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