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Med Surg Pregnancy

nullipara never given birth
primapara pregnant for first time
multipara woman had 2 or more pregnancies
how much weight is normally gained in the first trimester about 3 lbs
when does the most rapid period of prenatal development occur? period of embryo
which germ layer is the CNS developed in? ectoderm
the muscles and skeleton are developed in which germ layer? mesoderm
what is developed in the endoderm? organs; digestive; respiratory
aversive reflexive movement is seen at what week? 8
by the end of the 12th week, what is the weight and how long is the fetus generally? 6-7 cm; 20 gms
the heat begins beating when? the end of the 12th week
the mother starts to "show" when 2nd trimester
fetal movement is typically felt by the mother when? 17-20 wks
how much will the fetus grow in the last trimester? 5 lbs; 7 inches
at birth the brain is ___% the weight and ___% the size of an adult 25; 70
The NS is highly susceptible to damage in which trimester? 3rd
effacement shortening or thinning of the cervix from 2 inches to paper then
Stage 1 of Labor: cervical dilation, middle, transition
Stage 2 of Labor: fetal descent and expulsion
Stage 3 of labor: expulsion of placenta
Concerning the CV response to pregnancy the blood volume ______ increases 35-50% (1.5-2L)
How much does the resting HR increase with pregnancy? 10-20 bpm
Cardiac output at rest increases how much during pregnancy? 30-60%
The hemodynamic response persists how long post delivery? 4-6 weeks
plasma increase > RBC = physiologic anemia
supine hypotensive syndrome is due to what increased pressure in the inferior vena cava
O2 consumption is increased how much in pregancy? 15-20%
max exercise capacity declines how much during 2nd/3rd trimester? 20-25%
how many extra calories/day are needed in pregnancy 300
core temperature should not increase over ____ during pregnancy 28 C 101.4F
COG is shifted where in pregnancy? upward and forward
posture changes in pregnancy increased lumbar and cervical lordosis, rounded shoulders, knees hyperextended, increased BOS, strained foot arches
what percent of pregnant women develop gestational diabetes? 25%
preeclampsia develops HTN and protein in urine after 20th week
ectopic pregnancy occurs outside the womb; severe lower ab pain
abruptio placentae- premature separation of placenta; severe lower ab pain
fetal distress or demise is characterized by decreased fetal movement
placenta previa placenta grows in lowest part of womb and covers all or part of opening to cervix
what PRE is recommended for pregnant women 12-14
Berg 13= Berg 11= Berg 15 moderately hard fairly light hard
light exercise= moderate= heavy= 40-50% 51-65% 66-80%
overuse of lumbopelvic belts may lead to weakened muscles
what percent of US pregnancies are consider HR 25%
common impairments of women on bed rest: joint stiffness, muscle atrophy, vascular complications, edema, constipation, postural changes, boredom, emotional stress/anxiety
Created by: cdphipps21