MATERNAL CHILD NURSING LEC – TRANS IV AGON
OBSTETRIC NURSING PART 4
By: AGON, ARC
TABLE OF CONTENTS • URINARY TRACT INFECTION: common because
• CHANGES IN PREGNANCY of the increased diameter and decreased
1. Physiologic Changes during Pregnancy peristalsis of the ureter
2.
• SOURCE: Pilliteri 6th Edition – Maternal and ENDOCRINE SYSTEM
Child Nursing - PLACENTA: is the endocrine system during
URINARY SYSTEM pregnancy. It produces the following:
• FLUID RETENTION 1. ESTROGEN: responsible for increase in the size of
- Adequate fluid measurement is necessary for the breast and uterus.
placental exchange. - Early in pregnancy PALMAR ERYTHEMA
- Total absorption of 7.5 liters body water are (rare skin condition wherein both palms
added to the system needed to increase its become reddish) may occur.
sodium reabsorption in the tubules to 2. PROGESTERONE AND PROLACTIN
maintain osmolarity. - responsible for the breast development for
o Because of the presence of the lactation.
progesterone, ALDOSTERONE - Inhibits uterus contractility.
production is due to increase response 3. RELAXIN
of angiotensin-renin system in the - inhibits uterine activity.
kidney and helps for sodium - Softening of cervix and coccyx.
reabsorption. - Palpate mother’s coccyx if its already soft.
o Nutrients are mixed in the fluids for 4. HUMAN CHORIONIC GONADOTROPIN
the composition of the growing fetus. - Stimulates estrogen and progesterone
- Synthesis in the ovaries
• RENAL FUNCTION 5. HUMAN CHORIONIC SOMATOMAMMOTROPIN
- - Found in placenta
- The functions of the mother’s kidney is to - Antagonist to insulin
eliminate the waste product of her and the
fetus.
o Urinary output slowly increases as
pregnancy progresses for about 60% -
80%.
- The increase is proportionate with that of the
circulatory system.
- Increase in the BUN and creatine is an
indication of the kidney’s strain in managing
the increase blood load.
- Lactose is produced but not utilized during
pregnancy.
- Sometimes, small amount of glucose are
mixed in the urine due to high glomerular
infiltration rate leads to increase filtration of
glucose into the tubules.
• URINARY FREQUENCY - Making insulin less effective.
6. PROSTAGLANDIN
- Because of the increasing size of the uterus, it - Initiates labor.
is pushed into the bladder.
- During the 1st trimester until pressure is
relieved on the bladder and will continue for GLANDS
few weeks before delivery as lightening 1. PITUITARY GLAND
occurs. - Responsible for the productions of
- Due to the presence of progesterone, the size melanocyte & growth.
of the ureters increases, and volume pf fluids - LSH and FSH
OBSTETRIC NURSING PART 4
By: AGON, ARC
TABLE OF CONTENTS • URINARY TRACT INFECTION: common because
• CHANGES IN PREGNANCY of the increased diameter and decreased
1. Physiologic Changes during Pregnancy peristalsis of the ureter
2.
• SOURCE: Pilliteri 6th Edition – Maternal and ENDOCRINE SYSTEM
Child Nursing - PLACENTA: is the endocrine system during
URINARY SYSTEM pregnancy. It produces the following:
• FLUID RETENTION 1. ESTROGEN: responsible for increase in the size of
- Adequate fluid measurement is necessary for the breast and uterus.
placental exchange. - Early in pregnancy PALMAR ERYTHEMA
- Total absorption of 7.5 liters body water are (rare skin condition wherein both palms
added to the system needed to increase its become reddish) may occur.
sodium reabsorption in the tubules to 2. PROGESTERONE AND PROLACTIN
maintain osmolarity. - responsible for the breast development for
o Because of the presence of the lactation.
progesterone, ALDOSTERONE - Inhibits uterus contractility.
production is due to increase response 3. RELAXIN
of angiotensin-renin system in the - inhibits uterine activity.
kidney and helps for sodium - Softening of cervix and coccyx.
reabsorption. - Palpate mother’s coccyx if its already soft.
o Nutrients are mixed in the fluids for 4. HUMAN CHORIONIC GONADOTROPIN
the composition of the growing fetus. - Stimulates estrogen and progesterone
- Synthesis in the ovaries
• RENAL FUNCTION 5. HUMAN CHORIONIC SOMATOMAMMOTROPIN
- - Found in placenta
- The functions of the mother’s kidney is to - Antagonist to insulin
eliminate the waste product of her and the
fetus.
o Urinary output slowly increases as
pregnancy progresses for about 60% -
80%.
- The increase is proportionate with that of the
circulatory system.
- Increase in the BUN and creatine is an
indication of the kidney’s strain in managing
the increase blood load.
- Lactose is produced but not utilized during
pregnancy.
- Sometimes, small amount of glucose are
mixed in the urine due to high glomerular
infiltration rate leads to increase filtration of
glucose into the tubules.
• URINARY FREQUENCY - Making insulin less effective.
6. PROSTAGLANDIN
- Because of the increasing size of the uterus, it - Initiates labor.
is pushed into the bladder.
- During the 1st trimester until pressure is
relieved on the bladder and will continue for GLANDS
few weeks before delivery as lightening 1. PITUITARY GLAND
occurs. - Responsible for the productions of
- Due to the presence of progesterone, the size melanocyte & growth.
of the ureters increases, and volume pf fluids - LSH and FSH
