nursing care during pregnancy
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| What are trimesters broken into for preg? | 1st: 1wk - 13
2nd: 14 - 26
3rd: 27 - term(37-40)
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| 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
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| what are two feelings women express in partner relationship? | Feeling loved/valued and having child accepted
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| Who is generally most important person to preg woman? | father of her child. Fewer s/s, complications, better postpartum
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| Sex interest increases when in preg? Decr when? | incr in 2nd, decr in 3rd
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| 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"
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| what is the couvade syndrome for fathers to be? | have preg like s/s
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| what are three styles of involvement fathers to be may adopt in preg | observer, expressive/emotional, instrumental(tasks to perform)
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| What is partner's main role in preg? | nurture and respond to preg feelings of vulnerability
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| what is purpose of prenatal care | id existing risk factors and any deviations from norm
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| what can happen to toddlers during preg and birth of new sibling | clingy and revert to dependent behaviors in toilet training
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| 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
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| What is huge adv of grandparents for preg women? | bridge gap from adol with own mother
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| 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
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| What does the Lamaze offer preg women? | empowers confidence in body, trust inner wisdom, make informed choices
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| What is the centering preg approach? | prenatal care by midwife to assess risk, edu, support in group setting with holistic/comprehensive focus
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| What is usually initial reason to seek care in preg? | info for what is normal during preg
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| What is necessary before screening preg woman for drugs | informed signed consent
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| What is in most assessments of physical examination? | VS, BP, ht, wt, BMI, urine spec, one vaginal exam is recommended
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| when is the glucose tolerance test given in preg? | 28 wks
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| What is considered prehypertensive in preg? hypertensive? | pre:120-139/80-89
Hyp: 140/90
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| what are signs of prob in 1st tri | severe V/D, chills, fever, burning w/ pee, cramping, bleeding
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| 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
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| What could incr of fundal height mean? Decr in fundal ht mean? | incr: multifetal, hydramnios
decr: IUGR intrauterine growth restriction
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| Quickening happens when? | Feeling life in 16-20 wks
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| 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
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| Can women with HIV positive breast feed? | no, discouraged bc of HIV transmission
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| What sports should be avoided in preg? | downhill skiing, ice hockey, soccer, basketball, scuba diving
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| What are two most common causes of fetal deaths? | 1. result of injury
2. placental separation(abruptio placentae) from collision
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| Is drinking any alcohol advised? | no, complete abstinence
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| Smoking can cause what in preg? | preterm labor, PROM, abruptio placentae, placenta previa, fetal death
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| Discomforts to preg | ptyalism- excessive salivation "ptooee"
epistaxis- nosebleeds
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| How to recognize preterm labor | contractions q 10 min for 1hr, bloody spotting/liquid
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| what is a muneco? | Mexican women have cord to prevent mornign sickness adn ensure safe birth worn over umbilicus
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| Latinos view sex as what? Vietnamese view sex how? | Latinos: neccesary to lubricate canal
Viet: sex harm mom and baby
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| Which ethnic group has highest adol birth rate? In industrialized world? | Hispanic adolescents
US
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| Which group of women are at risk for LBW infants? | primipara 35+
LBW, premature birth, IUGR, abruptio placentae, multiple births
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| Congenital malformations are twice as likely in which twin | monozygomatic
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| How much wt should be gained in preg | 25-35 lbs
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| What is key issue for preg women to attend child birthing classes? What is key to childbirth satisfaction? | fear of pain
Control in childbirth
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