Ch 4-Physiologic and Psychological Changes During Pregnancy
Braxton Hicks Contractions- Intermittent, painless uterine contractions that occur during pregnancy. They become stronger and more evident in the last trimester and are sometimes mistaken for true labor signs. Chloasma-(gravidarum) Increased pigmentation of the face during pregnancy that fades after delivery; also known as the mask of pregnancy!or melasma. Colostrum-Yellowish secretion from the breasts before the onset of true lactation. Diastasis recti abdominis- " separation of the rectus abdominis muscles in the midline. Effacement-Thinning and shortening of the cervi# before and during labor. ordosis- "bnormal anterior curvature of the lumbar spine. !ia"ele#s $ule-$ethod to calculate the e#pected date of birth; count back % months from the first day of the last menstrual cycle, and add & days. Orthostatic Hy%otension- 'ecrease in blood pressure when shifting to sitting or standing from a lying down position. &triae 'ra(idarum- Irregular pinkish or purplish streaks (stretch marks) resulting from the stretching and tearing of connective tissue during pregnancy. They generally appear on the abdomen, breasts, and thighs. &u%ine Hy%otensi(e &yndrome-(owered blood pressure and decreased pulse in the supine position resulting from compression of the inferior vena cava by pressure of the gravid uterus. Trimesters- " 3-month period representing one third of the gestational time. Ch )- Health Care and Fetal Assessment During Pregnancy Cleansin" Breath- " deep breath taken at the beginning and end of each labor contraction. Doulas- professionally trained to provide support during labor to the woman and her partner. Effleura"e- " slight stroking movement of the fingertips over the abdomen during labor; used as a distraction for pain relief during contractions. Ke"al Exercises- )onscious tightening and rela#ing of the pubococcygeal muscles, which strengthens the vagina and perineum. ama*e Techni+ue- " techni*ue taught in childbirth education classes that teaches women ways to decrease their perception of pain during the childbirth e#perience. eo%oid#s ,aneu(ers- " series of four maneuvers (abdominal palpation) designed to provide a systematic approach to determine fetal presentation and position. ,y-late- provides a *uick reference for recommendations needed for a healthy diet. -aced Breathin"- (earned breathing techni*ue used during labor contractions to promote rela#ation and increase pain tolerance. -el(ic Tilt Exercise- "n e#ercise to strengthen abdominal muscles and reduce backache; often used during pregnancy -ica- )onsumption of substances ordinarily considered inedible (e."., laundry starch or red clay). -reconce%tion Care- +ealth care and screening before pregnancy; can identify medical risks or lifestyle behaviors that can be managed before conception. /alsal(a#s ,aneu(er- Increasing pressure within the abdomen and thora# by holding one,s breath and pushing against the glottis.