Changes to the body during pregnancy
What changes occur to the body during pregnancy?
What assessment techniques are different for pregnant clients?
What assessment techniques are different for newborns?
What are the best ways to obtain subjective data from children and adolescents?
What changes occur to the body as a client ages?
During pregnancy, a woman's body undergoes significant changes to support the developing baby. Here's a breakdown of some key changes by trimester:
- First Trimester (Weeks 1-12):
- Hormonal fluctuations can cause nausea, vomiting (often called "morning sickness"), fatigue, and mood swings.
- Breasts become tender and enlarged in preparation for milk production.
- Increased blood flow may lead to a "pregnancy glow" and basal body temperature rise.
- Frequent urination due to the growing uterus putting pressure on the bladder.
- Second Trimester (Weeks 13-27):
- Increased energy levels are common.
- The uterus grows significantly, causing the abdomen to protrude.
- Ligaments loosen to prepare for childbirth, which can lead to backaches.
- Fetal movement may be felt for the first time.
- Third Trimester (Weeks 28-40):
- Fatigue often returns.
- Increased heartburn and shortness of breath due to the upward displacement of organs by the uterus.
- Braxton-Hicks contractions (practice contractions) become more frequent.
- Pelvic discomfort and frequent urination intensify.
- Prenatal screening tests:These tests assess the risk of certain birth defects in the developing baby.
- Fundal height measurement:This measures the uterus's growth to track fetal development.
- Fetal heart rate monitoring:This checks on the baby's well-being.
- Pelvic exam:This assesses the cervix's dilation and effacement (thinning) as pregnancy progresses.
- Apgar score:This evaluates the newborn's appearance, pulse, grimace reflex, activity, and respiration shortly after birth.
- Physical examination:This assesses the baby's overall health, reflexes, and muscle tone.
- Hearing and vision screening:These tests identify potential problems early on.
- Age-appropriate language and tools:Use simple language, drawings, or games to facilitate communication.
- Open-ended questions:Encourage them to elaborate on their feelings and experiences.
- Create a safe and trusting environment:Let them know their responses are confidential and valued.
- Play therapy:For younger children, play can be a valuable tool for uncovering emotions and experiences.
- Musculoskeletal system:Muscle mass and bone density decrease, increasing the risk of falls and fractures. Joints may become stiffer.
- Cardiovascular system:The heart's efficiency can decrease, and blood pressure may rise.
- Sensory system:Vision and hearing may decline.
- Integumentary system:Skin becomes thinner and more susceptible to wrinkles and dryness.
- Cognitive function:Memory and processing speed may decline, although this varies significantly between individuals.