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Concept MapNLE · Antepartum, Intrapartum & Postpartum Care

NLE Antepartum, Intrapartum & Postpartum Care — Normal Pregnancy: Physiologic & Psychological ChangesConcept Map

A concept map of Normal Pregnancy: Physiologic & Psychological Changes for the NLE, showing how the main ideas in the chapter connect.

Super Tutor's review for Midwife Licensure Exam (as “Normal Pregnancy, Labor & Postpartum”) uses these same chapters, so they live here in the NLE section.

Normal Pregnancy: Physiologic & Psychological Changes - Concept Map

Normal Pregnancy as a Physiologic and Developmental Process

Related concepts

Signs of Pregnancy

Sub concepts

  • Presumptive Signs (least reliable, subjective)
  • Probable Signs (objective, not conclusive)
  • Positive Signs (diagnostic, conclusive)

Relationship to central

Foundation for confirming pregnancy diagnosis; organized by reliability level

Maternal Physiologic Adaptations

Sub concepts

  • Reproductive System Changes
  • Cardiovascular Changes
  • Respiratory Changes
  • Gastrointestinal Changes
  • Renal and Urinary Changes
  • Integumentary Changes
  • Musculoskeletal Changes
  • Metabolic and Endocrine Changes

Relationship to central

System-wide changes preparing body for pregnancy, birth, and lactation

Fetal Development Stages

Sub concepts

  • Pre-embryonic Stage (Weeks 1-2)
  • Embryonic Stage (Weeks 3-8)
  • Fetal Stage (Week 9 to Birth)
  • Key Developmental Milestones
  • Fetal Viability and Maturity Indicators

Relationship to central

Progressive growth and maturation from conception to birth

Pregnancy Dating and Estimation

Sub concepts

  • Naegele's Rule
  • Fundal Height Assessment (McDonald's Rule)
  • Ultrasound Dating
  • Last Menstrual Period (LMP) Method

Relationship to central

Critical for monitoring normal fetal growth and planning care

Maternal Psychological Changes

Sub concepts

  • Trimester-Specific Emotional Patterns
  • Maternal Tasks (Rubin's Theory)
  • Body Image and Self-Concept Changes
  • Partner and Family Dynamics
  • Mental Health Screening

Relationship to central

Emotional and cognitive adaptation throughout pregnancy

Common Discomforts and Management

Sub concepts

  • Nausea and Vomiting
  • Heartburn and Indigestion
  • Constipation and Hemorrhoids
  • Backache and Musculoskeletal Pain
  • Leg Cramps
  • Varicosities and Edema
  • Urinary Frequency

Relationship to central

Normal adaptations causing discomfort; nursing interventions for relief

Prenatal Danger Signs

Sub concepts

  • Vaginal Bleeding
  • Fluid Leakage or Gush
  • Severe Headache and Visual Changes
  • Facial and Hand Edema
  • Epigastric Pain
  • Persistent Vomiting
  • Fever and Chills
  • Dysuria
  • Absent or Decreased Fetal Movement
  • Uterine Contractions Before 37 Weeks
  • Convulsions

Relationship to central

Critical complications requiring immediate medical intervention

Fetal Circulation and Placental Function

Sub concepts

  • Placental Structure and Function
  • Placental Hormone Secretion
  • Fetal Circulatory Shunts
  • Umbilical Cord Structure
  • Amniotic Fluid Function

Relationship to central

Support systems enabling fetal survival and growth in utero

Nursing Assessment During Pregnancy

Sub concepts

  • Pregnancy Confirmation and Dating
  • Obstetric History Taking (GTPAL)
  • Vital Signs and Weight Monitoring
  • Fetal Assessment
  • Psychosocial Screening

Relationship to central

Systematic evaluation to monitor normal pregnancy progression

Nursing Management and Support

Sub concepts

  • Patient Education and Counseling
  • Normalization of Physiologic Changes
  • Self-Care Support
  • Partner and Family Involvement
  • Anticipatory Guidance by Trimester
  • Prenatal Care Adherence

Relationship to central

Evidence-based interventions promoting healthy pregnancy outcomes

Concept connections

  • Signs of PregnancyNursing Assessment During PregnancyPresumptive and probable signs guide initial assessment to recognize pregnancy; positive signs confirm diagnosis
  • Maternal Physiologic ChangesCommon Discomforts and ManagementSpecific adaptations in each system directly cause the discomforts; understanding the physiologic basis helps target relief measures
  • Pregnancy Dating and EstimationFetal Development StagesAccurate gestational age determination is essential for monitoring if fetal development is progressing normally for weeks of gestation
  • Fetal Development StagesPrenatal Danger SignsDevelopmental milestones help assess normal fetal wellbeing; absence of expected milestones signals danger (decreased movement, lack of FHR)
  • Maternal Physiologic ChangesPrenatal Danger SignsPathologic exaggerations of normal changes constitute danger signs (hypertension, severe edema, persistent vomiting)
  • Maternal Psychological ChangesNursing Management and SupportUnderstanding trimester-specific emotional patterns allows nurses to provide appropriate anticipatory guidance and psychosocial support
  • Fetal Circulation and Placental FunctionFetal Development StagesThe placental and fetal circulatory systems support all fetal development and growth; their function determines fetal viability
  • Pregnancy Dating and EstimationNursing Assessment During PregnancyAccurate dating is foundational assessment that guides all subsequent monitoring and risk assessment throughout pregnancy
  • Common Discomforts and ManagementNursing Management and SupportTeaching about relief measures is a primary component of nursing education and supportive care in pregnancy
  • Maternal Psychological ChangesMaternal Physiologic ChangesHormonal and metabolic changes drive mood lability and emotional patterns; psychological adjustment is intertwined with physiology
  • Prenatal Danger SignsNursing Assessment During PregnancyAssessment includes screening and teaching about danger signs so women recognize when to seek immediate care
  • Fetal Circulation and Placental FunctionPrenatal Danger SignsPlacental insufficiency and circulatory compromise manifest as danger signs (absent fetal movement, concerning FHR)
  • Maternal Physiologic ChangesMaternal Psychological ChangesBody image changes from physiologic adaptations influence emotional response and psychological adjustment throughout pregnancy
  • Nursing Assessment During PregnancyNursing Management and SupportAssessment findings guide all nursing interventions, education, and support planning throughout prenatal care

Diagrams

Normal Pregnancy: Complete Concept Map

Comprehensive mind map showing the hierarchical organization of all major concepts related to normal pregnancy, including signs, physiologic changes by system, fetal development, dating methods, psychological changes, common discomforts, danger signs, and nursing care components. This map visually demonstrates how all these elements interconnect to support understanding of normal pregnancy as a physiologic and developmental process.

Pregnancy Confirmation and Dating Process

Flowchart demonstrating the clinical decision-making process for confirming pregnancy and establishing accurate dating using Naegele's rule and physical assessment. This illustrates how nurses systematically progress from history to examination to laboratory/ultrasound confirmation, following clinical protocols for pregnancy establishment.

Maternal Physiologic Adaptations by System and Clinical Significance

Flowchart mapping all eight major body system physiologic adaptations in pregnancy, showing the specific changes that occur, their clinical significance, and appropriate nursing interventions. This helps clinicians understand that adaptations are normal but require assessment and education to distinguish normal from pathologic findings.

Fetal Development Timeline and Key Milestones

Timeline flowchart showing the three stages of fetal development (pre-embryonic, embryonic, and fetal) with key milestones at specific gestational ages. Incorporates nursing implications for each developmental stage, highlighting critical periods for assessment and patient education.

Psychological Changes and Maternal Tasks Throughout Pregnancy

Flowchart illustrating the three trimester-specific emotional patterns and Rubin's maternal tasks that characterize normal psychological adaptation to pregnancy. Shows how ambivalence, acceptance, and preparation progress sequentially, with corresponding nursing interventions and teaching needs at each stage.

Prenatal Danger Signs: Recognition and Immediate Action

Comprehensive flowchart of all prenatal danger signs organized by symptom, with associated differential diagnoses and immediate nursing actions. Critical for NLE preparation as nurses must teach pregnant women to recognize and report these signs immediately, distinguishing them from normal discomforts.

Nursing Care Sequence: Pregnancy Confirmation Through Initial Prenatal Care

Sequence diagram showing the interaction between the pregnant woman, nurse, healthcare provider, and supporting services during pregnancy confirmation and initial prenatal care establishment. Illustrates the collaborative nature of obstetric care and the nurse's central role in assessment, education, and support.

Psychological Adaptation Stages Throughout Pregnancy

State diagram depicting the psychological adaptation stages from conception through the early postpartum period. Shows the transition points between trimester-specific emotional states and the corresponding nursing focus for each phase. Illustrates that pregnancy is a developmental process with predictable emotional patterns.

Composition of Umbilical Cord and Blood Vessel Function

Pie chart showing the composition of the umbilical cord with emphasis on the AVA (2 Arteries + 1 Vein) structure. This is clinically significant because a single umbilical artery is a deviation from normal and warrants closer newborn assessment. The chart illustrates the proportional representation of vessels and supportive tissue.

Normal Pregnancy: Physiologic & Psychological Changes is chapter 1 of 4 in the Antepartum, Intrapartum & Postpartum Care part of Super Tutor's NLE review. The Philippine Nurse Licensure Examination (PNLE) is given by Professional Regulation Commission (PRC) — Board of Nursing; its dates, format and passing rules are on the NLE page. See the NLE guide.

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