NURS 323 Lecture Notes - Lecture 10: Fundal Height, Colostrum, Polyhydramnios
3 Jan 2021
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First trimester: first 12 weeks after last menstrual period blastocyst implants in the uterus. Chadwick"s sign/bluish-purpling of the cervix breast tenderness nausea/vomiting urinary frequency increases uterus palpated above symphysis pubis. Hegar"s sign/globular, softening and flexing over the cervix. Leopold"s maneuver: used to find the fetus" back, also assesses for fetal lie, presentation, attitude, position and engagement fetal heart rate best heard from their back fetoscope can be used in the second trimester. 110-160 bpm if heart rate is too low check the if it matches the mother"s heart rate and that it is her heart best measured in a reclined position and measured over 2 hours. 2 movements in 2 hours requires further assessment done if only if decreased movement is perceived. Fetal lie: orientation of the fetal spine to the maternal spine (longitudinal, transverse or oblique) Presentation: part of the baby"s body that is entering the pelvis. Attitude: relationship of the fetal parts to each other.
