Pregnancy Maternal Changes Prenatal Care Chart on Fetal Development 4 weeks Heart beats body flexed arm leg bud 8 weeks All body organs formed 8 12 weeks Heart rate hearing using Doppler 12 weeks Sex determined marrow forming kidneys secreting urine can hear the heart week by at least 12 weeks with a Doppler in the office with an ultrasound device gives us information about the well being of the fetus can count the heart beat and also tells us that the dating how many weeks of growth is right wrong 16 weeks Face looks human sensory organs differentiated 20 weeks Quickening vernix and lanugo present primitive respiratory movements QUICKENING sign of life feeling of movement biblical base the quick and the dead sign of movement the mom and the HCP can feel that the baby is moving by AT LEAST 20 weeks In a 40 week gestation at half point 20 weeks is a pivitol point fetal well being fetal growth halfway in the pregnancy is very important 24 weeks Can hear lecithin in amniotic fluid 28 weeks Brown fat present eyes open suck 32 weeks SQ fat taste 34 35 weeks gestation the point at which we have fetal lung maturity if the fetus was delivered it would have some growing to do but its lung would be matured and it would have adequate surfactant in the lungs should be surfactant in the lungs to decrease the risk for respiratory distress and coat the alveoli 38 weeks Skin pink lanugo and vernix disappearing Surfactant is also present is fetal lungs it lines and coats the alveoli it has a detergent property there is surfactant in any detergent cleanser that bubbles it varies in amounts surfactant that is present coats the alveoli and helps the alveoli to stay expanded with every breath with fetal development there is just fluid no air in the alveoli once the chest expands the baby takes in its first breath all the circulation shifts the compression of the lungs with vaginal birth helps squeeze some fluid out so those alveoli are ready to accept air Having the alveoli coated with surfactant the first breath is very hard but with surfactant present those alveoli do not collapse so every breath gets easier with the newborns For preemies every breath is like blowing up a new balloon can t keep blood glucose Terminology Antepartal Antepartum Prenatal or temperature up Antepartal Antepartum Prenatal Nursing Responsibilities Roles in Antepartal Care Rapport Communication Education Support Reassurance Counseling Assessment screening for risk factors get thorough assessment provide education counseling educator advocate Maternal Psychological Changes in Pregnancy Ambivalence swinging of emotions from one to another not necessarily wild movements but going back and forth with feelings of how the impact of the pregnancy will affect her life Anxiety what is the future to bring How will my body change Can I get prenatal care Will I have to get another job Where will the baby sleep Will I breast bottle feed Internet constantly zooming from site to site look for a credible nursing based websites Mood changes sometimes cravings for foods or certain experiences such as wanting things that are sweet salty some foods make the mother feel nauseated things that she loved suddenly make her grossed out from the smell Role transition I am going to be someones mother he is going to be someones father women tend to migrate towards people who are pregnant or are in the role that she will be in relationship of pregnant women if strong one originally she will tend to spend more time with her mother if relationship negative tends to be more questioning of self doesn t avoid mother but says I wont do this I ll do this differently Developmental tasks of pregnancy go according to trimesters in first trimester first three months acceptance accept the fact that you are pregnant by 12 weeks might not have felt the movement so it is still very abstract body changing first developmental task is accepting the fact that you re pregnant those women who do not know they are pregnant till later in the pregnancy are dealing with acceptance late and then we have compression of a lot of these tasks later in the pregnancy second trimester incorporation women should have felt the baby move inside her and this life inside her has a different rhythm and pattern then her incorporates the fact that inside this skin there are two of us third trimester separation last three months of pregnancy getting ready to separate herself from baby her image shifts and changed bc her tummy and breast are enlarged may have indigestion dealing with different changes ready to get baby into their arms and want to reclaim my own body readiness for separation the reality of pregnancy becomes real three developmental tasks are based on trimester Paternal Psychological Changes in Pregnancy Coping selective process for dad as to whether he wants to be involved with the mother of the child and he has the choice whether he wants to father the baby BE AN FOB father of the baby not actually help with the baby grow coping with the news that there is a pregnancy and try to think and make a plan to how do I respond to this news he has the choice where the mother cant get rid of the pregnancy unless abortion he can choose to be engaged to the wellbeing and prenatal care for the mother of his child and well being of child juggling different options Anxiety who will know Is this important status for me What if my family finds out Even with a planned pregnancy once the pregnancy is confirmed the anxiety about the hear after is real is this abnormal normal how are we going to pay Generativity describe dads who are very engaged in the pregnancy looking to generate income a place to live the planning for often deals with financing is she going to work or not if not how will we cope Role transition if interested in fathering the baby they seek the relationship of people who have already been in this position maybe people who are already fathers Couvade a French term TO HATCH it is used to describe behaviors of pregnant fathers men who accompany women who are present who take on some of the behaviors and s sx that pregnant women have all men do not experience this completely engaged in pregnancy and mother at least 1 3 of men report nausea and some report actual vomiting Styles of paternal involvement dad can choose to be engaged or not in the pregnancy they can absent themselves they can choose to ask questions those who we call the coach very involved and he wants you to know