Care of Mother, Child, Adolescent: Psychological and Physiologic Changes of Pregnancy

A collection of vocabulary flashcards covering psychological adaptation, emotional reactions, physiological signs, body system changes, and clinical obstetric terminology based on the lecture transcript.

The most common emotional reaction of a couple having a baby for the first time, characterized by mixed emotions of feeling happy and sad at the same time.

Ambivalence

Accepting the Fetus

A psychological task near the end of the second trimester where the woman and partner merge into the role of novice parents, experience narcissism and introversion, and treat the fetus as a separate individual.

The reaction occurring when a woman must alter or give up her current roles and carefree lifestyle before incorporating her new role as a mother.

Grief (Emotional Response in Pregnancy)

An early reaction to pregnancy characterized by self-centeredness, intense focus on body posture, weight, and clothing choices, as well as protectiveness toward the fetus.

Narcissism (Pregnancy)

A psychological state during pregnancy characterized by turning inward to concentrate on oneself or one's body.

Introversion

A state where a pregnant woman becomes more active, happier, healthier, and outgoing; common among women finding unexpected fulfillment after doubting their fertility.

Extroversion (Pregnancy)

The way a person's body appears to themselves.

Body Image

A zone of separation that a person perceives between themselves and other people.

Body Boundary

A form of extreme male empathy for pregnancy where the partner experiences physical symptoms such as nausea, vomiting, and backache, as well as changing body boundaries, which is not considered a disease.

Couvade Syndrome

Mood swings during pregnancy caused by hormonal changes and narcissism, often resulting in heightened sensitivity and crying.

Emotional Lability

Subjective signs reported by a woman that make her suspect she may be pregnant, though they are not definite or conclusive evidence of pregnancy.

Presumptive Signs

Objective signs observed and documented by a healthcare provider that strongly suggest pregnancy, but are not $100\text{\%}$ conclusive.

Probable Signs

Conclusive, definite, and absolute signs of pregnancy that can only be attributed directly to the presence of a fetus.

Positive Signs

A probable sign of pregnancy characterized by a bluish discoloration of the cervix, vagina, and perineum due to increased vascularity.

Chadwick's Sign

A probable sign of pregnancy referring to the softening of the cervix assessed via bimanual palpation.

Goodell's Sign

A probable sign of pregnancy involving the softening of the lower uterine segment, specifically the isthmus.

Hegar's Sign

A probable sign of pregnancy where the fetus rebounds against the examiner's fingers after the cervix is tapped inside the vagina.

Ballottement

Painless abdominal contractions or periodic uterine tightening that can be relieved by walking.

Braxton Hicks Contraction

Fetal movement felt by the pregnant woman, which is felt stronger at $20\text{ weeks}$ of gestation.

Quickening

A presumptive sign of pregnancy consisting of a line of dark pigment appearing on the abdomen.

Linea Nigra

Also known as the mask of pregnancy, hyperpigmentation of the skin occurring on areas of the face such as the forehead, cheeks, and above the upper lip.

Melasma (Chloasma)

Red streaks or stretch marks on the abdomen caused by pregnancy.

Striae Gravidarum

A white vaginal discharge that occurs during pregnancy.

Leukorrhea

A mucus plug that seals the cervix to protect the uterus and fetus during pregnancy.

Operculum

The first sign of true labor, which usually happens when the operculum (mucus plug) is removed.

Bloody Show

The initial breast milk produced during pregnancy and early postpartum.

Colostrum

Stretching or separation of the rectus abdominis muscle during pregnancy.

Diastasis Recti

Visible small blood vessels on the skin caused by hormonal changes and increased blood flow during pregnancy.

Telangiectasis

Increased salivation experienced during pregnancy.

Hyperptyalism

An excessive arching of the lumbar spine that occurs during pregnancy to compensate for changes in posture.

Lordosis

An altered pattern of walking caused by joint relaxation due to the hormone relaxin.

Waddling Gait

Craving non-food items during pregnancy, which may indicate a underlying nutritional deficiency.

Pica

An obstetric term referring to a woman who is pregnant.

Gravida

An obstetric term referring to the number of pregnancies that have reached viability at $20\text{ weeks}$ gestation or more.

Parity (Para)

A woman who is pregnant for the first time.

Primigravida

A woman who has carried one pregnancy to viability ($20\text{ weeks}$ or more).

Primipara

A woman who has been pregnant multiple times.

Multigravida

A woman who has carried two or more pregnancies to viability.

Multipara

A woman who has never been pregnant.

Nulligravida

The most ideal true pelvic shape for vaginal delivery.

Gynecoid Pelvis