DE LEON, CHARISSA M.

LEGARDA CA1

ARELLANO UNIVERSITY
COLLEGE OF NURSING
CAPP – 1
OBSTETRIC NURSING
DLP

I.MATERNAL CHANGES DURING PREGNANCY

Give at list three answers ( 1pt. each)

Reproductive Organs:

Uterine Changes
- heightincreases from 7.5cm to 35cm
- weight increases from 50g to 1000g at term
- uterine ligaments show hypertrophy
– lower uterine segment is formed from the isthmus from the 4th month to reach 10cm at
fullterm

Cervix
- edema and congestion
- becomes soft
- mucus plug
- incresed secretion from its glands
Vagina
- shows increased in vascularity
- soft, moist and bluish
- distention of vagina at birth

II. BLEEDING DISORDERS (20pts.)

FIRST TRIMESTER BLEEDING

Abortion:
-Termination of pregnancy before the period of validity, which 24 weeks of gestation.

TERM DESCRIPTION ASSESSMENT MANAGEMENT

GUIDLINES
SPONTANEOUS Any pregnancy that is Crampy pelvic pain Emotional support
ABORTION not viable(fetus born bleeding
before the 20th week expulsion of fluid
of pregnancy) non-
induced abortion
THREATENED Vaginal bleeding >(+) abdominal bedrest
ABORTION occurring before 20th cramping
DE LEON, CHARISSA M. LEGARDA CA1

weeks gestation >(-) cervix dilation

without cervical >closed cervix
dilation and
indicationg that
spontaneous abortion
may occur
IMMINENT ABORTION Vaginal bleeding or (+) abdominal D&C
rupture of the cramping
membranes (+) cervix dilation
accompanied by open cervix
dilation of the cervix
MISSED Undetected death of Persistent Vaccum extraction
ABORTION embryo or a fetus that amenorrhea
is not expelled and
that causes no
bleeding.
RECURRENT/ HABITUAL 3 or more Incompetent cervix Mc Donalds
ABORTION spontaneous Shirodkar
abortions

INDUCED ABORTION An abortion that is Possible threat to D&C

brought about mothers life
intentionally
(therapeutic abortion)

References and pages: https://www.msdmanuals.com/professional/gynecology-and-

obstetrics/abnormalities-of-pregnancy/spontaneous-abortion

https://www.slideshare.net/manuaravind73/abortion-seminar (1pt)