Ch 11-12 Maternal Adaptation & Nursing Mgmt in Pregnancy Flashcards Preview

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Flashcards in Ch 11-12 Maternal Adaptation & Nursing Mgmt in Pregnancy Deck (83)
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1

Presumptive signs of pregnancy

Fatigue
Breast tenderness
N/V
Amenorrhea
Urinary frequency

2

Probably signs of pregnancy

Braxton Hicks
Ballottement
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)

3

it's GOOD your cervix is soft

Goodell's sign

4

Chad is so blue

blue/purple hue r/t blood circulation
increased vascularity
chadwick's sign

5

oval sign - softening of lower uterus (isthmus)

hegar's sign

6

Positive signs of pregnancy

Fetal Heart Tones - make sure rhythm isn’t the same as the mom’s
fetal demise
ensure there is viable fetus
Ultrasound visualization of the fetus
Palpable fetal movements
felt by HCP
mom might just feel GI distress

7

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

hCG

8

high levels of hCG may indicate..

molar - grape cluster - requires termination & removal. don't get pregnant for 1 year b/c of meds.
multiple gestation
abnormal gestation (trisomy 31, neural tube defects)

9

low levels may indicate

Ectopic pregnancy
Impending miscarriages
nonviable pregnancies

10

how do you obtain hCG levels?

urine + blood

11

True or false:
A positive pregnancy test is a positive sign of pregnancy.

False

12

First trimester weeks:
Second trimester weeks:
Third trimester weeks:

1-13
14-26
27-40

13

late preterm:
term:
postterm:

37-38
39-42
>42

14

What changes occur in the uterus?

Changes in size, shape and position
Changes in contractility
Uteroplacental blood flow
Cervical changes
Ballottment
Quickening

15

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

Ballottment

16

the first movements of the fetus felt in utero. It occurs from the eighteenth to the twentieth week of pregnancy.

quickening

17

not regular, go away, not long - 30-40 seconds. Don’t get closer over time

braxton hicks contractions

18

Interventions for braxton hix contractions

rest
hydrate
positioning
they're normal anyway - practice contractions

19

what does the fundal height correlate w/?

gestational age

20

where is the fundal height @ 20 weeks gestation?

umbilicus

21

(mucus plug) - bacterial barrier for ascending infx

operculum

22

vaginal changes

Increased vascularity
Lengthening of vaginal vault
Acidotic - prevents infection
Leukorrhea- vag discharge

23

Cervical changes

-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)

24

when is the dev of the mammary glands functionally complete?

midpregnancy

25

changes in breast

-Fullness
-Tenderness
-Sensitivity
-Greater pigmentation
-Erect nipples
-Hypertrophy of the Montgomery tubercles - “won’t talk about montgomery tubercles”
-Subcutaneous vessel dilation
-Striae
-Enlargement

26

best indication that you might get striae?

your mom had them

27

GI (mouth/nutrition to butt)

-Gums: hyperemic (increased blood flow), swollen, friable
-Excess salivation
-Increased oral vascularity & gingivitis

n/v
food cravings

-Decreased peristalsis & smooth msk relaxation
-hemorrhoids from constipation + increased venous pressure + uterus pressure
-slow gastric emptying, heart burn
-prolonged gallbladder emptying

28

what is a nonfood craving called? (crave paper, dirt, etc)

pica

29

how much does blood volume increase (%) above prepregnant levels?

40-50%

30

does BP go up or down midpregnancy?

down