Ch 11 rationale, 158, prep u

At what time does the lower uterine segment soften?

1. 6 weeks 2. Probable sign 3. Hegar's sign

Which change in respiratory function during pregnancy is considered normal?

1. increase tidal volume 2. Why: a prego client breathes more deeply, which increases the tidal volume of gas moved in and out of the respiratory tract with each breath 3. expiratory volume and residual volume decrease as prego progresses 4. inspiratory capacity increases during pregnancy 5. increased oxygen consumption in the pregnant client is 15 % to 20% greater than in the nonprego state

Oxytocin

1. let down of milk 2. contractions

Progesterone

1. maintaing endometrium 2. inhibit uterine contraction 3. aid develop breast for milk 4.

During pregnancy, there are many psychological changes. What is a critical component for a positive psychological experience with pregnancy by the woman?

1. social support 2. but social is the most important psychological experience 3. early care, maternal age, and planned prego all affect fetal and maternal health, but are not necessarily linked to positive psychological experience

a woman said her baby was unplanned and unwanted, at what point does a woman change her mind about the unwanted baby?

1. when quickening occurs, so dramatic so they change their minds

Client in her 2nd trimester, visit. I have to educate what she should be aware of in the upcoming weeks. What info do I give her to expect?

1. you will experience quickening and you will actually feel the baby 2. this occurs the 2nd trimester 3. help her bond 4.

monilial vaginits

1, Candida albicans, a monilial vaginitis, which is a very common occurrence in this glycogen-rich environment. 2. Symptomatic vulvovaginal candidiasis affects 15% of pregnant women

When the embroyo is implanted, a softening of the uterine FUNDUS at:

1. 7th week 2. but at the 8th week the fundus will enlarge

Before becoming pregnant, a woman's heart rate averaged 72 beats per minute. The woman is now 15 weeks pregnant. The nurse would expect this woman's heart rate to be approximately:

1. 85 beats per min 2. During prego, HR increases 10-15 bpm b/w 14 and 20 weeks of prego, and this will elavate to term 3. HR in prego of 72 would increase 10 to 15 bpm to a rate of 82 to 87 bpm

What change in the v/s is expected in prego?

1. BP decreases 2. Pulse and temp increase 3. lung space decreased

Some women are lactose intolerant. Lactose intolerance occurs more frequently in individuals of African, Hispanic, Native American, Ashkenazic Jewish, and Asian descent. What is the major concern for a lactose intolerant woman who is pregnant?

1. Calcium deficiency 2. major concern for prego women who is lactose intolerant 3. some lactose peeps can have: cooked forms of milk, pudding, custard, 4. cultured or fermented dairy: buttermilk, yogurt, some chz 5. chewable lactase tab may be taken with milk 6. drink calcium enriched orange juice or soy 7. calcium supplement 8. if is not in the sun that much, she will need a Vit D supplement

Describe hypercoagulable state? What is related?

1. RBC increase is important to transport the additional o2 2. but the increase of RBC has nothing to do with hypercoagulable 3. Fibrin and plasma fibrinogen increase 4. along with other various cloting factors that lead to this state.

The midwife is performing a pelvic for the woman who had a + prego test. I am checking the cervix for probable sign of prego known as the "Goodell" sign. What describes the alteration?

1. about 8th week, cervix will be soft, Goodell's Sign

During a routine antepartal visit, a pregnant woman reports a white thick vaginal discharge. Which of the following would the nurse do next?

1. ask if she itches or has irritation 2. although vaginal secretions increase during prego, the nurse would need to ascertain if this discharge is normal leukorrhea of prego of it it is monilial vaginits (common) 3. we need additional info to conclude that the complaint is normal 4. a culture may not be necessary 5. there is no evidence that membranes have ruptured

estrogen

1. breast and uterine enlargement

Factors that influence how a woman adapts psychologically to a prego? Which adaption in the 2nd trimester should she expect?

1. comes a sense of child as her own separate entity. 2. it will be enhanced when she hears the fetal Heartbeat. 3. when baby moves 4. or sees fetal image

relaxin

1. corpus luteum of ovary 2. placenta too 3. inhibits uterine activity and soften the cervix and ligaments 4. dilation at birth

During pregnancy a woman has many psychological adaptations that must be made. The nurse must remember that the baby's father is also experiencing the pregnancy and has adaptations that must be made. Some fathers actually have symptoms of the pregnancy along with the mothers. What is this called?

1. couvade syndrome 2. some fathers actually experience some of the physical symptoms of prego, such as nausea and vomiting along with their partner

A client in her 39th week of gestation arrives at the maternity clinic stating that earlier in her pregnancy, she experienced shortness of breath. However, for the past few days, she's been able to breathe easily, but she has also begun to experience increased urinary frequency. A nurse is assigned to perform the physical examination of the client. Which of the following is the nurse most likely to observe?

1. fundal height has dropped since the last recording 2. b/w 38 to 40 weeks, fundal height drops b/c the fetus begins to descend and engage into the pelvis 3. why; it pushes against the diaphragm 4. many women experience S.O.B. 5. by 40 weeks, fetal head begins to descend and engage in the pelvis 6. breathing becomes easier b/c of descent 7. pressure on urinary bladder now increases 8. now more pee 9. fundus reaches it's highest level at xiphoid process at 36, not 39 weeks 10. at 20 wks gestation, fundus is at the level of the umbilicus and measures at 20 cm 11. at 6 and 8 weeks of gestation, cervix begins to soften (Goodell sign) 12. 6 to 8 weeks Hegar sign that softens

What are the hormonal changes that I should see during prego?

1. maintain endometrium so that embryo can plant 2. change in metabolism so that nutrients can be avail to both 3. relax ligaments that connect the pelvic bones, allow them to spread 4. preparing the breasts for lactation, keeping the milk from coming in until birth occurs 5. increase the mother's blood volume and RBC mass to increase o2 and blood supply to the GI to slow peristatlic waves

The hormone responsible for the initiation of lactation of what?

1. prolactin 2. Production of breast milk

Which of the following would the nurse ID as a normal physiologic change in the renal system due to prego?

1. renal pelvis will become dilated, due to progesterone on smooth muscle 2. glomerular filtration rate increases during prego 3. kidneys enlarge 4. ureters enlongate, widen and curve above the pelvic rim

Physical discomfort happens?.

3rd trimester as the fetus will rapidly grow

pregnant women seem to be more susceptible to Carpal tunnel syndrome than others?

True 1. ********no rationele

Human Placental Lactogen (hPL)

aka-human chorionic somatommotropin 1. serves as an antagonist to insulin 2. making insulin less effective 3. allowing more gluclose to become avail for fetal growth

Chadwick Sign

probable about the 8th week, blue or purple cervix

Estrogen and progesterone are responsible for?

uterine an pregnancy maintence