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Antepartum and Fetal Development

Terms

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PRESUMPTIVE signs of labor
amenorrhea N/V fatigue urinary frequency breast tenderness quickening
PROBABLE signs of labor
Chadwick\'s sign Godell\'s sign Hegar\'s Sign McDonald\'s Sign abdominal enlargement uterine souffle positive preg test ballottement
POSITIVE signs of pregnancy
detection of the fetal heartbeat visualization of the fetus
Pregnancy - UTERUS
enlarges; becomes an abdominal organ at about 12 weeks; Braxton Hicks contractions (throughout pregnancy)
Pregnancy - cervix
Glandular hypertrophy - formation of mucous plug (protective barrier); increased vascularity
Ovaries - pregnancy
stops producing ova but corpus luteum continues to produce hormones until about 6-8 weeks
Pregnancy - Breasts
hypertrophy of the mammary glands and Montgomery\'s follicles; increased pigmentation of nipples and areola, striae, colostrum.
Pregnancy - Endocrine
Thydrid - enlarges, increasing BMR; Pituitary enlarges, increases hormone secretion (LH, Prolactin, TSH), oxytocin; adrenals - cortisol increases and aldosterone; pancreas - increased insulin needs.
Hormones of pregnancy
hCG, hPL, estrogen, progesterone, relaxin: prostaglandins.
Chadwick\'s Sign
cervix turns bluish color; increased vascularity and blood flow; friable cervix (multip = touch and bleed)
Gadelle\'s sign
how soft the cervix is
Hagar\'s sign
soft isthmus (between cervix and fundus)
McDonald\'s sign
flexibility of cervix
ballotment
bounce up when touched
uterine souffle
picking up mother\'s pulse and not fetal (check mother when checking FHR)
When detect FHR with fetoscope?
6-8 weeks
When is it possible to detect the FHR with doppler?
10-17 weeks
When FHR detectable with doppler (with most pregnancies)??
16 weeks
GPTPAL
Gravida Para Term Preterm Abortions Living
Potassium
3.5-5
Magnesium
1.6-2.6
Calcium
8.6-10
Sodium
135 - 150
Phosphate
2.5-4.5
Chloride
97-107
infant bilirubin level
1-12 (norm <5)

Deck Info

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