Obstretic Nursing  A

 L
1. Amniotic Fluid - for the protection of
the fetus *3rd Trimester - No Sexual Intercourse, 
> 500-1L  *Age of Viability = Less than 20 wks AOG*
> 300 - Oligohydramnios
> Above 1000L - Polyhydramnios Goodells Sign
> Functional Kidney forms at wk 12 > ~ softened cervix at week 8
Fetal Urine
Hegars Sign
 Movement ~ softening and compresibility of the lower
 Temperatures  segment of the uterus
 Cushion  ~ uterine segment
- weeks 6
2. Ballottement (Baloma)
a. Develops after 18 wks Implantation
b. When the cervix is tapped the ~ Day 7 it will implant in day 7
fetus falls back."
 Blastocyst 
3. Chadwicks’s Sign  Burrow
 is the discoloration of the cervix,
vagina and labia while pregnant. Kegel’s
 Color: 
 CVV - Cervix Vagina Vulva  Pubococcygeal
o Restore after giving birth
4. Dilation o Symphysis pubis
 10 cm Full
Effacement Lochia
 thin texture
 It will not dilate if it will not efface  Rubra - red - 1-3 days
 Serosa - pink/brownish - 4-11 days
5. Engagement  Alba - white - 11-21 days
 It has entered the pelvic outlet
 presenting part *3 weeks bec. Acceg. To Maslow’s it’s a
 Ischial Spine need

6. Fertilization  Absence of lochia

union of the sperm and egg happends in  For infection control
fallopian tube  Allow the mother to recover
sperm can survive in 3 days or 5 days
egg cells can survive in 1 day Naegele’s 
within 12 hrs of ovulation period, within 2-3
days insemination period  -3 -17 -11
~ Mittelschmerz  +9 +7
~ Spinnbarkeit
~ XY + XX, X + X= XX(Girl), Fundic Height
Y+X=YX(Boy)
 5 mos - at the level of umbilical 
Gravida ~ Pregnancy,   Lightening/dropping 3wks
~ is not a # of Fetus  Corpus Luteum
~ Primigravida (1st)
~ Secondagravida (2nd) Piskacek Sign - enlarged blastocyst
~ Parity - # of deliveries "bangkimg"
~ nulligravida = Never been pregnant Placenta

 Term - 37-42 wks AOG  Hormones

 Preterm -  Pancake
  20-30 cotelydons, 15-20  Corpus Luteum -> (-) pregnancy->
 Exchange of nutrients -> (foods), (-) (v)estrogern -> Hypothalamus-
drugs, virus can pass to the placenta, Gonatropin Releasing Hormone(^)
(+) antibodies,   (+) pregnancy -> corpus luteam ->
 per 2 months (^) EP -> wk 8 replaced by Placenta 

Female Pelvis
Sacral Promontory
 Progesterone - relaxing the uterus Head of the butterfly 
allow Symphysis pubic
 Human Placenta Lactogen - HPL for Ischial tuberosity
nutrition for the fetus
 Estrogen - contraction will occur 
 Relaxin -  Normal Pelvic Measurement

Quickening  1. Diagonal conjugate

2. True conjugate
 16 weeks 3. Bi-ischial 
 Fetal Movment
Sexual Response Cycle
Vagina
Female Reproductive System  Excitement
 Plateau
 Organ of copulation  Orgasm
 Passage of Menstration o Parasympathetic 
 Passage of fetus o Sympathetic 
 Resolution.
Uterus
-organ of mesntration Fetal Development Fetak Growth &
- Fetus develops Development

Fallopian Tube -> Isthmus -> Ampulla ->  Week 1

Inpandibullum -> o Blastocyst
 Week 2
Menstrual Cycle Ovarian Change o The heart is tubular
Follicular Phase o Groove
 Week 4 
 Hypothalamus o Double heart chambers
o Secrete Gonatropin releasing o Limbs & buds
hormone(GnRH)  Week 8
o master gland. o Circulation 
 Pituitary Gland o Fuse of eyes
o secretes Follicle Stimulating  Week 12
Hormones (FSH)  o Heart can be heard by
o Primordial follicle  doppler/ultrasound
 Ovary - it will stimulate maturation o Kidneys start to form urine
of follicle   Week 16
o Estrogen o Skeletal olcification
 Pituitary Gland  o Sex determination 
o Luteinizing Hormone o Skin transparent
 Ovary o Lanugo
o Estrogen and progesterone, o Quickening 
rupture of the follocle  Week 20
o heartbeat 
14 days after........... o Muscle development 
Luteal Phase  Week 24
 o Hair om head
o Ability to hear
o Nose Development 
o Grasp reflex
o Vernix (shoulder)
 Week 28
o Brain Development (right and
left hemisphere)
o Lungs
 Week 32 
o Subq
o Development or baby fats
 Week 36
o Round body
o 2.5 kg
o 2:1 ratio
 Week 40
o 3-5 kg
o Male be decended testes
 9
 12
 14
 20
 24
 29
 32
 36
 40

Gravidity and Parity

Labor & Delivery
 Contraction (progressive, coordinated)
 Bloody Show
 Rupture of Membrane (ROM)
 Cervical:
o Dilation
o Effacement
 Delivery (Expulsion)
Passenger
 Attitude – relation of the body parts
 General Flexion – (all body is flexed)
 Presentation – part of the fetus which
comes first.
o Cephalic
o Breech
o Frank
o Complete
o Footling
Fetal Lie
 Vertical Line
 Horizontal Line
 Oblique Line
Position