Assessment and Health Promotion in Pregnancy
Antepartum Terms
gestationageinNeeds ·
· intrapartum labor + birth / WKS)
postpartum returnto pre-pregnancy state labt 6 wks)
antepartum time before birth
· Herm 37-42 weeks gestation
·
·
viability 20 or more weeks gestation ·
gravidity # of pregnancies
,·
para #viable pregnancies (20 weeks) ·
nullgravida never pregnant Grav ida
·
,pregnant (been pregnant) primigravida pregnant ·
or one child ·
multigravida pregnant second or more times
medications
Terbutaline · /Brethine) : delay preterm labor misoprostol (sutotec
·
nifedipine (Procardial methylergonoline maleate (Methergine
· · ·
magnesium sulfate Carpopost tromethamine (Hemabate)
·
· betamethasone (Celestone) /Dexamethasone Fentanyl
·
· Oxytocin (Pitocin) morphine sulfate
·
·
clinoprostone (Cervidil) Dutorphanol Tartrate (Stadol) Ovarian/Menstrual)
·
Cycle
·
ovulation: Occurs 1 days before next cycle menstruation ,
predicted mature orum : lives 12-14 his then start to
·
degenerate
Sperm : lives up to 5 days in the female system
·
conception (zugote)implantationlembryo Wha etus
GTPAL
· gravida calculation : :
- gravida number of pregnancies Naegeles Rule expected delivery
first day of last period
·
term delivery at 37-42 WIS
= +
7 days-3 months + one year
·
· preterm delivery after 20-364 WI
:
abortion delivery before 20 WKs
:
·
living Children1Iving in the world
:
, Pregnancy ·
Progesterone
Hormones · prepare uterus for implantation
·
human Chorionic Gonadotropin (nCG) · prevent immunologic response to
· maintain Corpus Puteum (placental · relaxes Smooth muscle
· in UrineSerum 10-14 days after conception Gl decreases motility improve absorp
· , . of nutrients
· human placental lactogen (HPL) enlarges uterus bladder to increase capacity
-
Insulin antagonist
· by placenta increase blood glucose - develop alveoli (milk secreations) +ductal
system for lact.
⑳ estrogen · Relaxin: relaxes pelvic muscles joints
· increase blood flow to uterus (vasodilation) , change sensitivity of resp system to carbon dioxide .