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Nur 343 Chapter 11 Maternal Adaptation During Pregnancy Summary
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This is a comprehensive and detailed summary on Chapter 11 Maternal Adaptation During Pregnancy for Nur 343. *Essential Study Material!!
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-Pregnancy is divided into 3 trimesters of 13 weeks each
Subjective/Presumptive Signs of Pregnancy
-breast tenderness (3-4 weeks)
-amenorrhea (4 weeks)
-breast enlargement (6 weeks)
-urinary frequency (6-12 weeks)
fatigue (12 weeks)
-uterine enlargement (7-12 weeks)
-hyperpigmentation (16 weeks)
-fetal movements (16-20 weeks)
Objective Probable Signs of Pregnancy
Goodell’s sign (6-8 weeks) → softening of cervix due to vasocongestion
Chadwicks’s sign (6-8 weeks) → bluish color of cervix and vagina (increased bf)
Hegar’s sign (6-8 weeks) → softening and compressibility of lower uterine segment
resulting in exaggerated uterine anteflexion during early months of pregnancy; adds
to urinary frequency
Braxton Hicks Contractions (16-28 weeks) → “false labor”; spontaneous, irregular,
painless uterine contractions beginning in 1st trimester
Ballottement (16-28 weeks) → method of diagnosing pregnancy; examiner pushes
against women’s cervix and feels a rebound from the floating fetus
hCG is a glycoprotein and the earliest biochemical marker for pregnancy
→ can be detected in the urine 11 days after conception
→ levels double every 2-3 days until they plateau at day 100-130 of pregnancy
Associations:
Low levels of hCG: ectopic pregnancy
High levels of hCG: molar pregnancy (non-viable pregnancy; tumor) or
multiple-gestation pregnancies
*elevation of hcG corresponds to morning sickness 6-12 weeks into pregnancy
Positive Signs of Pregnancy
Ultrasound verification of embryo or fetus (4-6 weeks)
Fetal movement felt by experienced clinician (20 weeks)
Auscultation of fetal heart tones via Doppler (10-12 weeks)
Adaptations
Uterus⇒
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