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I think I am pregnant, continues until, detected by - Coggle Diagram
I think I am pregnant
history taking
wash, introduce, identify, permission, positioning
patient presents the complain
SOCRATES, site, onset, character, radiation ,alleviating ,timing ,exacerbating and severity
past medical history, MJ THREADS CA, myocardial infarction, jaundice, tb, hypotension, rheumatic fever, epilepsy, asthma, diabetes, stroke, cancer
drug history, allergies, family history
social history (drinking, smoking, any illegal drugs, job, status
systems review
summary
hormonal control
Human placental lactogen
stimulates breast development
stimulates glucose production
Relaxin Hormon
effects
cardiovascular system
increases in blood flow to the uterus
increase the filtration rate
Aromates hormone
converts
androgens into estrogen
Prolactin hormon
need
progesterone
Human placental lactogen
estrogen
prolactin
hCG hormone
cause
The persistence of the corpus luteum
progesterone
estrogen
in the firs 3 month of the pregnancy
secreted by
hCG hormon
the rest of the pregnancy
secreted by
placenta
physiological changes that occurs during pregnancy
Cardiovascular system
Increase in the cardiac output
Increase in the Heart rate
Decrease in the Blood pressure
Hematological effect
Greater increase in plasma volume
lesser increase in the RBC production
Hypercoagulability
Respiratory system
Increase in the o2 production and co2 consumption
Increase in the minute ventilation
Decrease in the Residual capacity of the lungs
Increase in the tidal volume
Renal system
Increase in urination
Increase in the urine production
Gastrointestinal system
Decrease in the GI motility
Decrease in the activity of the lower esophageal sphincter
Breast feeding
Contain
Fat
Energy
Carbohydrates
Protection and energy
Vitmins and minerals
Protiens
Anti-infective factors
WBCs
Lactogenesis
Stage 1 ( Secretory initiaon)
Placenta
Human placental lactogen
Progestron
Anterior pituitary
Prolacten
Stage 2 ( Secretory Actvition)
Anterior pituitary (Prolactin)
Baby reflexes
Sukling
Moro
Rooting
Grasp
Types of Food
Avoid
Alchol
Caffeine
Fish ( high in mercury)
Allowed
Balanced diet
Benefits
Baby
Healthy weight gain
Low rates of
Obesity
Sudden infant death
Allergies
Ideal nutrition
Mom
Reduce risk of
Osteoporosis
Heart dieases
Ovarin cancer
Burn calories
Reduce utrine bleeding
Utries contraction
menstrual cycle
ovarian function
oogenesis
oocyte maturation
secreting hormons
steroids hormone
estrogen
progesterone
protein hormone
inhibin
ovulation
controlled by?
By the GnRH from hypothalamic neuroendocrine cells
what is it?
It is a monthly series of changes a
woman's body goes through in preparation
for the possibility of pregnancy.
phases
follicular phase
early and middle follicular phase
late follicular phase
luteal phase
physical examination
check vital signs, bp 120/80, temp 37, HR 60 to 100, RR 12 to 20
examine ear nose throat thorax
palpation and percussion
auscultation
Antenatal care
Involves
Lab investigations and ultrasounds
Giving medications
Taking history
Until the 34th week
Nutrition During Pregnancy
what to eat
Vegetables
Fruits
Dairy
Grains
Proteins
supplements
such as
folic acid
is important to avoid
neural tube defects
iron
is important to avoid
iron deficeincy anemia
what to avoid
Unpasteurized milk & foods made with unpasteurized milk
Hot dogs & luncheon meats
Raw & undercooked seafood, eggs & meat
Psychosocial Health During Pregnancy
is important
because it can
affect the success the pregnancy
cause fetal growth impairment
cause anxiety & emotional change
cause antenatal & postnatal depression
includes
body image
happens due to
changes in physical appearance during pregnancy
can cause severe impact on
self-esteem
self confidence
perinatal depression
Vaccination
Types
Inactivated
Subunit
Live attenuated
Toxoid
Such as
The people most in need to vaccination
Healthcare Professionals
Seniors
Pregnant women
Vaccines recommended for pregnant women
Influenza
Recommended to be taken during flu season
Tdap
Tetanus
caused by
Clostridium tetani bacterium
Diphteria
caused by
Corynebacterium diphterae
Pertussis
caused by
Bordetellapertussis bacterium
Contraindicated vaccines during pregnancy
MMR vaccine
Live influenza vaccine
HPV vaccine
Varicella vaccine
Covid-19 vaccine
Safe for pregnant women
International travelers
Children
fetal development
Periods of Development
Embryonic period
(3-8 weeks)
gastrulation
most characteristic event
establish germ layers
ectoderm
endoderm
mesoderm
primitive streak
chiphalic end
primitive node
primitive pit
neurulation
neural plat
neural tube
Fetal period
(9 weeks to term)
9th to 12th week
Head is half of crown heel length
Body length doubles
13 to 16 Weeks
Rapid growth
Head is relatively small
Coordinated limb movements
ultrasound scan
Recognizable external genitalia
17 to 20 Weeks
Slow growth
vernix caseosa
lanugo
Quickening
21 to 25 Weeks
Skin is wrinkled
Surfactant secretion by 24 weeks
35 to 38 Weeks
CNS is sufficiently mature
Weigh about 3.4 kg
CRL is 360 mm
Testes usually in the scrotum
Pre-embryonic period
(0-2 weeks)
Postnatal care
Involves
Staying in the hospital after giving birth
Regular visits after being discharged
Include
Discuss complaints, vaccinations, nutrition
Methods of contraception
Include
Female sterilization
Birth control pills
Condoms
IUDs
Maternity and paternity leaves
Could be
12 unpaid weeks for 1 couple in the US
50 paid days in Qatar
5 months for mothers and 3 months for the father in Finland
risk taking factor
high blood pressure, diabetes, pcos
EDD
1- determine the first day of LNMP, 2- count back 3 calendar months, 3- add one year and 7 days
continues until
detected by