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Prenatal
MAMC exam 9 prenatal care
| Question | Answer |
|---|---|
| TPAL system | Term infants Preterm infants Aborted pregnancies Living children now |
| presumptive signs of pregnancy | amenorrhea N/V breast changes urinary frequency fatigue quickening change in shape of ABD skin changes Chadwick's sign |
| probably signs of pregnancy | Goodell's sign ABD enlargement Hegar's sign Braxton-Hicks Ballottement Fetal outline Pregnancy tests |
| 3 positive signs of pregnancy | FHR fetal movements visualization of fetus |
| average duration of a term pregnancy | 40 weeks |
| Nagele's Rule | ID first day of last normal period count backward 3 months add 7 days |
| define trimester | 13 week part |
| objectives of prenatal care | safe birth for mom & baby risk assessment health edu counseling social support psych support adequate antepartum care |
| initial prenatal visit | obtain demographis data obtain obstetrical history complete past & present medical/surgical history physical exam |
| physiological changes during pregnancy | rest/sleep activity/exercise employment planning bathing hot tubs/saunas douching clothing travel |
| common discomforts during pregnancy | nausea round ligament pain urinary frequency backache constipation varicosities hemorrhoids heartburn nasal stuffiness & epistaxis dyspnea ankle edema |
| protein req. | 25g/day |
| calcium req. | 1000mg/day |
| iron req. | 30mg/day |
| folic acid req. | 0.6mg/day |
| fluid intake req. | 8 glasses of fluid/day (mostly water) |
| psychological adaptions during first trimester | focus on self uncertainty ambivalence |
| psychological adaptions during second trimester | physical evidence of pregnancy fetus as primary focus narcissim & introversion body image changes in sexuality |
| psychological adaptions during thrid trimeser | vulnerability increasing dependence preparation for birth |
| patients with special needs | absence of a partner adolescents older couple |
| methods of prepared childbirth | dick-read bradley lamaze |
Created by:
ealongo
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