Fluids fiber active lifestyle o Hemorrhoids Witch hazel preparation H o

Fluids fiber active lifestyle o hemorrhoids witch

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Fluids / fiber / active lifestyle o Hemorrhoids Witch hazel / preparation H o Backaches Don’t sleep flat on back after 20 weeks o Shortness of breath o Leg cramps o Varicose veins and lower-extremity edema Worse at night Should go away when sleeping o Gingivitis, nasal stuffiness, epistaxis o Braxton-Hicks Contractions o Supine hypotension Don’t lie supine after 20 weeks Contraception: Important factors in avoiding pregnancy, use
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Abstinence coitous interruptus o “pulling out” fertility awareness methods barrier methods hormonal methods o Intrauterine Devices (IUD) o Plan B sterilization Functions of amniotic fluid, placenta Amniotic Fluid o regulate body temp o oral fluids o cushioning against trauma, car accident, falls o movement for growth o teaches swallowing Placenta o Developed by 12 week o Circulation o metabolic exchange o exchange nutrients & waste products Presumptive, probable and positive signs of pregnancy Presumptive Changes a women experiences that make her think she might be pregnant Amenorrhea o Absence of period Fatigue N/V Urinary frequency Breast changes o Darkened arolae o Enlarged glands Quickening o Slight fluttering movements of fetus Can be felt around 16-20 weeks
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Uterine enlargement Probable Changes that make the examiner suspect a woman is pregnant Abdominal enlargement o Related to changes in uterine size, shape, & position Hegar’s sign o Softening & compressibility of lower uterus Chadwick’s sign o Deepened violet-bluish color of cervix & vaginal mucosa Goodell’s sign o Softening of cervical tip Ballottement o Rebound of unengaged fetus Braxton Hicks Contractions o False contractions that are painless, irregular, & usually relieved by walking Positive pregnancy test Fetal outline felt Positive Signs only explained by pregnancy Fetal heart sounds Visualization of fetus on ultrasound Fetal movement palpated by examiner Cause of physiologic anemia of pregnancy All blood is going to baby o More volume o Dilutes a little Risk factors o <2 years between pregnancies o Heavy periods o Diet low in iron o Multi-fetal gestation o Vomiting frequently Vessels of the umbilical cord 2 arteries o Embryo -> Chorionic Villi -> Placenta
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1 vein o Returns blood to embryo Physiologic changes in pregnancy: Integumentary, cardiovascular (blood volume, HR, BP), musculoskeletal o Reproductive system and Breasts Breast tenderness Uterus grows throughout pregnancy Start to show around 14 weeks Palpate around 12 -14 weeks Fundal height How many weeks by where you can feel the fundus o o Cardiovascular System Varicose Veins / Lower Extremity Edema Worst at night should get better after sleeping supine hypotension don’t lie on back after 20 weeks o compressing vena cava Blood flow increases Supine position can decrease blood flow
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