ATI: Expected Physiological Changes During Pregnancy Flashcards
How are the signs of pregnancy classified?
- Presumptive
- Probable
- Positive
What does it mean when we talk about presumptive signs?
In addition, why are they “presumptive”
“I presume I am pregnant”
- These are subjective and objective and perceived by the client
- Client may think that they are pregnant
- Signs or changes may be due to another physiological condition
What are some presumtive signs?
- Amenorrhea
- Quickening
- Nausa/Vomiting
- Urinary frequencey
- Breast changes
- Fatigue
See how these can also be issues w/ other physiolgocal changes
What are probable signs?
Eh, you are probably pregnant
- Chadwick’s Sign
- Hegar’s Sign
- Goodell’s Sign
- Ballottement
- Braxton Hicks Contractions
- Positive pregnancy test
All of these can still be abnormal phys, like tumors or cancer
Think about Probable=felt or seen by Physician
What is Chadwick’s sign?
When the cervix is blueish color
Think: Chad is a boy = blue color
What is Goodell’s sign?
Softening of the cervix tip
Think: Donuts are soft and good = Goodell
What is Hegar’s sign?
Softening of the lower uterus
What is ballottement
When the unengaged fetus rebounds
What are positive signs?
You are positively pregnant!
- Fetal heart sounds
- Seeing the fetus by US
- Fetal movement, palpated by provider
What is gravidity?
Number of pregnancies
* Nulligravida
* Primigravida
* Secundigravida
* Multigravida
What is parity?
Number of pregnancies in which the fetus reached more than 20 weeks of pregnancy
Describe physiological change during pregnancy for: Cardiovascular
- CO increase 30-50%
- Blood volume increase 30-45%
- HR increase 10-15 bpm
Describe physiological change during pregnancy for:
Respiratory
- Oxygen needs increase
- RR increases
Describe physiological change during pregnancy for:
Musculoskeletal
- Pelvic joints relax
Name a blood pressure alteration that we must look out for with pregnant women
There can be supine hypotensive syndrome, in which the weight of the fetus presses against the vena cava, causing a drop of venous blood flow to the heart
