MATERNAL CHILD NURSING LEC – TRANS V AGON
OBSTETRIC NURSING PART 5
By: AGON, ARC
TABLE OF CONTENTS
• CHANGES IN PREGNANCY • SOURCE: Pilliteri 6th Edition – Maternal and
1. Physiologic Changes during Pregnancy Child Nursing
2. Health promotion During Pregnancy
TRIMESTER PRESUMPTIVE PROBABLE POSITIVE
1st ✓ Morning sickness ✓ Positive HCG on pregnancy test ✓ Ultrasound evidence
✓ Fatigue ✓ Chadwick’s sign
✓ Urinary Frequency ✓ Goodell’s sign
✓ Amenorrhea ✓ Hagar’s sign
✓ Breast Changes ✓ Elevation of BBT
✓ Enlarging Uterus
2nd ✓ Increased skin ✓ Ballottement ✓ Fetal Heart Tones
pigmentation ✓ Enlarge abdomen ✓ Fetal movement
✓ Chloasma ✓ Braxton Hick’s Contraction ✓ Fetal outline on x-ray
✓ Striae Gravidarum
✓ Quickening
EMOTIONAL RESPONSES DURING PREGNANCY
1ST ✓ The gain of 10-11 lbs. per trimester is recommended because of the fetal growth
✓ The total allowable weight gain is 20-25 lbs. or 10-11 kg
2ND ✓ Fetus is a separate entity.
✓ They fantasize the appearance of the baby
3RD ✓ They already have the identity of the baby
✓ Make plans regarding childcare
✓ Best time for infant feeding and family planning discussion
✓ The only way to relieve the mother’s anxiety regarding possible fetal death is to let the mother
listen to the fetal heart sounds
✓ There is an increase in BBT due to increased level of progesterone.
✓ The body will adapt to pregnancy change
OBSTETRIC NURSING PART 5
By: AGON, ARC
TABLE OF CONTENTS
• CHANGES IN PREGNANCY • SOURCE: Pilliteri 6th Edition – Maternal and
1. Physiologic Changes during Pregnancy Child Nursing
2. Health promotion During Pregnancy
TRIMESTER PRESUMPTIVE PROBABLE POSITIVE
1st ✓ Morning sickness ✓ Positive HCG on pregnancy test ✓ Ultrasound evidence
✓ Fatigue ✓ Chadwick’s sign
✓ Urinary Frequency ✓ Goodell’s sign
✓ Amenorrhea ✓ Hagar’s sign
✓ Breast Changes ✓ Elevation of BBT
✓ Enlarging Uterus
2nd ✓ Increased skin ✓ Ballottement ✓ Fetal Heart Tones
pigmentation ✓ Enlarge abdomen ✓ Fetal movement
✓ Chloasma ✓ Braxton Hick’s Contraction ✓ Fetal outline on x-ray
✓ Striae Gravidarum
✓ Quickening
EMOTIONAL RESPONSES DURING PREGNANCY
1ST ✓ The gain of 10-11 lbs. per trimester is recommended because of the fetal growth
✓ The total allowable weight gain is 20-25 lbs. or 10-11 kg
2ND ✓ Fetus is a separate entity.
✓ They fantasize the appearance of the baby
3RD ✓ They already have the identity of the baby
✓ Make plans regarding childcare
✓ Best time for infant feeding and family planning discussion
✓ The only way to relieve the mother’s anxiety regarding possible fetal death is to let the mother
listen to the fetal heart sounds
✓ There is an increase in BBT due to increased level of progesterone.
✓ The body will adapt to pregnancy change
