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HCC Maternal Unit 2

Braxton Hicks Contractions Irregular contractions of the uterus that occur intermittently throughout pregnancy. May be palpated bimanually beginning about the 4th month.
Mucous plug Thick, tenacious mucus which accumulates and thickens to seal the endocervical canal and prevents ascent of bacteria or other substances into the uterus.
Mucous plug 2 The plug is expelled when cervical dilatation begins.
Goodell's Sign Softening of the cervix.
Chadwick's Sign A blue-purple discolorization.
Corpus Luteum Secretes progesterone to maintain the endometrium until the placenta produces enough progesterone to maintain the pregnancy. Then it disintegrates slowly.
Striae Purplish stretch marks, that slowly turn silver after childbirth, may develop as pregnancy progresses.
Colostrum An antibody-rich, yellow secretion, may be expressed manually by the 12th week and may leak from the breasts during the last trimester.
Supine Hypotensive Syndrome AKA-vena caval syndrome or aortocaval compression. Pressure on the vena cava by the uterus that produces marked decrease in BP.
Supine Hypotensive Syndrome Symptoms Dizziness, pallor, and clamminess. Can be resolved with mom laying on her left side.
Physiologic Anemia of Pregnancy (pseudoanemia) Hematocrit readings(measuring erythrocyte count) that are decreased.
Linea Nigra Increased pigmentation of the midline from the pubic area to the umbilicus and above.
Facial Chloasma (melasma gravidarum) "mask of pregnancy" An irregular pigmentation of the cheeks, forehead, and nose.
Metabolic Changes Metabolic functions increase with pregnancy as needs must be met for mom, the fetus, labor, and lactation. No other event in life induces such profound metabolic changes.
Weight Gain Recommended total weight gain during pregnancy of a woman of normal wt is 11.5-16 kg
hCG Human Chorionic Gonadotropin. This hormone stimulates progesterone and estrogen production by the corpus luteum to maintain pregnancy until the placenta takes over.
hPL Human Placental Lactogen. An antagonist of insulin.
Estrogen Stimulates uterine development to provide a suitable enviornment for the fetus.
Progesterone Maintains the endometrium and also inhibits spontaneous uterine contractility, thus preventing early spontaneous abortion due to uterine activity.
Relaxin Detectable in the serum of a pregnant woman by the first missed menstrual period. Inhibits uterine activity.
Prostaglandins (PGs) Arise from most body tissues but occur in high concentrations in the female reproductive tract.
Amenorrhea The earliest symptom of pregnancy.
Morning Sickness A distaste for food, extreme vomiting, possibly accompanied by dehydration and ketosis. Occur in the early part of the day and disappear within a few hours.
Quickening The mother's perception of fetal movements, occurs at about 18-20 wks after the LMP in a primigravida. as early as 16 weeks in multigravida.
Hegar's Sign A softening of the isthmus of the uterus, which occurs at 6-8 weeks of pregnancy.
McDonald's Sign An ease in flexing the body of the uterus against the cervix.
Ballottement The passive fetal movement elicited by pushing up against the cervix with two fingers. This pushes the fetal body up and as it falls back a rebound is felt.
Created by: mande747