Expected Physiological Changes During Pregnancy Flashcards
pre-conception recommendations
- 0.4 mg folic acid daily
- healthy diet and weight
- regular physical activity
- cease tobacco use
- abstain from drugs and alcohol
- screen for genetic disorders
- use contraception until intending to conceive
how long is pregnancy
40 weeks
10 lunar months - 280 days
first trimester
weeks 1 - 12 and 6 days
second trimester
week 13 - 26 and 6 days
third trimester
week 27 - 40
preterm
born prior to 37 weeks
term
born 37 - 42 weeks
post-term
after 42 weeks
why is post-term birth concerning
placenta can get old and calcify
initial visit
- questions, feelings, hopes about pregnancy
- ask about LMP, medications, supplements
- education about drugs, alcohol, tobacco, caffeine
- ask about cramping or bleeding
Kelly is having her 4th pregnancy. She has had 1 miscarriage and one term baby who is 4 years old and a set of preterm twins who are now 2 years old. What is her GTPAL?
G = 4 T = 1 P = 1 A = 1 L = 3
During the 1st prenatal exam, Sally had laboratory tests done by drawing blood. Which tests will be obtained?
CBC - test for anemia and platelets
Rh factor - if Rh negative your immune system may attack an Rh positive fetus
Rubella titer - maternal rubella infection during first 6 weeks can cause blindness, deafness, developmental delays
Maternal serum alpha-fetoprotein
around 16 weeks
checks for down syndrome or spina bifida
Kelly’s LMP (1st day of last menses) it is estimated the pregnancy is approximately 6 weeks gestation. At this gestational age, which findings on a sonogram would confirm the pregnancy?
Fetal Pole
Cardiac Activity
Gestational Sac
striae gravidarum
stretch marks
may initially appear dark or red and become pale over time
linea nigra
dark line from the pubic symphysis to the fundus
more common in women with darker skin, fades after pregnancy
chloasma
darker patches on skin with sun exposure, disappear after pregnancy
