Maternal Adaptation Part 1

signs

Subjective signs (12 weeks)

Fatigue

Subjective signs (3-4 weeks)

Breast tenderness

Subjective signs (4-14 weeks)

Nausea and vomiting

Subjective signs (4 weeks)

Amenorrhea

Subjective signs (6-12 weeks)

Urinary frequency

Subjective signs (16 weeks)

Hyperpigmentation of skin

Subjective signs (16-20 weeks)

Fetal movements

Subjective signs (7-12 weeks)

Uterine enlargement

Subjective signs (6 weeks)

Breast enlargement

Objective signs (16-28 weeks)

Braxton hicks contractions

Objective signs (4-12 weeks)

Positive pregnancy test

Objective signs (14 weeks)

Abdominal enlargement

Objective signs (16-28 weeks)

Ballottement

Objective signs (5 weeks)

Goodell sign

Objective signs (6-8 weeks)

Chadwick sign

Objective signs (6-12 weeks)

Hegar sign

Hegar sign

softening of the lower uterine segment or isthmus

Goodell sign

softening of the cervix

Chadwick sign

bluish-purple coloration of the vaginal mucosa and cervix

ballottement

The examiner pushes against the woman’s cervix during a pelvic examination and feels a rebound from the floating fetus

Positive Signs: Ultrasound verification of embryo or fetus

4 to 6 weeks

Positive Signs: Fetal movement felt by experienced clinician

20 weeks

Positive Signs: Auscultation of fetal heart tones via

Doppler (10-12 weeks)