chapter 11 Flashcards
(21 cards)
gravida/gravidity
the total number of times someone has been pregnant (doesn’t matter what the outcome was)
Nulligravida
a person who has never been pregnant
primigravida
a person pregnant for the first time
para
the number of times a person has given birth to a fetus of at least 20 gestational weeks (viable or not)–>multiple births is still one birthing event
GTPAL
gravida, term births, pre-term births, aborta, living children
post-term
baby is considered post-term if born 1 week past due date
when is a fetus considered full term?
at 37 weeks
ACEs
adverse childhood experiences
TIC
trauma informed care
IPV
intimate partner violence
isthmus
lower portion of uterus
becomes thinner as pregnancy progresses
DOES NOT GO THROUGH HYPERTROPHY
inferior vena cava
is pressed against by uterus
supine position makes it worse
lying on side takes the pressure off
orthostatic hypotension
weak, syncope, nausea, light headedness
reduces blood flow, venous return, cardiac output
lightening
by 40 weeks the fetal head begins to descend and engage in the pelvis
progesterone
mucous plug
when it decreases, contractions occur more frequently and strongly
suppresses prolactin–>when theres a drop after delivering placenta, lactogensis can begin
prolactin
released form the anterior pituitary gland–>in response to suckling from a newborn
hCG
maintains maternal corpus lutes–>secretes estrogen and progesterone , which occurs before implantation
production peaks at 8 weeks
Basis for pregnancy tests
Estrogen
promotes enlargement of the genitals, uterus, and breasts–>increased vascularity which causes vasodilatation
relaxation of pelvic ligaments and joints
hyperpigmentation, vascular changes in skin, increased saliva, hyperaemia of the gums and nasal mucous membranes (nose bleeds and gum bleeding)
iron
essential for fetal growth and brain development
prevention of maternal anemia
multivitamin 16-20mg of iron
folic acid
prevent neural tube defects in fetus
extra 400mcg multi vitamin to add to normal amount pre pregnancy
