1. reproduction system changes: uterus growth
vagina
ovaries
breasts
2. Hegar's Sign: softening of the lower uterine segment
3. Chadwick's Sign: bluish purple color of the cervix that extends to vagina and labia
4. Goodell's sign: cervix softens (lips, earlobe)
5. CV system changes: higher blood volume
lower or normal BP
increased cardiac output
lower systemic vascular resistance
dilution of blood
slight increase in HR (normal)
6. Supine Hypotension Syndrome: drop in BP when lying on back (compressed vena cava)
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, 7. CPR on pregnant woman: push fetus to the side about an inch
8. Respiratory System: O2 demands increase by 20% (increased tidal volume normal respiratory rate)
fetus uses 50%
diaphragm shift up
9. GI: diminished bowel sounds, constipation
Excessive salvation
heartburn (pyrosis)
nausea/vomiting
delayed stomach emptying (always assume something in stomach)
10. Urinary: spilling (small amounts of glucose)
ketones may be present
bacteria/UTIs (DM)
11. integumentary: circulation increased and activity of sweat glands
hair and nail growth
12. Progesterone: thickens uterus lining and maintains pregnancy
relaxes smooth muscles (stasis of urine and constipation) (prevents contractions) (prepares for lactation)
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