Flashcards in Ch 11-12 Maternal Adaptation & Nursing Mgmt in Pregnancy Deck (83)
Presumptive signs of pregnancy
Probably signs of pregnancy
Abdominal enlargement - starts low, gets higher
Pregnancy test - probably b/c of false negative
Goodell’s sign - softening of cervix
Chadwick’s sign - bluish/purplish hue r/t blood circulation
Hegar’s Sign - softening of lower uterus (isthmus)
it's GOOD your cervix is soft
Chad is so blue
blue/purple hue r/t blood circulation
oval sign - softening of lower uterus (isthmus)
Positive signs of pregnancy
Fetal Heart Tones - make sure rhythm isn’t the same as the mom’s
ensure there is viable fetus
Ultrasound visualization of the fetus
Palpable fetal movements
felt by HCP
mom might just feel GI distress
Early pregnancy confirmation is made through the earliest biological chemical marker for pregnancy
can be detected as early as 7-10 weeks
peak 18-20 weeks
high levels of hCG may indicate..
molar - grape cluster - requires termination & removal. don't get pregnant for 1 year b/c of meds.
abnormal gestation (trisomy 31, neural tube defects)
low levels may indicate
how do you obtain hCG levels?
urine + blood
True or false:
A positive pregnancy test is a positive sign of pregnancy.
First trimester weeks:
Second trimester weeks:
Third trimester weeks:
What changes occur in the uterus?
Changes in size, shape and position
Changes in contractility
Uteroplacental blood flow
a sharp upward pushing against the uterine wall with a finger inserted into the vagina for diagnosing pregnancy by feeling the return impact of the displaced fetus
the first movements of the fetus felt in utero. It occurs from the eighteenth to the twentieth week of pregnancy.
not regular, go away, not long - 30-40 seconds. Don’t get closer over time
braxton hicks contractions
Interventions for braxton hix contractions
they're normal anyway - practice contractions
what does the fundal height correlate w/?
where is the fundal height @ 20 weeks gestation?
(mucus plug) - bacterial barrier for ascending infx
Lengthening of vaginal vault
Acidotic - prevents infection
Leukorrhea- vag discharge
-Softening (Goodell’s sign) (seems like ripening too)
-Operculum (mucus plug) - bacterial barrier for ascending infx
-Increased vascularity (Chadwick’s sign) - increased bleeding (can bleed from sex / trauma)
when is the dev of the mammary glands functionally complete?
changes in breast
-Hypertrophy of the Montgomery tubercles - “won’t talk about montgomery tubercles”
-Subcutaneous vessel dilation
best indication that you might get striae?
your mom had them
GI (mouth/nutrition to butt)
-Gums: hyperemic (increased blood flow), swollen, friable
-Increased oral vascularity & gingivitis
-Decreased peristalsis & smooth msk relaxation
-hemorrhoids from constipation + increased venous pressure + uterus pressure
-slow gastric emptying, heart burn
-prolonged gallbladder emptying
what is a nonfood craving called? (crave paper, dirt, etc)
how much does blood volume increase (%) above prepregnant levels?