Flashcards in Second Trimester Deck (20)
When does the second trimester take place?
14 - 27 WEEKS GESTATION
Name the 4 main hormonal changes happening in the second trimester?
DECREASED FATIGUE and NAUSEA
LINEA ALBA = LINEA NIGRA
Name the general physical changes happening in the second trimester? (3)
BEGINS TO "SHOW"
CENTRE OF GRAVITY CHANGES (Enlarged uterus, placenta)
QUICKENING BEGINS (connection) - 1ST MOVEMENTS FELT
Is there a strain on the spine in the second trimester?
LUMBAR - ANTERIOR PELVIC TILT
THORACIC - KYPHOSIS
Is there a strain on the respiratory in the second trimester?
ADDED PRESSURE IN ABDOMEN = DECREASED PRESSURE IN LUNGS
RIBCAGE FLARES UP and OUT (costal margin pain)
Which muscle group would experience loads of increased MRT due to the new weight on the anterior torso?
Stretch marks may begin to appear in the second trimester, also known as what?
What cause spider veins and varicosities to develop in the second trimester?
GROWING UTERUS + ANTERIOR PELVIC TILT HINDERS BLOOD FLOW TO LEGS
Gait changes in the second trimester may show what? (3)
PES PLANUS (ankles in, flat foot)
What happens to blood pressure in the second trimester?
Is constipation in the 2nd trimester mechanical or hormonal?
Is increased edema and heartburn normal in the 2nd trimester?
What's the name of the practice contractions which begin in the second trimester?
BRAXTON HICKS CONTRACTIONS
What should you be searching for in assessing posture in the 2nd trimester? (4)
PELVIC CHANGES (Anterior pelvic tilt, SIJ/innominate/pubic symphysis dysfunction)
THORACIC SPINE/RIBCAGE CHANGES
List the 3 main ways a nerve can become compressed in pregnancy?
1. PIRIFORMIS SYNDROME (NOT Sciatica)
2. THORACIC OUTLET SYNDROME (short pec/scalenes, apical breathing, +edema)
3. CARPAL TUNNEL SYNDROME
Is abdominal massage indicated in the second trimester?
NO DEEP/DOWNWARD PRESSURE
LIFT and MASSAGE
TOWARD LINEA ALBA/NIGRA
ENHANCES TISSUE STRETCH
ENSURE PATIENT WANTS IT
What can we do for edema occurring in the 2nd trimester?
EXTRA PILLOWS (promote drainage)
COOL FOOT and ARM BATHS
Breast massage is indicated and useful in 2nd trimester to help with ______________ and drainage.
Why do we want to consider the greater trochanter for pain by the second trimester?
SIDE SLEEPING (LEFT recommended)
COMPRESSION ISCHEMIA, FASCIAL and IT RESTRICTIONS