output and HR?

Increase

36

What happens to the BP in the second trimester?

Goes down

37

Why does BP go down in second trimester?

Arterial tree relaxes because of progesterone

38

What are two signs of preeclampsia?

Hypertension and protein in the urine

39

What causes decreased intestinal tone and motility?

Progesterone

40

What does peristaltic action slowing in the GI tract benefit?

Increased nutrient consumption

41

What happens to salivary pH and why can this be bad?

More acidic and can cause periodontal disease

42

How long does morning sickness usually last?

First 12 weeks

43

What hormone makes you nauseated?

HcG

44

What happens to gall bladder emptying and what can this cause?

It slows causing gall stones

45

How much does glomelular filtration rate increase?

50%

46

What happens to urea and creatinine?

Levels go down

47

What happens to renal threshold for glucose and where can you see this?

It diminishes and can be seen in the urine

48

What happens to the ureters during pregnancy?

They become floppy increasing the risk for UTI

49

Which ureter is usually more problematic?

Right

50

What is the #1 cause of preterm labor?

Asymptomatic UTI

51

What happens to hair and nail growth?

They slow

52

What happens to subdermal fat?

Increases

53

What hormone causes changes in pigmentation?

Melanocyte stimulating hormone

54

Pink palms

Palmar erythema

55

What is caused by decreased connective tissue strength and elevated adrenal steroids?

Striae

56

Lumbar curve in late pregnancy

Lordosis

57

How does the pelvis rotate?

Forward and downward

58

Separation of the abdominal muscles

Diastisis recti

59

Who is most at risk for diastisis recti?

Young, thin, undernourished women

60

Are presumptive signs objective or subjective?

Subjective

61

Are probable signs objective or subjective?

Objective

62

Mother's perceptions of fetal movements

Quickening

63

When does quickening occur?

16-18 weeks

64

When do you begin to worry if there is no quickening?

20 weeks

65

What method says your abdomen increases 1cm/wk?

McDonald's method

66

Where is fundus palpable at from 10-12 weeks?

Just above the symphysis pubis

67

Where is fundus palpable at from 20-24 weeks?

Level of umbilicus

68

Palpating a structure (the fetus) in fluid

Ballottement

69

What is HcG produced by?

Corpus luteum

70

When can the fetal heart beat be heard with the fetoscope?

17-20 weeks

71

When can you hear the fetal heart beat with Doppler ultrasound?

10-12 weeks

72

What is the normal fetal heart rate?

110-160 BPM

73

When can you begin to feel fetal movements?

20 weeks

74

When can you see the fetal outline on an ultrasound?

6-6 1/2 weeks

75

Mother is neither happy or sad at news of pregnancy

Ambivalence

76

Mother is happy and finds pleasure in pregnancy

Acceptance

77

Mother turns in on herself

Introversion

78

Mental picture of body

Body image

79

Who invented the developmental tasks of pregnancy?

Reva Rubin

80

Which developmental task is making sure the baby and the woman herself are healthy?

Safe passage

81

How does a woman ensure safe passage?

Go to the doctor, take vitamins, change diet, stop smoking or drinking, etc.

82

Which developmental task is making sure the baby is wanted regardless of gender, race, or physical malformation?

Acceptance of child by others

83

Which developmental task is it when the mother seeks acceptance of herself as a mother?

Binding in

84

Which developmental task is suffering on behalf of the child to ensure life of the child?

Giving if oneself

85

Father is ambivalent and fantasizes about the child

Announcement phase

86

Father accepts the pregnancy

Moratorium

87

Father's role becomes more defined and prepares for child's birth and needs

Focusing phase

88

Father unintentionally develops systems of pregnancy

Couvade syndrome (mit leiden)

89

Father avoids direct involvement but watches

Observer

90

Father has strong emotional response to pregnancy

Expressive

91

Father seeks tasks (ex: building a crib)

Instrumental