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PREGNANCY DURATION VIABILITY - ability of a fetus to HORMONES

survive outside the uterus. Prolactin: Allows breast milk


 40 weeks - AOG
production
 38 weeks - fetal age  20-24 weeks of gestation
Estrogen: Growth of fetal organs
& maternal tissues
First Trimester
VIABILITY - ability of a fetus to Progesterone & Relaxin: Relaxes
 0 – 13 weeks survive outside the uterus. smooth muscles
Second Trimester  20-24 weeks of gestation
hCG: Produced by placenta,
prevents menstruation
 14 – 26 weeks
Oxytocin: Stimulates contractions
Third Trimester
at the start of labor
 27 – 40 weeks

PREGNANCY SIGNS & SYMPTOMS


PRESUMPTIVE (Subjective) - MOM
 changes felt by the women that are subjective.
 Can be associated with other things.

Period Absent (Amenorrhea)


Really tired
Enlarged breasts
Sore breasts
Urination increased (urinary frequency)
Movement perceived (quickening)
Emesis & nausea
- Number Of Pregnancies
Includes:
GRAVITY  present pregnancy
 miscarriages abortions
- Twins / triplets count as one
Number born at term
• > 37th week of gestation
TERM BIRTHS
• includes alive or stillborn
• twins / triplets count as one
Number of pregnancies delivered
beginning 20th - 36th weeks
PRE-TERM
of gestation
BIRTH
• includes alive or stillborn
• twins / triplets count as one
Number of pregnancies delivered
ABORTIONS / before 20 weeks gestation
MISCARRIAGES • counts with gravidity
• twins / triplets count as one
LIVING Number of current living children
CHILDREN • twin/triplets count individually

PROBABLE (Objective) DOCTOR


 Pregnancy signs that the nurse or doctor can observe

Positive Pregnancy Test


Ballottement (returning of the fetus when uterus is pushed w/
fingers)
Braxton hicks contractions
Goodell's sign - softened cervix
Chadwick's sign - bluish color of the vulva, vagina, or cervix
Hegar's sign - Lower uterine segment soft
Enlarged uterus

POSITIVE (Objective) BABY


 Fetal movement palpated by a doctor or nurse.
 Electronic device detects heart tones
 The delivery of the baby
 Ultrasound detects baby
 Seeing visible movements

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