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18 Cards in this Set
- Front
- Back
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Prental Period |
Begins from LNMP Ends at the start of Birth |
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1st Trimester |
1-12 weeks |
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2nd Trimester |
13-27 weeks |
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3rd Trimester |
28-40 weeks |
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Length of Pregnancy |
280 Days 40 weeks 10 Lunar Months 9 Calendar Months |
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Emotional Changes in 1st trimester |
Adjustment, anxiety, self concern (parenthood), ambivalence, validation, excitement Can be very different for each woman, and also different for the first time mom vs. a mom who already has children |
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Emotional Changes in the 2nd Trimester |
Radiant health, identity as a mother, pre and psot quickening |
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Emotional Changes in the 3rd Trimester |
Waiting, worries, preparations, anticipation of the birth day |
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Maternal Hematologic and Hemostatic Changes |
-at 6 weeks begin to produce more plasma- due to retention of more Na, so along with it comes more fluid retention -at 10 weeks RBC's begin to mature, will increase 20-30% by the end -Hemodilution reaches a nadir at 28 weeks - WBC's increase beginning in the 1st Trimester -Serum Lipid levels increase- due to the building of new cells-plasma membrane is made of phospholipids
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Maternal Hematologic and Hemostatic Changes |
-Hypercoaguble state- increases the risk of thrombosis -Blood volume increase 1 1/2 times the normal level by the end- 5L to 7 1/2L- highest volume of blood occurs at 30-34 weeks -Blood flow to the placents and uterus is increased |
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Maternal Cardiovascular Changes |
-decrease in systemic vascular resistance -decrease in arterial pressure -increase in heart rate due to more blood and lower SVR -increase in stroke volume -Increase in cardiac output -Varicosities are more common -Hyperemia- increased fluid- rhinitis, hemmrrhiods
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-Maternal Cardiovascular Changes |
-supine hypotension -edema- extra fluid in the intersticial space
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Maternal Respiratory Changes |
-increase in respiration rate -increase in oxygenation- may feel SOB -decrease in carbon dioxide levels -balanced blood pH levels -ribs expand 2 inches -Diaphragm rises 4cm -thoracic vs. abdominal breathing -progesterone relaxes the bronchioles and muscles in the thoracic region |
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Maternal Renal/Urinary Changes |
-increase in urinary frequency -increas in blood flow to the kidneys, increase in filtration rate -increase in renal threshold -spilling of protien and glucose into the urine -placement changes due to growing uterus -become less tone- increased risk for UTI |
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Maternal Gastrointestinal Changes |
-activity slows down significantly- allows more time for nutrient absorption- can lead to increased flatulence and heartburn -N/V, food craving and/or aversions -excess salivation -hemorrhoids- constipation, less support for veins, more pressure, poor blood return -gallbladder- decreased emptying- can lead to stones or sludge -weight gain |
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Materna Immune Changes |
-system is depressed so it does not reject the fetus -depression leads to increase risk of illness, especially UTI's -increase in white blood cells |
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Maternal Integumentary Changes |
-pigmentation changes- linea nigra, axillary, groin, inner thighs, areola, vulva -pruitis- itching -palmar erythema -hair growth phase longer- may get dark hair above lip or on chin -increased size of sebacous glands, particurlarly the Montegomery Glands -Spider nevi, stretch marks |
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Maternal Neuromuscular Changes |
-Bell's Pal |
