Course Hero Logo

Prenatal Nursing Care & The Physiologic Changes During Pregnancy By: C

Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. This preview shows page 1 - 11 out of 48 pages.

PrenatalNursing Care &The PhysiologicChanges DuringPregnancyBy:Cecilia AdamsAshley RodriguezStephanie SorolaMario Romero SosaGiau TaAlex Trevino
Signs & Symptoms
PresumptiveSigns of PregnancyBreastchanges (caused by progesterone & estrogen)Areola may darken and tiny glands around the nipple,called Montgomery tubercles, may become elevated.sebaceous glands keep the nipples lubricated for breast-feeding.Colostrumyellowish, viscous fluidHigh in protein, antibodies and mineralsLow in fat and sugarSecreted as early as week 16Most commonlast trimesterContinue to secret 2-4 days after deliveryFollowed by lactogenesis stage 2Triggered by the rapid drop in mothers progesterone levels causing theonset of secretion of the milk
ProbablePhysicalsigns ofPregnancyChadwick’s signBluish-purple coloration of vaginal mucosa & cervixGoodell signsoftening of the cervixHegar’s signsoftening of the uterine isthmusBallottementpassive movement of the fetusBraxton Hicks contractionsuterine contractions that begin early in pregnancyand become more frequent after 28 weeksgestation
Positivesigns of PregnancyUltrasonographyVerification of embryo/fetusAudible fetal heart rateAuscultation via DopplerFetal movementThat’s felt by examiner
Reproductive System AdaptationsMany adaptations are reversible after the woman gives birth, but some persist for life.
UterusGrows at a rate by the stimulation ofestrogen.Wallsarecomposed of layers ofmuscle fibersHelp in expulsion of the fetus &placenta during laborNonpregnant-smaller than a fist 7.5 x 5 x 2.5 cmHold up to 10 ml of fluid60-70 g (2-2.5 oz) nulliparous100 g (3.5 oz) parous
Uterus2ndtrimesterCorpus & fundusglobe shapedRises out of the pelvisshifts to the rightrest against the anterior abdominal wall20 weeks uterus is palpable just below the umbilicus22 weeks reaches umbilicusBraxton hicks contractionshelping to move blood more quickly through the intervillous spaces of the placenta3rdtrimesterFundus close to xiphoid process (lower tip of the breast bone)Weeks 38-40, fetus begins to descend into the pelvis (lightening) causes fundal height to gradually dropOval40 weeks1,100 g (2 lb)5-10 L of fluid28 x 24 x 21 cm
CervixConnective tissues, elastic fibers, and endocervical foldsAllows to stretch during childbirthSoftens 6-8 weeksBecomes edematous, may bleed easily on examination/sexual activityBluish color2ndmonth due to increased vasculatureA thick mucus plug is made to block the cervical os & serve asprotection from bacterial invasion
VaginaDevelops a bluish colorPossible heightened sexual sensitivityWhite thick odorless and acidic vaginal secretions increaseThe acidity helps prevent bacterial infections but unfortunatelyalso fosters yeast infections, common occurrence during

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 48 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Spring
Professor
DebbieA.Jones
Tags
Nursing, Obstetrics, Fetal heart rate, braxton hicks contractions, fetal movement, audible fetal heart

Newly uploaded documents

Show More

Newly uploaded documents

Show More

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture