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Flashcards in Second Trimester Deck (20)
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1

When does the second trimester take place?

14 - 27 WEEKS GESTATION

2

Name the 4 main hormonal changes happening in the second trimester?

DECREASED FATIGUE and NAUSEA
+
ACNE
+
CHLOASMA
+
LINEA ALBA = LINEA NIGRA

3

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

4

Is there a strain on the spine in the second trimester?

YES
LUMBAR - ANTERIOR PELVIC TILT
+
THORACIC - KYPHOSIS

5

Is there a strain on the respiratory in the second trimester?

YES
ADDED PRESSURE IN ABDOMEN = DECREASED PRESSURE IN LUNGS
+
RIBCAGE FLARES UP and OUT (costal margin pain)

6

Which muscle group would experience loads of increased MRT due to the new weight on the anterior torso?

GLUTEAL MM

7

Stretch marks may begin to appear in the second trimester, also known as what?

STRIAE GRAVIDARUM

8

What cause spider veins and varicosities to develop in the second trimester?

GROWING UTERUS + ANTERIOR PELVIC TILT HINDERS BLOOD FLOW TO LEGS

9

Gait changes in the second trimester may show what? (3)

PLANTAR FASCIITIS
+
PES PLANUS (ankles in, flat foot)
+
CALLOUSES

10

What happens to blood pressure in the second trimester?

BP DROPS

11

Is constipation in the 2nd trimester mechanical or hormonal?

MECHANICAL

12

Is increased edema and heartburn normal in the 2nd trimester?

YES

13

What's the name of the practice contractions which begin in the second trimester?

BRAXTON HICKS CONTRACTIONS

14

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
+
GAIT CHANGES
+
NERVE COMPRESSION

15

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

16

Is abdominal massage indicated in the second trimester?

YES
NO DEEP/DOWNWARD PRESSURE
+
LIFT and MASSAGE
+
TOWARD LINEA ALBA/NIGRA
+
ENHANCES TISSUE STRETCH
+
ENSURE PATIENT WANTS IT

17

What can we do for edema occurring in the 2nd trimester?

LYMPH DRAINAGE
+
EXTRA PILLOWS (promote drainage)
+
COOL FOOT and ARM BATHS

18

Breast massage is indicated and useful in 2nd trimester to help with ______________ and drainage.

CONGESTION

19

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

20

What could be happening in the second trimester which would cause further contraindications from the first?

POSSIBLE BED REST
DVT
GESTATIONAL DIABETES