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prenatal care
presumptive, probable, positive signs of prego, culture, emo, spec needs, prep
| Question | Answer |
|---|---|
| primigravida | |
| multipara | |
| multigravida | |
| primipara | |
| nullipara | |
| normal weight gain | 25-35 lbs BMI 19.8-26 |
| underweight woman | 28-40 lbs BMI <19.8 |
| overweight woman | 15-25 lbs BMI 26-29 |
| obese | 15 lbs BMI >29 |
| Twins | 35-45 lbs |
| Pattern of weight gain during pregnancy | 3.5 lbs in first trimester, 1lb per week thereafter |
| Nutrient needs are highest when? | during periods of intensive growth during pregnancy and infancy, evidenced by the fact that optimal nutrition duuring prego prevents risk of complication, premies, and low birth weight |
| what are core nutrient needs, other than calories? | protein:25g daily,dairy, eggs, meat, grains, legumes growth/repair of maternal/fetal tissues; Calcium:1000mg, milk, grean leaf veggie, soymilk, substitute; Iron: rbc's 4-6 mos, hemoglobin, Heme in organs, nonheme: dried fruit, 30 mg/day; Folic Acid: 0.6mg |
| what is thought about Sodium? | It is accepted that sodium not be restricted, but excessive amounts should be avoided. Sodium is essential for maintaining normal sodium levels in plasma, bone, brain, and muscle b/c both tissue and fluid expand during the prenatal period. |
| consuming caffeine risks what for the neonate? | small infants for gestational age |
| smoking causes what? | increase in maternal metabolic rate, decreased appetite, resulting in lower weight gain, prematurity, spontaneous abortion and complications |
| pscyhological adaptations during first trimester | emotional labiality, uncertainty, ambivalence, |
| impact during second trimester | Physical Evidence of Pregnancy: physical changes occur in the mother that makes the fetus "real". utereus grows rapidly, weight increases, breasts, quickening, ultrasound reveals fetus |
| Fetal focus | woman's major focus during 2nd trimester, discomforts of 1st trimester decrease, mother now concerned about producing a healthy infant |
| how does a pregnant woman's behavior change in her second trimester? | Narcissism and introversion: increased concern about ability to protect/provide for fetus, less interested in current events, may confuse her partner |
| Her body image may be affected. How? | either she welcomes the change as a positive sign of fetal growth and partner's pride or contribute to negative body image |
| Sexuality is affected in what way? | interest and activity may increase, decline or remain the same. there is no reason to limit sex during pregnancy unless there are complications or the bag of water has ruptured. partners need to communitcate psychological influences, cultural, or religus |
| third trimester impact | women may feel vulnerable, or paranoid about having a deformed baby. pronounced dependence, needed certainty from partner |
| relationship with the fetus changes in the third trimester... | woman acknowledges that they are interrelated but baby is not part of herself. ready for pregnancy to be over, nesting behavior may occur |
| impact on the father | emotionally invested and comfortable as full partners and wish to explore every aspect of pregnancy, childbirth and parenting, |
| what are different ways men deal with their partners pregnancy | emotionally invested, comfortable as full parnters, wish to explore aspects of pregnancy, childbirth, parenting, or task oriented/managers, focus on dieting,coaching and emotionally detaached, nonparticipative, |
| grandparents | age is a determining factor in the emo responsive nature, some react with joy, younger grandparents dont like being seen as old, or grandparents of many, involvment varies |
| cultureal influences | some cultures do not allow ice, discuss ethnic considerations, communication is important, interpreter may be necessary, remember the mother's modesty |
| special needs | absence of a partner, needs social substitute, poverty line, social services, adolescent-coming to terms with own sexuality, |
| preparation classes for childbirth | Dick read Method- fear tension pain cycle, relaxation techniques to interrupt the cycle and avoidance of analgesics. Bradley method: slow abd breathing focus on environment(light, temp, noise control)aka husband coached; Lamaze-focused response to contrxn |
Created by:
redhawk101
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