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Nursing Care During the Antenatal Period
A & P of Pregnancy
• Terms to know
• Gravida
• Parity
• Nulliparous
• Multiparous
• Term
• TPAL
Signs of Pregnancy
• Presumptive Signs/Symptoms
• Probable
• Positive
Uterine Growth
• Stimulated by hormones in the 1st trimester
• Larger as it rises out of the pelvis
• Hegar’s
• Chadwick’s
Contractility
• Braxton Hicks
Cervical Changes
• Goodell’s Sign
• Friability
Fundal Height Changes
• Changes from week to week
Vaginal Changes
• Vaginal mucosa thickens
• Chadwick’s sign
• Vaginal discharge
• Mucous plug
• Varicosities
Breast Changes
• Fullness
• Areolar pigmentation
• Colostrum
Circulatory Changes
• CV- blood volume, cardiac hypertrophy
• Cardiac output increases
• Blood pressure changes
Circulatory changes
• Supine hypotension syndrome
Renal Changes
• Renal pelvis and ureters dilate
• Urine rate is slowed
• Bladder frequency
GI Changes
• Appetite• Gastric emptying• Absorption• Bowel sounds• Blood flow to the pelvis• Morning sickness• Pyrosis• Constipation