NURS 202 Chapter Notes - Chapter 30: Vaginal Bleeding, Abdominal Exercise, Nursing Assessment
Document Summary
40 weeks from first day of last menstrual period (lmp) nagele"s rule first day of lmp + 7 days - 3 months first trimester. 157 first 3 months (13 weeks) conception 14th day of cycle implantation missed menstrual period (urine/serum hcg) hormonal changes ( estrogen, progesterone) uterus palpated just above the symphysis pubis at 12 wk. Hagar"s sign: uterus becomes globular in shape, softens and flexes easily over the cervix. Chadwick"s sign: cervix turns bluish-purple (in primiparous women - first time giving birth) second trimester fetal movement (quickening) by 12 weeks cardiovascular ( vascular resistance, hb) breast changes: enlarge, colostrum, areolar and nipple darken. 162 cardiovascular: blood vol, erythrocyte mass, hr, displaced heart, impeded vr, edema, varicosities. Msk: lordosis, diastatis recti, ligament relaxation uterus: enlarged, lightening (baby near end of uterus) mucus plug formed in cervix as mechanical barrier during pregnancy expelled at variable times before and during labour.
