3rd Trimester Pregnancy Concerns

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Questions and Answers

What physiological change occurs just before ovulation?

Basal body temperature decreases slightly (correct)

Hormonal levels become stagnant

Ovum is released from the ovary

Basal body temperature increases sharply

Which period of the menstrual cycle is fixed in duration?

The entire cycle

Last 14 days (correct)

First 14 days

Ovulation phase

What enhances pain relief during menstruation?

Applying ice packs

Prostaglandin inhibitors like ibuprofen (correct)

Increased physical activity

Taking aspirin for pain

What effect can orgasms have during menstruation?

Increase the amount of menstrual flow Signup and view all the answers

What should adolescents under 18 years avoid taking for pain relief during menses?

Aspirin Signup and view all the answers

What is the primary focus of fetishism in a sexual context?

Gaining arousal from specific objects or situations Signup and view all the answers

Which term describes the act of obtaining sexual arousal by watching others?

Voyeurism Signup and view all the answers

What is a common characteristic of erectile dysfunction?

Inability to maintain an erection Signup and view all the answers

What does vagnismus represent in sexual disorders?

Involuntary muscle contraction during penetration attempts Signup and view all the answers

Primary sexuality refers to what aspect of an individual's development?

Social and cultural definitions of gender Signup and view all the answers

Which sexual issue is characterized by pain during coitus?

Vaginismus Signup and view all the answers

In the context of sexuality, affective sexuality incorporates which of the following?

Experiences related to intimacy and love Signup and view all the answers

Which of the following is NOT a common issue related to sexuality?

Dysfunction in daily work Signup and view all the answers

What physiological change occurs to blood pressure during pregnancy?

It decreases in the second trimester and rises in the third trimester. Signup and view all the answers

Which of the following is a characteristic sign of Idiopathic Deficiency Anemia?

Pallor and slowed capillary refill. Signup and view all the answers

What is the primary nutritional recommendation for managing Iron Deficiency Anemia during pregnancy?

Increase iron-rich foods in the diet. Signup and view all the answers

What is a normal physiological change regarding blood volume during pregnancy?

40-50% increase in blood volume. Signup and view all the answers

Which condition is indicated by edema in the upper extremities during pregnancy?

Pre-eclampsia. Signup and view all the answers

What does Homan's sign indicate in the context of pregnancy?

Deep vein thrombosis or thrombophlebitis. Signup and view all the answers

Which type of varicosity can be managed by wearing panty hose or support stockings?

Normal lower limb varicosities. Signup and view all the answers

What hormonal change occurs during the early stages of pregnancy?

Elevated HCG levels peaking at three months. Signup and view all the answers

What is a common emotional response during the 3rd trimester of pregnancy?

Fear and anxiety about labor Signup and view all the answers

Which of the following may contribute to difficulty in accepting a pregnancy?

Learning about multiple fetuses Signup and view all the answers

What behavior is commonly associated with preparation for birth in the 3rd trimester?

Nesting behavior Signup and view all the answers

What significant event can negatively impact a woman's acceptance of pregnancy?

The main family support person suffers a job loss Signup and view all the answers

What is a typical concern for a woman in the 3rd trimester regarding labor?

Fear of pain and mutilation Signup and view all the answers

Which factor may NOT significantly affect a woman's response to her pregnancy?

The educational background of the woman Signup and view all the answers

What type of behavioral change is referred to as 'role-reversal' in the context of pregnancy?

A supportive person becomes dependent Signup and view all the answers

What kind of medical or family issue could hinder a woman's ability to accept her pregnancy?

Developmental abnormalities in the fetus Signup and view all the answers

What is the Linea Nigra?

A brownish-pink line on the abdomen Signup and view all the answers

Which sign is characterized by the bluish color of the cervix and vaginal mucosa?

Chadwick's sign Signup and view all the answers

What happens to the weight of the uterus during pregnancy?

Increases from 50 g to 1,000 g Signup and view all the answers

What is a common skin change that can occur during pregnancy, characterized by fiery-red branching spots?

Vascular spiders Signup and view all the answers

Which of the following statements correctly describes Amenorrhea during pregnancy?

It is caused by high levels of circulating estrogen and progesterone. Signup and view all the answers

What is the term for the softening of the lower uterine segment during pregnancy?

Hegar's sign Signup and view all the answers

What phenomenon does the term 'Chloasma' refer to during pregnancy?

Pigmented facial patches Signup and view all the answers

How does the depth of the uterus change during pregnancy?

Increases from 2.5 cm to 22 cm Signup and view all the answers

Study Notes

3rd Trimester

Most comfortable stage for many women during pregnancy.
Common fears include labor pain, mutilation, and death.
Anxiety often arises from anticipated responsibilities as a parent.
Nesting behavior and role-playing become prevalent as preparation for birth.

Factors Contributing to Difficulty Accepting Pregnancy

Unintended pregnancy can lead to emotional distress.
Discovering a multiple pregnancy may complicate feelings.
Developmental abnormalities in the fetus can cause significant anxiety.
Close spacing of pregnancies (less than one year apart) can add pressure.
Relocation during pregnancy necessitates finding new support systems.
Role reversals in family dynamics can create tension.
Job loss in primary support person impacts emotional stability.
Partner infidelity may lead to relationship dissolution.
Significant illness in oneself, partner, or family members adds stress.

Menstrual Health

Basal body temperature decreases slightly before ovulation and increases after.
Mittelschmerz is localized pain associated with ovulation.
The menstrual cycle varies in the first fourteen days, while the last fourteen days are more predictable.
Ovulation typically occurs on the 14th day of a 28-day cycle.

Exercise and Well-Being During Menses

Moderate exercise can enhance well-being during menstruation.
Excessive sustained exercise can lead to amenorrhea.

Sexual Relations and Menstrual Cycle

Sexual activity is not contraindicated during menstruation; condoms are recommended.
Orgasms may increase menstrual flow, and conception, while rare, is possible during menstruation.
Activities like running or bathing are generally safe during menses.

Pain Management

Prostaglandin inhibitors (e.g., ibuprofen) are effective for menstrual pain relief.
Local heat application can offer additional comfort.
Avoid aspirin in adolescents due to Reye syndrome risk.
Rest is beneficial if dysmenorrhea disrupts sleep.
Iron supplementation may be necessary to replenish losses during menses.

Sexuality Aspects

Fetishism: Sexual arousal from specific objects or situations.
Transvestism: Dressing as the opposite sex to adopt that role.
Voyeurism: Sexual arousal from observing others undress.
Sadomasochism: Inflicting or receiving pain for sexual pleasure.
Pedophilia: Sexual attraction to children.
Exhibitionism: Publicly exposing one's genitals.

Sexual Disorders

Erectile Dysfunction: Difficulty achieving or maintaining an erection.
Premature Ejaculation: Ejaculating prior to vaginal penetration.
Vaginismus: Involuntary muscle contractions during attempted coitus.
Dyspareunia: Painful intercourse, often linked to vestibulitis.

Endocrine System Changes During Pregnancy

Hormonal changes impact physical balance and processes.
HCG hormone levels peak during the third month and then decline.

Integumentary Changes

Striae Gravidarum: Stretch marks develop from skin stretching.
Linea Nigra: Dark line from the symphysis pubis to the umbilicus.
Chloasma: Pigmented facial patches known as the "mask of pregnancy."
Vascular spiders may appear on the skin.

Reproductive System Changes

Amenorrhea results from sustained high levels of estrogen and progesterone.
Signs of pregnancy include:
- Chadwick's Sign: Bluish coloration of the cervix and vaginal mucosa.
- Goodell's Sign: Softening of the cervix indicating pregnancy.
- Hegar's Sign: Softening of the lower uterine segment.

Uterine Changes During Pregnancy

Length increases significantly, from approximately 6.5 cm to 32 cm.
Depth grows from 2.5 cm to 22 cm.
Width expands from 4 cm to 24 cm.
Weight increases markedly from 50 g to 1,000 g.

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Description

Explore the emotional and psychological aspects during the third trimester of pregnancy. This quiz addresses common fears, anxieties, and dreams related to labor and delivery. Understand how these feelings can impact expectant mothers and their journey to childbirth.