This document discusses pregnancy duration, viability, hormones involved in pregnancy, and signs and symptoms of pregnancy. It defines viability as the ability of a fetus to survive outside the uterus, which generally occurs between 20-24 weeks of gestation. It lists hormones such as progesterone, estrogen, hCG, prolactin, oxytocin and relaxin that are important in pregnancy. It also outlines presumptive, probable and positive signs that can indicate pregnancy, including missed period, nausea, breast changes, fetal movement and positive pregnancy tests. Finally, it defines terms related to gravidity such as number of living children, pre-term births, abortions and miscarriages.
This document discusses pregnancy duration, viability, hormones involved in pregnancy, and signs and symptoms of pregnancy. It defines viability as the ability of a fetus to survive outside the uterus, which generally occurs between 20-24 weeks of gestation. It lists hormones such as progesterone, estrogen, hCG, prolactin, oxytocin and relaxin that are important in pregnancy. It also outlines presumptive, probable and positive signs that can indicate pregnancy, including missed period, nausea, breast changes, fetal movement and positive pregnancy tests. Finally, it defines terms related to gravidity such as number of living children, pre-term births, abortions and miscarriages.
This document discusses pregnancy duration, viability, hormones involved in pregnancy, and signs and symptoms of pregnancy. It defines viability as the ability of a fetus to survive outside the uterus, which generally occurs between 20-24 weeks of gestation. It lists hormones such as progesterone, estrogen, hCG, prolactin, oxytocin and relaxin that are important in pregnancy. It also outlines presumptive, probable and positive signs that can indicate pregnancy, including missed period, nausea, breast changes, fetal movement and positive pregnancy tests. Finally, it defines terms related to gravidity such as number of living children, pre-term births, abortions and miscarriages.
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