Other Systems_Pregnancy

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  1. Third trimester (weeks 27-40) - Common complaints - 7
    • Frequent urination
    • Back pain
    • Sciatica
    • Leg edema and fatigue
    • Ligament pain
    • SOB
    • Constipation
  2. Pregnancy - diaphragm elevated by how much?
    4 cm (1.5 inch)
  3. Pregnancy - Total chest circumference INC by
    5-7 cm (2-3 in)
  4. Pregnancy - O2 consumption
    15%-20% INC w/natural state of hyperventilation throughout pregnancy
  5. Pregnancy - dyspnea present w/mild exercise @ how many weeks? Why?
    • As early as 20 weeks
    • D/t INC work of breathing from hyperventilation
  6. Pregnancy - Pulmonary - what is unchanged?
    • Total lung capacity (or slightly DEC)
    • RR
  7. Pregnancy - Respiratory - what is iNC?
    • Tidal volume
    • Depth of respiration
  8. Pregnancy - Respiratory - INC of edema & tissue congestion of what respiratory tract?
    Upper - d/t hormonal changes
  9. Pregnancy - Cardio - what side to lay on to reduce effect of vena cava syndrome
    Left
  10. Pregnancy - Cardio - supine position does what
    P in inferior vena cava rises
  11. Pregnancy - Cardio - Resting HR - 2
    • INC 10-20 bpm by full term
    • Returns to normal within 6 weeks' post pregnancy
  12. Pregnancy - Cardio - CO
    • INC
    • Especially in left side-lying position - uterus puts least P on aorta
  13. Pregnancy - Cardio - BP - 2
    • DEC early in 1st trimester (DEC in DBP)
    • Significant INC - preeclampsia: medical emergency
  14. Pregnancy - Cardio - supine hypotensive syndrome - d/t what?
    Decline in venous return & resulting DEC in CO
  15. Pregnancy - Cardio - Blood V
    • INC 350% (1.5-2 liters)
    • Returns to normal by 6-8 weeks' post pregnancy
  16. Pregnancy - Cardio - Venous P
    INC to LE w/standing
  17. Pregnancy - MSK - joints
    • Hypermobility
    • Joint injury especially in WB joints of back, pelvis, & LE
  18. Pregnancy - MSK - ligaments
    Hormones produce a systemic DEC in ligamentous tensile strength
  19. Pregnancy - MSK - pelvic floor
    Drops up to 2.5 cm (1 inch)
  20. Pregnancy - Mechanical changes - COG - 2
    • Shifts upward & forward
    • Lumbar lordosis INC to compensate for this shift
  21. Pregnancy - Mechanical changes - Posture - 5
    • INC thoracic kyphosis
    • Scapular protraction - rounded shoulders 
    • UE IR
    • INC cervical lordosis & FHP
    • INC lumbar lordosis
  22. Testing for Diastasis recti - 3
    • Hook-lying
    • Pt slowly raise head & shoulders off of floor, reaching hands to knees, until spine of scapula leaves floor
    • PT places finger of one hand horizontally across midline of abdomen at umbilicus
  23. Tx of Diastasis recti - Therex
    Separation >/= 2 cm, or 2 finger widths - 3
    Separation < 2 cm - 3
    • Separation >/= 2 cm, or 2 finger widths:
    • Head lift
    • Head lift w/pelvic tilt
    • Pelvic floor (Kegel) exercises

    • Separation < 2 cm:
    • Partial sit-ups w/KNEES BENT
    • Pelvic tilts
    • UTILIZE HANDS TO SUPPORT ABD WALL
  24. Tx of Diastasis recti - what should NOT be performed until diastasis recti has fully resolved? - 4
    • Double leg lifts
    • Curl ups (straight & diagonal)
    • Leg lowering
    • Quadruped positioning
  25. Preeclampsia is what?
    Acute hypertension after 24th week of gestation
  26. S/S of preeclampsia - 6
    • HT
    • Edema
    • Sudden excessive weight gain
    • HA
    • Visual disturbances
    • Hyperreflexia
  27. Endometriosis is characterized by what?
    Ectopic growth/function of endometrial tissue outside of uterus that is not able to be shed as uterine tissue during menstruation
  28. Endometrial tissue can lead to what?
    Cysts & rupture, producing peritonitis, adhesions, & obstruction
  29. S/S Endometriosis - 4
    • Pain
    • Dysmenorrhea
    • Dyspareunia (abnormal pain during sexual intercourse)
    • Infertility
  30. Pregnancy - Effects of aerobic exercise - RR
    DOES NOT INC proportionately w/moderate and severe exercise
  31. Pregnancy - Effects of aerobic exercise - hematocrit - 2
    • During pregnancy is lowered
    • Rises up to 10% within 15 min of beginning vigorous exercise
  32. Pregnancy - Contraindications to exercise - 9
    • Incompetent cervix
    • Early dilation of cervix
    • Vaginal bleeding
    • Placenta previa (too close to cervix)
    • Rupture of membranes (amniotic fluid loss)
    • Premature labor
    • Maternal heart disease
    • Maternal diabetes (could be gestational diabetes)
    • HTN
  33. Pregnancy - Precautions to exercise - 8
    • Multiple gestations
    • Anemia
    • Systemic infection
    • Extreme fatigue
    • MSK complaints c/or c/out pain
    • Overheating
    • Diastasis recti
    • Uterine contractions
  34. Conditions that can occur w/INC frequency postmenopausally include - 6
    • Worsening fibromyalgia
    • Carpal tunnel syndrome
    • Calles' fracture
    • Impingement syndromes
    • Adhesive capsulitis
    • Osteoporosis
  35. Conditions that may result in pelvic, low back, or sacral pain after menopause - 5
    • Endometriosis
    • Ectopic pregnancy
    • Ovarian cysts
    • Late-stage ovarian cancer
    • Pelvic inflammatory disease
  36. Pregnancy - Cessarian pt - PT - 3; avoid what & for how long?
    • Pain - TENS - electrodes parallel to incision
    • Gentle abdominal exercise - provide incisional support w/pillow
    • Pelvic floor exercises
    • NO heavy lifting for 4-6 wks
  37. Cystocele - prolapse of what?
    Bladder into vagina

Card Set Information

Author:
Tanuisha
ID:
321370
Filename:
Other Systems_Pregnancy
Updated:
2016-12-23 21:18:04
Tags:
Pregnancy
Folders:
Other Systems
Description:
Pregnancy
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