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Pregnancy - 🧠 ANSWER ✔✔Pregnancy is a normal, healthy condition- subject to
anatomical, physiological, biochemical changes for growth in the fetus- insulin
action is blunted, lower blood glucose levels, drugs that affect albumin might be
lowered, 38-42 weeks is full term, want to know if they are at term, pre or post
term, first trimester- 1-13 weeks, second 14-26, third 27 through term- each one
has predictable changes
Conception- germinal- zygote, implantation- embryo, organs are developing,
teratogens, fetal- organ refinement
Hormones- estrogen- skin and breast changes, insulin resistance, progesterone-
muscle relaxant for uterus and keeps pregnancy viable, hCS (hPL)- break down fat
for fuel for baby, HcG- pregnancy tests *, relaxin- relaxes pelvic muscles and
joints- caution with exercise, oxytocin- hypothalamus, induce uterine contractions,
milk ejection during lactation, prolactin- a pituitary gland- make milk
,Signs of pregnancy - 🧠 ANSWER ✔✔presumptive signs- mother experiences-
missed period, breast tenderness, probable- hcG, positive- really confirms, US,
palpate, heart tone
GTPAL - 🧠 ANSWER ✔✔Gravida= total # of pregnancies, including current,
Term= # of term pregnancies (more than 37 wks), Premature- # of premature
pregnancies (after 20 wks but before 37 wks) abortions- , # of therapeutic
terminations or spontaneous losses (before 20 wks), Living- # of living children
who the women gave birth two, twins count as 1, use dashes in between
Perinatal Period - 🧠 ANSWER ✔✔•Period of physical and psychological
preparation for birth and parenthood
•Opportunity for nurses and members of health care team to positively influence
family health
•Healthy women seek care and guidance.
•Health promotion interventions can affect well-being of the woman, child, and
family.
Promote health in general life and in pregnancy, prenatal care has more positive
outcomes, free and accessible
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,Ask -BMI, vitamins and folic acid, integrated into care as women can get pregnant
in a lone period of their life
Example of Risk factors for adverse pregnancy outcomes - 🧠 ANSWER
✔✔•Taking retinoic acid (Accutane) to clear cystic acne
•Alcohol use
•Anti-epileptic drugs
•Autoimmune disorders
•Diabetes (preconception)
•Folic acid deficiency
•HIV/AIDS
•Maternal phenylketonuria (PKU)
•Rubella seronegativity
•Obesity
•STI
•Smoking
•Underweight
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, Vaccinate for Rubella- have debilitating effects on fetus
Accutane- malformations in the fetus
Prenatal care - 🧠 ANSWER ✔✔•Is needed throughout the entire pregnancy
•Is publicly funded
•Collaborative
•Emphasis on preventive care and optimal self-care
•In Canada 11% of expectant mothers wait until the second trimester to seek
medical care.
•Is sought more routinely by women of middle or high socioeconomic status and
less likely by adolescents
•Without it babies are three times more likely to have low birth weight; five times
more likely to die
Blood work before 2nd trimester
Adolescents receive inadequate care
Purpose:
•Ensure healthy pregnancy outcomes through ongoing assessment
•Plan individualized care
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PRIVACY STATEMENT. ALL RIGHTS RESERVED