Pregnant Woman Flashcards
(48 cards)
progesterone has effects on external or internal changes?
external
estrogen has effects on external or internal changes?
internal
with pregnancy, which hormones increase?
estrogen, progesterone and pregnancy hormones (HCG)
what happens to systemic vascular resistance and pressure?
It falls
where do the ligamentous laxity occur?
SI and pubic symphysis
when do breast become more nodular during pregnancy?
3rd month
What happens to montgomerys glands (small bumps on areola) during pregnancy
they become more pronounced
what happens to breast size during pregnancy?
moderately increase
at which week can you palpate fundus?
12-14 weeks
what happens to vagina during pregnancy
walls become thicker and deeply rugated, secretions thick, white and more profuse
as uterus enlarges, where does it rotate and why?
to the right to accommodate the rectosigmoid structures on the left side of pelvis
chadwicks sign
cervix becomes purple because of vascularity
initial prenatal visit
confirm pregnancy with lab test, assess health status of mother, counsel mom to ensure healthy pregnancy
subsequent visits after initial prenatal visit
assess health status of mom, assess fetus, educate
if pregnant mom exposed to zika and symptomatic how do you test
test urine and blood <2 weeks after symptoms occur then test again in 2-12 weeks
if pregnant mom exposed to zika but not symptomatic how do you test
test <2weeks after exposure and test again in 2-12 weeks
How to calculate estimated date of delivery (Naegeles rule)
first date of LMP, add one week, subtract 3 months and add one year
LMP 5/19/18 when is EDD
2/26/19
Doptone can be used at which week?
10-12 weeks
fetoscope
18 weeks
fetal movement (quickening) occurs
18-24 weeks
earliest you can use ultrasound
can see gestational sac at 5 weeks
when are ultrasounds the most accurate?
early in pregnancy as opposed to later
preclampsia
elevaetd BP >140/>90 after 20 weeks WITH protein in urine
