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107 Ch. 11
nursing care during pregnancy
| Question | Answer |
|---|---|
| What are trimesters broken into for preg? | 1st: 1wk - 13 2nd: 14 - 26 3rd: 27 - term(37-40) |
| How do you estimate EDB (estimated date of birth)? | nagele's rule: first day of LMP subract 3 months add 7 days + 1 yr OR 7 + LMP + 9 mos |
| what are two feelings women express in partner relationship? | Feeling loved/valued and having child accepted |
| Who is generally most important person to preg woman? | father of her child. Fewer s/s, complications, better postpartum |
| Sex interest increases when in preg? Decr when? | incr in 2nd, decr in 3rd |
| what are 3 phases of mother-child relationship that dev. | phase 1: accepts, "I am preg" 2: accepts fetus "I am having baby" 3: "I am going to be a mother" |
| what is the couvade syndrome for fathers to be? | have preg like s/s |
| what are three styles of involvement fathers to be may adopt in preg | observer, expressive/emotional, instrumental(tasks to perform) |
| What is partner's main role in preg? | nurture and respond to preg feelings of vulnerability |
| what is purpose of prenatal care | id existing risk factors and any deviations from norm |
| what can happen to toddlers during preg and birth of new sibling | clingy and revert to dependent behaviors in toilet training |
| what is response of 1yr sibling? 3yr, school age, adol, teens | 1yr: unaware 2yr: sameness, Mom's fat 3yr: hear own story, worry how fed school: concrete, more clinical adol: sex, critical teen: comforting, like adutls |
| What is huge adv of grandparents for preg women? | bridge gap from adol with own mother |
| Doctor visits start out once a month, then q 2wks, then q wk, when does this occur? | Wk 28 q2wks, wk 36 q wk til birth |
| What does the Lamaze offer preg women? | empowers confidence in body, trust inner wisdom, make informed choices |
| What is the centering preg approach? | prenatal care by midwife to assess risk, edu, support in group setting with holistic/comprehensive focus |
| What is usually initial reason to seek care in preg? | info for what is normal during preg |
| What is necessary before screening preg woman for drugs | informed signed consent |
| What is in most assessments of physical examination? | VS, BP, ht, wt, BMI, urine spec, one vaginal exam is recommended |
| when is the glucose tolerance test given in preg? | 28 wks |
| What is considered prehypertensive in preg? hypertensive? | pre:120-139/80-89 Hyp: 140/90 |
| what are signs of prob in 1st tri | severe V/D, chills, fever, burning w/ pee, cramping, bleeding |
| what are signs of prob in 2nd/3rd tri? | sever V/D, sudden discharge of fluid, bleeding, severe backache, no mvmt, cramping, blurring, swell face, headaches, abd pain, + glucose |
| What could incr of fundal height mean? Decr in fundal ht mean? | incr: multifetal, hydramnios decr: IUGR intrauterine growth restriction |
| Quickening happens when? | Feeling life in 16-20 wks |
| What is the MSAFP, maternal serum alpha fetoprotein test done for? what is triple screen test for? | MSAFP: 15-20 wks for NTDs Triple screen: Down syndrome |
| Can women with HIV positive breast feed? | no, discouraged bc of HIV transmission |
| What sports should be avoided in preg? | downhill skiing, ice hockey, soccer, basketball, scuba diving |
| What are two most common causes of fetal deaths? | 1. result of injury 2. placental separation(abruptio placentae) from collision |
| Is drinking any alcohol advised? | no, complete abstinence |
| Smoking can cause what in preg? | preterm labor, PROM, abruptio placentae, placenta previa, fetal death |
| Discomforts to preg | ptyalism- excessive salivation "ptooee" epistaxis- nosebleeds |
| How to recognize preterm labor | contractions q 10 min for 1hr, bloody spotting/liquid |
| what is a muneco? | Mexican women have cord to prevent mornign sickness adn ensure safe birth worn over umbilicus |
| Latinos view sex as what? Vietnamese view sex how? | Latinos: neccesary to lubricate canal Viet: sex harm mom and baby |
| Which ethnic group has highest adol birth rate? In industrialized world? | Hispanic adolescents US |
| Which group of women are at risk for LBW infants? | primipara 35+ LBW, premature birth, IUGR, abruptio placentae, multiple births |
| Congenital malformations are twice as likely in which twin | monozygomatic |
| How much wt should be gained in preg | 25-35 lbs |
| What is key issue for preg women to attend child birthing classes? What is key to childbirth satisfaction? | fear of pain Control in childbirth |
Created by:
palmerag
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