2546- First Trimester
When does the first trimester occur?
conception- 12weeks
What are the three stages
ovum
embryonic
fetal
When does the ovum stage occur
conception to day 14
what are the three germ layers
1) endo: responsible for the endothelial lining of the respiratory and digestive tract
2) mesoderm: bones, teeth, cardio
3) ectoderm: epidermis, nails, CNS, PNS
what stage is the most vulnerable to tetragons
ovum
crown to rump measurement
4: 0.4-0.5, 0.4g
8: 2.5-3, 2g
12: 6-9, 19g
maternal development: reproductive system
increase of E&P
week 6: cervical softening
heavy and tingling breasts
Maternal Development: cardio
increase in CO, HR
SBP remains the same, DBP decreases sightly
Maternal Development: Renal
Increase GFR
Week 10: bladder sensitivty as pelvis and ureters dialate
Maternal Development: GI
Decrease in appetite, N&V
Increase in ARF
Common maternal symptoms
Gingivitis: inflammation of gums ** hygiene**
Pytolism
Hypermesis Gravidurim
Severe nausea and vomiting
result: weight loss, ketonuria, electrolyte imbalance
disturbed sleep pattern
HMG Treatment
Start with clear liquids and soft foods
Avoid triggers: scents, taste,etc
IV meds: pyridoxine/ doxylamine
metoclopramide
ondansetron- last resort
Types Of Pregnancy loss
Threatened- FHR is there, cervix is closed no ROM
inevitable- nothing can be done
Complete- Fetus passed, as well as placenta
incomplete- Fetus passed, the placenta is still in the uterus
missed- No viable fetus and is still in the uterus
Miscarriage: Expectant care
Consists of letting everything pass naturally
Usually takes up to a month
will be bleeding but should decrease over time
Miscarriage: Medical care
Misoprostol admin
stops progesterone
Induces pregnancy to deliver deceased fetus
Miscarriage: Surgical care
Uterus emptying
Miscarriage: Health teaching
provide emotional support
Do not try again until 2 months
Ectopic Pregnancy
when the fertilized ovum is planted out of the uterus
Usually in the fallopian tube, cervix, intraabdominal
S&S: localized pain, in the abdomen and moves to the shoulder
Cullen sign: bruising around the umbilicus
Ectopic Pregnancy: Methotrexate
Liver and kidney function
Mass must be unruptured and no fetal activity
Can only measure less than 3.5
Beta HCG: less than 5000
Folic acid blocker
IM injection- do not expel air
Nurse-independent double-check
Methotrexate Health Teaching
No sexual intercourse until Beta HCG levels are undetectable
No med stronger than acetaminophen
Avoid sun
Minimum 3mth wait until conception attempt
Hydatidiform Mole (Molar Pregnancy)
Benign growth of trophoblast cells
Grape like clusters
no viable fetus
S&S: Abdominal Pain
Prune Vaginal Bleeding
Hyperthyroid, pre-eclampsia
Molar pregnancy management
Increase in HCG levels
Grape cluster
Suction curettage intervention or spontaneously passes
Embolization is NOT recommended
Molar Pregnancy Health teaching
conception reattempt is in a year
US milestones
The gestational sac is the first structure
6 wk: FHR
8-12: dating US ** Crown to rump**, determining GA
12 wk: Fetal viability, dating, Anamolies, multiple
NT: 11-13.6 wks
Fetal Aneuploidy
one or more missing or extra chromosome
eFTS
11-14 wks
covered
US for NT and biological markers
NIPT
10-12
Criteria
Maternal Blood
CVS
10-13 wks
Removal of small tissue from placenta
Health Teaching: Nutrition
1-2 kg by the first tri, varies on BMI
Food to AVOID: deli, pasteurized, defrosting in fridge
Health Teaching: Caffeine
300mg
240mlX2- 2 cups of coffee
Health Teaching: Supplements
AVOID: vitamin A
GOOD:16-20mg of iron
Vitamin D
| Quiz |
|---|
| homework |
| demografi migration etc |
| Karens Midterm |
| Afrikaans se instruksies |
| Hjärtat |
| geography case studies |
| frans |
| duits H1 (2) |
| duits H1 |
| SO-cold war |
| Laboratório Anexo3Medição em Química |
| SPANISHI would like |
| Salesforce data cloud 2024 |
| KOTOBA PM LEMBAR 10(hal 37,38,39,40-41,43) |
| QUIZ Ethics |
| NSTPdrrm |
| 312 |
| bio 12 quiz on Macro molecules |
| no kärnfysik |
| Normalvärden, triage och HLR |
| Week 4 - Joints (Chapter 9) |
| 6.1 ( school subjects spanish) |
| 5.3 (directions spanish) |
| 5.2 ( why you go there spanish) |
| 5.1 (Places in town Spanish) |
| voc 5 (The death penalty) |
| Palavras ou expressões p1 em inglêsP1 |
| unidad 2 |
| p |
| O |
| MIDTERMS THEORY |
| Glosor |
| COUNTRIES CAPITAL AND CURRENCIESby Ayaz Sindhi |
| KOTOBA PM LEMBAR 9(hal 34,35,36,37) |
| OB |
| FREN 3P03 VOCABULAIRE |
| Ite 366 |
| Parcial 1 |
| Quiz Gine Parcial |
| S&A |
| gr 9 science exam 1 |
| Week 6 - Nervous System Chapter 12 |
| Week 5 - Axial Skeleton (Chapter 7) |
| FREN 3P03 |
| Diritto PrivatoIl diritto è un sistema di regola per la soluzione di conflitti fra gli uomini. |
| Chapter 21 vessels |
| NO |
| ses |
| MAD Mobile Application development MIDTERM part 2 |
| MAD Mobile Application development MIDTERM part 1 |
| MAD Mobile Application development chapter 5 part 2 |
| MAD Mobile Application development chapter 5 part 1 |
| MAD Mobile Application development chapter 4 part 4 |
| MAD Mobile Application development chapter 4 part 3 |
| MAD Mobile Application development chapter 4 part 2 |
| MAD Mobile Application development chapter 4 part 1 |
| MAD Mobile Application development chapter 3 |
| MAD Mobile Application development chapter 2 |
| MAD Mobile Application develooment chapter 1 part 2 |
| MAD Mobile Application develooment chapter 1 part 1 |
| Ganda - copy |
| ak hoofdstuk 1 havo 2 |
| ITP |
| glosor V.40 |
| kap 7 |
| Duits woordenlijst |
| Kompletering prefix små tal |
| にほんごの質問 |
| Matte complwtering prefix stora tal |
| Grunder i belysningsteknik övningstenta A+BÖvningstenta |
| STAINS |
| zahlen |
| frage wörter |
| Konjugation verben auf -ar |
| Konjugation ser |
| 3Osso dell'anca, ileo, ischio, pube |
| LO1 |
| Glosor v41 |
| FRÅGOR |
| KOTOBA PM LEMBAR 8(hal 31,32,33,34) |
| banking gk and awareness |
| Fysik 5.1 , 5.2 Rörelse åk 8 |
| Anatomofisiologia |
| CHAPTER 4 |
| anatomia 2 parcial |
| French and indian warSTUDY |
| systeme nerveux |
| Enzymes, Chemical Peels, Circadia Cocoa Enzyme Lactic Acid Treatment |
| intrinsic aging and hormones |
| koder pli |
| Vicios del lenguaje |
| burn |
| wound |
| Auf die Räder |
| auro |
| cosmeceuticals |
| galvanic |
| Science 9 test 1 |
| neurulacion |
| come si scirvere un cv |
| CVlinguaggio formale. come scivere una cover letter. |
| notocorda |
| anglais |
| definition and characteristics of rubrics |
| les autochtones |
| ORG AGRI REVIEWER |
| vocabulaire 1er chapitre term |
| Kapitel 10 |
| intrinsic aging and hormones |
| Kapitel 9 |
| FOLA M1 |
| Auteurs sociologie contemporaine |
| Genesis 1:2 And the earth was without form, and void; and darkness was upon the |
| sinterizzazione |
| Kapitel 1 - copy |
| BASIC KEYBOARDING |
| 1L1M Understanding the self |
| ROTC |
| KOTOBA PM LEMBAR 7(hal 26,27,28,29,30) |
| Drinkar 3De 10-20 första drinkarna |
| class 12 ch 1 |
| enzymes |
| PAE 2P |
| modernismo y posmodernismo |
| microbiology |
| parcial 1 y 2 - copia |
| Enzymes, Chemical Peels, Circadia Cocoa Enzyme Lactic Acid Treatment |
| FREN 3P05 Test 1 oct 2024 |
| Urinary system |
| historia |
| inglês palavras adjetivos(p1)Palavras e expressões guardadas de Português para inglês e vice versa
Adjetivos |
| french untie 1 |
| Quiz 2 Body mechanics |
| Week 4 - Skeletal System (Chapter 6) |
| Chapitre 1c semaine 40 ord + futurum med ALLER |
| kapitel 8 |
| prefix |
| kranialnerver |
| Lab Heart |
| Cirkulationssystemet |
| the younger brother's inheritance |
| Kort transaksionele tecks woordeskat |
| evolution |
| biology |
| CHAPTER 3: TYPICAL SIGNS AND SYMPTOMS OF PSYCHOPATHOLOGY (PART 3) |
| 40 |
| civil olyndand |
| Grammar Ending's German |
| Salesforce Data Cloud 1 - copy |
| Kapitel 6 |
| C# Chapter 4 part 2 |
| C# Chapter 4 part 1 |
| C# Chapter 3 Part 2 |
| C# Chapter 3 Part 1 |
| C# Chapter 2 Part 2 |
| C# Chapter 2 Part 1 |
| C# Chapter 1 part 2 |
| C# Chapter 1 part 1 |
| Kapitel 4 |
| KOTOBA PM LEMBAR 6(hal 19,20,21,22-23,24,25,26) |
| Kaptiel 3 |
| Cognitive psychology attention |
| 76-100 |
| قیافه شناسی |
| marketing |
| Paris Basin |
| انتقال ها |
| Market StudiesMarket Studies is a discipline used to understand the market, the customers, the development of the offer and the position of the brand & its communication. |
| Many Kingdoms |
| SCI-401 |
| Pacial Gine |
| morfologia das articulações |
| articulacoes |
| articulações anatomia humana |
| Spanska v. 40 |
| Forensic Toxicology |
| Math, Unit 2 Quiz |
| Blodet |
| kap 1 |
| BLED CHAP 12 |
| TLE (tech) (1st exam)Study!!! |
| BLED CHAP 11 |
| integumentary |
| CHAPTER 3: TYPICAL SIGNS AND SYMPTOMS OF PSYCHOPATHOLOGY (PART 2) |
| ekologi |
| Analyse qualitative des données |
| Spanska - djur 1 |
| Spanska - djur |
| Sociologie des mobillitéjj |
| tyska glosor |
| Handel och logistik - kopia |
| ModalsModal is an auxilliary verb |
| KOTOBA PM LEMBAR 5(hal 15,16,17,18) |
| Drinkar 2De 10 första drinkarna |
| Merkantilism |
| Keynesianismen |
| Kanji 一 |
| Handel och logistik |
| aparato reproductor femeninocompruebe los temas estudiados de el aparato reproductor femenino |
| 51-75 |
| Math GRE |
| BAB 25 |
| la materia y sus interacciones |
| endocrinologia |
| Rock |
| PSYC-2018 Quiz |
| Revolution francaise |
| Lavar |
| Drinkar VGHär kommer ett härligt sätt att övar på drinkar! |
| Spanska |
| Forensic Ballistics (3) |
| English vocabulary 3 |
| atividades de ocio |
| Resonera |
| Djur stamtavla |
| Ropa |
| Tipos de comercio |
| интеркаларни, латерални, трауматични меристеми и меристемоиди |
| Normas de trabajo y seguridad. 1 |
| Вегетациона купа коријена |
| HEPSY Cours 2 |
| DNL |
| havo maatschappijleer se1 |
| Virology |
| Hi |
| NEURO TD2 |
| computer |
| gs so 2.2,3,5 |
| Geo glaciersHehe |
| Mandarin |
| hge |
| KOTOBA PM LEMBAR 4(hal 12,13,14,15) |
| Anglais S5 Voc 1 |
| kap 6 |
| Animal physiology |
| Forensic Ballistics (2) |
| GEOGRAFIA |
| FÍSICA |
| sistema oseosistema oseo |
| moment 1 |
| FILOSOFIA |
| musculosmusculos de la cabeza |
| Léna |
| Sociology |
| Relgion prov 1 |
| Test 1 |
| BIOLOGIA 2.0 |
| lite randoms |
| frågor |
| färger |
| kläder |
| veckodagarna |
| Jag är... |
| Food accessories |
| Food |
| Djur |
| math |
| مکتب ها |
| scheikunde se1 |
| Gender and Society |
| KOTOBA PM LEMBAR 3(hal 8,9,10,11,12) |
| AP 10 |
| Chapter 20 Cardiac |
| Java 2 chapter 10 review study |
| Java 2 Chapter 8 review study |
| Vegetaciona kupa stabla |
| Java 2 chapter 9 review study |
| LED fakta |
| Suffixes Forming AdjectivesSuffixes which transform any parts of speech into adjective |
| voc 4 (america's gun culture) |
| Ljustekniska storheter och enheterklar |
| 16 LERNWORTSCHATS |
| VerbChoose the correct answer and earn points! Good luck!! |
| Suffixes Forming NounsSuffixes which transform any parts of speech into noun |
| intro to transpo L1 |
| Kapitel 2 |
| Ljusfördelning och avbländning |
| Art and power : the power of music |
| its PL1 |
| svt 2 |
| Mossor |
| H1 zinnen |
| inflation |
| Duits schritt 41 (3vwo) |
| herman vocab 28 |
| نکاتی که سختن |
| نکاتی که سختن |
| voc 2 |
| biologia |
| USCP FINAL |
| HOPE 1 |
| gastrulacion |
| social |
| vicios de lenguajeestudiar |
| psychology approaches |
| tora |
| glosor v.39 |
| engels woordjes h1 |
| wush |
| TRIP |
| sooo |
| KOTOBA PM LEMBAR 2(hal 7,8) |
| Purcomm |
| Frans E1 (3 vwo a) |
| Glosor v.39Glosor till kapitel 3 i texboken |
| Frans B1 (3 vwo a) |
| Frans A1(3 vwo a) |
