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Pregnancy

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Adult Nursing Care

Definition

Pregnancy is the physiological condition in which a woman carries a developing fetus within her uterus, typically lasting about 40 weeks from the last menstrual period. This period is crucial as it involves significant changes in the woman's body to support fetal development, including hormonal changes, increased blood volume, and modifications in respiratory function. Understanding pregnancy is essential, especially when considering complications that can arise, such as pulmonary embolism and respiratory failure, which can pose risks to both the mother and the fetus.

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5 Must Know Facts For Your Next Test

  1. Pregnancy is divided into three trimesters, each marked by different developmental stages for the fetus and varying physical changes for the mother.
  2. During pregnancy, blood volume increases significantly, which can sometimes lead to an increased risk of thromboembolic events like pulmonary embolism.
  3. Pregnant women may experience changes in lung function due to pressure from the growing uterus, affecting their respiratory capacity and possibly leading to respiratory failure in severe cases.
  4. Hormonal changes during pregnancy affect clotting factors in the blood, increasing the risk of venous thromboembolism, which can lead to complications like pulmonary embolism.
  5. Proper prenatal care is crucial for monitoring both maternal and fetal health and addressing any potential complications that could arise during pregnancy.

Review Questions

  • How do physiological changes during pregnancy contribute to the risk of pulmonary embolism?
    • Physiological changes during pregnancy include increased blood volume and altered coagulation factors, which heighten the risk of blood clots. The growing uterus can also compress pelvic veins, reducing blood flow and contributing to venous stasis. These factors combined can lead to thromboembolic events, such as pulmonary embolism, where a clot travels to the lungs, posing a serious health risk for both the mother and fetus.
  • Discuss how respiratory function changes throughout pregnancy and its implications for maternal health.
    • Throughout pregnancy, a woman's respiratory function undergoes significant adaptations. The growing uterus exerts pressure on the diaphragm, reducing lung capacity and potentially leading to shortness of breath. Hormonal changes also affect airway resistance and ventilation patterns. These adaptations are essential for meeting increased oxygen demands but can also make pregnant women more vulnerable to respiratory failure if complications arise, such as infections or pre-existing conditions.
  • Evaluate the impact of antepartum complications on maternal-fetal outcomes during pregnancy.
    • Antepartum complications can have profound effects on maternal-fetal outcomes. Conditions like gestational hypertension or diabetes not only pose risks for the mother but also increase the likelihood of adverse effects on fetal development. For instance, untreated hypertension can lead to placental abruption or fetal growth restriction. Close monitoring and timely interventions are essential in managing these complications to ensure both maternal health and favorable outcomes for the fetus.
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