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Med Surg Pregnancy
| Question | Answer |
|---|---|
| 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 |