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NR-NUR121 | Mother and Child Nursing (MCN) > [10] PRELIMS | PRENATAL CARE > Flashcards

[10] PRELIMS | PRENATAL CARE Flashcards

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1
Q

PURPOSES OF PRENATAL CARE

  • Establish a ____
  • Determine the ____
  • Monitor ____
  • Identify ____
  • Minimize the ____
  • Provide ____
A
  • Establish a baseline of present health
  • Determine the gestational age of the fetus
  • Monitor fetal development and maternal well-being
  • Identify women @ risk for complications
  • Minimize the risk of possible complications
  • Provide education about pregnancy, lactation, and newborn care
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2
Q

NUTRITION

  • Increase of ____
  • Nutrients important in pregnancy: ____
  • Note: The average recommended daily allowance (RDA) of calories for woman of childbearing age is ____.
A
  • Increase of 300 kcal/day
  • Nutrients important in pregnancy: CHON, Ca, Fe, Folic Acid (Vit. B9)
  • Note:The average recommended daily allowance(RDA) of calories for woman of childbearing age is 2,200kcal.
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3
Q

NUTRITION

Vitamin Needs for Pregnant Woman:
* ____
* ____
* ____
* ____

Mineral Needs For Pregnant Woman:
* ____
* ____
* ____
* ____
* ____

A

Vitamin Needs for Pregnant Woman:
* Vit. D
* Vit. A
* Vit.C
* Folic Acid

Mineral Needs For Pregnant Woman:
* Calcium
* Iodine
* Iron
* Flouride
* Zinc

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4
Q

NUTRITION

RDA: 60 grams/day
Sources:
* Meat, fish, poultry, beans, lentils and other legumes; breads and cereals; and seeds and nuts

A

PROTEIN

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5
Q

PROTEIN

RDA: ____

Sources:
* Meat, fish, poultry, beans, lentils and other legumes; breads and cereals; and seeds and nuts

A

RDA: 60 grams/day

Sources:
* Meat, fish, poultry, beans, lentils and other legumes; breads and cereals; and seeds and nuts

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6
Q

NUTRITION

Nutrient: ____
RDA: Adolescent: ____; Adult: ____

Sources:
* Cereals, legumes, nuts, dried fruits, broccoli, green leafy vegetables, and canned salmon and sardines that contain bones

A

Nutrient: CALCIUM
RDA: Adolescent: 1300mg/day; Adult: 1000 mg/day

Sources:
* Cereals, legumes, nuts, dried fruits, broccoli, green leafy vegetables, and canned salmon and sardines that contain bones

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7
Q

NUTRITION

Nutrient: ____
RDA: ____

Sources:
* ____ (found in red and organ meats)
* ____ (found in plant products)

A

Nutrient: IRON
RDA: 30-60 mg/day

Sources:
* heme (found in red and organ meats)
* nonheme (found in plant products)

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8
Q

NUTRITION

Nutrient: ____
RDA: ____

Sources
* liver, lean beef, kidney and lima beans, dried beans, potatoes, whole wheat breads, peanuts, and fresh nuts dark-green leafy vegetables.

A

Nutrient: FOLIC ACID
RDA: 400 mcg/day

Sources
* liver, lean beef, kidney and lima beans, dried beans, potatoes, whole wheat breads, peanuts, and fresh nuts dark-green leafy vegetables.

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9
Q

NUTRITION

FLUIDS
* Recommended is ____ of fluids daily

A

FLUIDS
* Recommended is 8-10
glasses of fluids daily

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10
Q

SPECIAL NUTRITIONAL CONSIDERATIONS

For: ____
* Gynecological Age
* Additional ____ over the kcal/day recommended ____ increases of kcal/day

A

For: Pregnant Adolescent
* Gynecological Age
* Additional 200 over the kcal/day recommended 300 to 400 increases of kcal/day

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11
Q

SPECIAL NUTRITIONAL CONSIDERATIONS

  • Regulate ____
  • ____ for bowel movements
  • ____ - w/ prenatal vitamins
  • ____ - eating foods that have no nutritional value
  • ____
  • ____
A
  • Regulate Sodium Intake
  • Fiber Needs for bowel movements
  • Vegetarian - w/ prenatal vitamins
  • Pica - eating foods that have no nutritional value
  • Lactose Intolerance
  • GDM - Gestational Diabetes Mellitus
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12
Q

SPECIAL NUTRITIONAL CONSIDERATION

Lactation
- Calorie intake = ____ calories more than the non pregnant
- CHON intake = ____
- Calcium & iron = ____
- ____ are often continued

A

Lactation
- Calorie intake = 500 calories more than the non pregnant
- CHON intake = 65 mg/day
- Calcium & iron = same during pregnancy
- Vit. Supplements are often continued

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13
Q

SPECIAL NUTRITIONAL CONSIDERATIONS

Lactation
* Fluids ____
* ____ of coffee/day
* Drugs should be taken w/ ____
* ____ is restricted even occasional single serving

A

Lactation
* Fluids 8-10 glasses
* 2 cups of coffee/day
* Drugs should be taken w/ health care provider’s advice
* Alcohol intake is restricted even occasional single serving

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14
Q

EFFECTS OF EXERCISE

  • A more ____
  • Decrease in ____
  • More rapid return to ____ after delivery
A
  • A more positive self-image
  • Decrease in musculoskeletal discomforts
  • More rapid return to pre-pregnancy weight after Delivery
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15
Q

P1 - GUIDELINES FOR EXERCISE IN PREGNANCY

  • Perform scheduled exercise periods (about ____ for ____).
  • Do not perform ____ in hot, humid weather or if you have fever.
  • Avoid activities that require ____ in direction like jogging.
  • Measure ____ at times of peak activity
A
  • Perform scheduled exercise periods (about 3 times/week for 30 minutes).
  • Do Not perform vigorous exercise in hot, humid weather or if you have fever.
  • Avoid activities that require jumping, jarring motions or rapid changes in direction like jogging.
  • Measure heart rate at times of peak activity
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16
Q

P2 - GUIDELINES FOR EXERCISE IN PREGNANCY

  • Exercise on a ____
  • Avoid exercises and motions that involve ____ or ____
  • ____ before & after exercise.
  • Eat a ____ and ____ snack before the exercise.
A
  • Exercise on a wooden floor or a tightly carpeted surface
  • Avoid exercises and motions that involve deep flexion or joint extension
  • Drink fluids before & after exercise.
  • Eat a protein and complex carbohydrate snack before the exercise.
17
Q

P3 - GUIDELINES FOR EXERCISE IN PREGNANCY

  • Start with a ____ & end with a ____ period (____ each).
  • End exercise program with a period of ____
  • Woman who are beginning an exercise program should ____.
  • Woman should ____
A
  • Start with a warm-up & end with a cool-down period (5 min each).
  • End exercise program with a period of gradually declining activity
  • Woman who are beginning an exercise program should not exceed recommendation for moderate exercise.
  • Woman should exercise at the same time and eat a well-balanced diet
18
Q

P4 - GUIDELINES FOR EXERCISE IN PREGNANCY

  • Women should avoid ____ below a depth of ____ or exercising in altitudes above ____ during pregnancy.
  • Women should avoid getting ____.
  • Intensity of exercise should be modified
    according to the ____
A
  • Women should avoid scuba diving below a depth of 30 feet or exercising in altitudes above 8000 feet during pregnancy.
  • Women should avoid getting overheated.
  • Intensity of exercise should be modified
    according to the “talk test.”
19
Q

P5 - GUIDELINES FOR EXERCISE IN PREGNANCY

  • Stop any activity and contact your health care provider if ____
  • Perform strenuous activities for no longer than ____
  • Do not exercise in the ____ after the ____ of pregnancy.
  • Avoid exercise that employ ____
A
  • Stop any activity and contact your health care provider if any unusual symptoms appear such as dizziness or vaginal bleeding.
  • Perform strenuous activities for no longer than 20 minutes
  • Do not exercise in the supine position after the 4th month of pregnancy.
  • Avoid exercise that employ Valsalva maneuver (holding your breath while bearing down).
20
Q

EXERCISES

  1. Pelvic Rocking / Pelvic Tilt
  2. Abdominal Muscle Contractions
  3. Kegel Exercises
  4. Tailor-Sitting
  5. Squatting
A
  1. ____
  2. ____
  3. ____
  4. ____
  5. ____
21
Q

IMMUNIZATION

  • Vaccines that may be administered in pregnancy: ____ (4)
  • Contraindicated: ____ (4)
A
  • Vaccines that may be administered in pregnancy: Tetanus Diphtheria, Recombinant Hepatitis B, Rabies & Flu Vaccines
  • Contraindicated: Rubeola and Rubella, Chickenpox, Mumps, & the Sabin Poliomyelitis Vaccines
22
Q

TETANUS DIPTHERIA IMMUNIZATION SCHEDULE

MINIMUM INTERVAL:
* Td1 - ____
* Td2 - ____ after Td1
* Td3 - ____ after Td2
* Td4 - ____ after Td3
* Td4 - ____ after Td4

A

MINIMUM INTERVAL:
* Td1 - As early as possible during pregnancy
* Td2 - **1 month **after Td1
* Td3 - 6 months after Td2
* Td4 - 1 year after Td3
* Td4 - 1 year after Td4

23
Q

TETANUS DIPTHERIA IMMUNIZATION SCHEDULE

DURATION OF PROTECTION
* Td1 - ____
* Td2 - ____
* Td3 - ____
* Td4 - ____
* Td5 - ____

A

DURATION OF PROTECTION
* Td1 - None
* Td2 - 3 years
* Td3 - 5 years
* Td4 - 10 years
* Td5 - lifetime

24
Q

SELF-CARE DURING PREGNANCY

  • P____
  • D____
  • P____
  • B____
  • P____
A
  • Personal hygiene bathing
  • Dental health
  • Physical activity
  • Breast care
  • Posture and body mechanics
25
Q

TRAVEL DURING PREGNANCY

  • ____ is generally safe
  • Travel during pregnancy is ____
  • Avoid long trips during the ____
  • ____ when travelling
  • Rest period every ____
A
  • Air travel is generally safe
  • Travel during pregnancy is not contraindicated for low risk pregnant women
  • Avoid long trips during the 3rd trimester
  • Wear seatbelts when travelling
  • Rest period every 2 hours
26
Q

SEXUAL ACTIVITY

Changes in normal sexual response are related to the ____ of pregnancy:
* ____ - less interested in sex
* ____ - more interested in sex
* ____ - less interest in sex

A

Changes in normal sexual response are related to the physiologic changes of pregnancy:
* 1st Trimester - less interested in sex
* 2nd Trimester - more interested in sex
* 3rd Trimester - less interest in sex

27
Q

SEXUAL ACTIVITY

Generally no contraindications except in the presence of:
* M____
* T____
* Partner with ____
* Maternal history of ____
* Premature ____
* Premature ____
* H____
* I____

A

Generally no contraindications except in the presence of:
* Multiple pregnancy
* Threatened abortion
* Partner with sexually transmitted infection
* Maternal history of miscarriage following orgasm
* Premature rupture of membranes
* Premature labor
* History of abortion, bleeding
* Incompetent cervix

28
Q

SEXUAL ACTIVITY

During the last ____of pregnancy, coitus is discouraged

Coitus: Sex

A

6 to 8 weeks

29
Q

SEXUAL ACTIVITY

Facts:
* Coitus on the expected due date does ____
* ____ does not initiate preterm labor
* Coitus does ____

A

Facts:
* Coitus on the expected due date does not initiate labor
* Orgasm does not initiate preterm labor
* Coitus does not cause rupture of the membrane

30
Q

CONTRAINDICATIONS

  • Smoking – ____
  • Alcohol – ____
    Retardation/delays
    Mental retardation
    Craniofacial defects: flat midface, wide nasal bridge, thin upper lip
    Cardiovascular defects
    Limb defects
    Impaired fine gross motor function
  • Caffeine - ____
A
  • Smoking – SGA (Small for Gestational Age) newborn
  • Alcohol – FAS (Fetal Alcohol Syndrome)
    Retardation/delays
    Mental retardation
    Craniofacial defects: flat midface, wide nasal bridge, thin upper lip
    Cardiovascular defects
    Limb defects
    Impaired fine gross motor function
  • Caffeine - Reduce intake only
31
Q

CONTRAINDICATIONS

Drugs - should only be taken by pregnant women when ____
* Intake of ____ in the first trimester can cause most adverse fetal malformations
* Illegal drugs carry the risk of acquiring ____
* ____ - being natural are not always safe because of lack of consistent potency in the active ingredient

A

Drugs - should only be taken by pregnant women when prescribed by their physicians
* Intake of illicit drugs in the first trimester can cause most adverse fetal malformations
* Illegal drugs carry the risk of acquiring HIV & other STD’s
* Herbal supplements - being natural are not always safe because of lack of consistent potency in the active ingredient

NR-NUR121 | Mother and Child Nursing (MCN) (21 decks)

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