Ch. 13

• Uterus:

  • Fundal Height - Measured in C_ from the P_ S_ to the T_ of the most portion of the U_
  • Lightening - Baby is D_
  • Changes in C_ - B_ H_ is F_ labor, P_ and I_
  • Uteroplacental B_ F_ - Is to the P_?

  Cm, pubic symphysis, top, uterus, dropping, contractility, braxton hicks, false, practice, irregular, blood flow, placenta
• Fetus:

  • H_ S_ - P_ during exam and S_ of the lower U_ segment _ wks to _ months
  • B_ - Passive M_ of the fetus ( _ to _ weeks) and T_ on cervix and feels T_
  • Q_ - First fetal M_ felt
  • Multiparous _ to _ wks, G_ B_ and L_ F_
  • Nulliparous _ wks or later and it is _ time?
  • hegar sign, palpate, softening, uterine, 6, 3, ballottement, movement, 16, 18, tapping, thump, quickening, movement, 16, 18, gas bubbles, little flutters, 18, first
• Cervix:

  • G_ S_ - S_ of the C_
  • F_ - T_ is easily D_ and E_
  • O_ - M_ P_ and P_ B_
  • A_ - No P_ thru out pregnancy
  • C_ S_ - Changes in T_ and V_ B_ color of the V_ M_ (_ to _ wks)
  • L_ - M_ D_?

  Goodell sign, softening, cervix, friable, tissue, damaged, enlarged, operculum, mucus plug, protective barrier, amenorrhea, periods, Chadwick sign, tissue, violet-blue, vaginal mucous, 6, 8, leukorrhea, mucous discharge
• Breasts:

  • Montgomery T_ - S_ R_ N_ P_ like appearance of nipple
  • Colostrum - _ M_
  • Striae G_ - S_ M_ that may cause I_
  • Preparation for L_
  • Growth of M_ D_
  • Lactogenesis Stage _?

  Tubercles, Small rough nodular pimple, first milk, gravidarum, stretch marks, irritation, lactation, milk ducts, 1
• Cardiovascular System:

  • Slight H_
  • BP - Stays the S_ or slight D_
  • Increase can cause P_
  • Increase in Blood V_ which may cause E_
  • Increase in cardiac O_
  • Heart E_ and may cause a systolic M_
  • Blood components - Increase in R_ mass and is A_ in pregnancy
  • Circulation may cause risk to D_
  • Inferior Vena Cava Syndrome - S_ H_ syndrome, No lying on B_?

  hypertrophy, same, decrease, preeclampsia, volume, edema, output, enlargement, murmur, rbc, anemia, dvt, supine hypotensive, back
• Respiratory:

  • Elevated levels of E_ allowing increased C_ E_
  • Maternal O_ and C_ A_ increases
  • Increase in V_ of upper respiratory tact that may cause N_ B_, C_, R_ N_, I_
  • W_ and P_ of chest
  • Increase in B_ M_ rate?

  estrogen, chest expansion, oxygen, costal angle, vascularity, nose bleeds, congestion, runny nose, inflammation, widening, pressure, basal metabolic
• Gastrointestinal:

  • S_ M_ and G_ - Easily B_ and E_ which is R_ N_ of the gums
  • N_ and V_ - M_ S_ and Hyperemesis gravidarum is S_
  • P_ - C_ N_ F_ I_
  • P_ - Excessive S_
  • C_ - Fruits, Fiber, Fluids
  • A_ D_
  • P_ - H_, Don't L_ D_ after meals, Eat S_ F_ meals?

  swollen mouth, gums, bleeding, epulis, red nodules, nausea, vomiting, morning sickness, severe, pica, craving nonfood items, ptyalism, salvation, constipation, abdominal distress, pyrosis, heartburn, lie down, small frequent
• Renal:

  • Bladder S_ and F_ F_
  • Carefully evaluate a woman with H_ and P_
  • Risk for U_
  • T_ R_ is impaired?

  softening, feeling frequency, hypertension, proteinuria, uti, tubular reabsorption
• Integumentary:

  • Melasma (C_ or M_ of pregnancy) - Brownish H_ of the skin
  • L_ N_ - B_ L_ that is V_ line of the belly during pregnancy
  • A_ - Vasular S_
  • P_ E_
  • P_ G_ - Itching
  • PUPPP- P_ U_ P_ and P_ of pregnancy?

  chloasma, hyperpigmentation, linea nigra, black line, vertical, angiomata, spiders, palmar edema, pruritus gravidarum, pruritic urticarial papules, plagues
• Musculoskeletal:

  • Risk for F_
  • L_
  • L_ B_ P_
  • C_ T_
  • C_ C_
  • D_ A_ - growing of the U_ causes S_ of the abdominal wall?

  falls, lordosis, low back pain, carpal tunnel, calf cramps, diastasis abdominis, uterus, stretching
• Neurologic:

  • Be alert of H_
  • Ask F_ about them, Don't D_
  • Alterations in S_
  • Sense of S_ H_
  • L_ and F_ may occur?

  headaches, further, dismiss, sleep, smell heightened, lightheadedness, fatigue
• Endocrine and Immune:

  • H_ are E_ for maintenance, normal fetal growth, and PP recovery
  • I_ S_ functions to protect mother against I_ while also preventing R_ of fetus?

  hormones, essential, immune system, infection, rejection
• Pregnancy Test:

  • HCG - Production begins as early as D_ of I_
  • Can be detected _ to _ days after C_
  • Use a _ V_ M_ urine specimen
  • If done at the time of M_ P_ and N_; repeat in _ W_
  • False Negative - I_ C_, P_ and D_
  • False Positive - A_ C_, T_

  day, implantation, 7, 10, conception, first void morning, missed period, negative, 1 week, improper collection, promethazine, diuretics, anticonvulsive, tranquilizers