4 - Prenatal Care Flashcards
Schedule of prenatal visits.
Monthly for first 7 months
Q 2 weeks during 8th mth
Q week during 9th month
FHR can be heard by Doppler at — gestation.
FHR can be heard by ultrasound stethoscope at — gestation.
10-12 wks
16-20 wks
Measure Fundal Height after —- gestation.
12
When does nurse begin assessing for fetal movements?
16-20 wks
When is Group B Strep (GBS) lab obtained?
35-37 wks
What is the One-Hour Glocuse Tolerance Test?
oral ingestion or IV administration of concentrated glucose with venous sample taken 1 hr later
***fasting not necessary
When is One Hour Glucose test done?
initial visit for at-risk clients
24-28 wks for ALL clients
***>140 mg/dL required follow up
When is Three Hour Glucose test done?
for clients w/ elevated One Hour Glucose tests
What are routine lavs during prenatal visit?
Urinalysis
Glucose Test
PAP smear
Vaginal / Cervical Culture
PPD tuberculosis test
VDRL (Veneral Disease Research Lab)
HIV
TORCH
Maternal Serum Alpha Fetoprotein (MSAFP)
What does TORCH stand for?
Toxoplasmosis Other Infections Rubella Cytomegalovirus Herpes Virus
***screening for a group of infections capable of crossing the placenta
What is the MSAFP test done for?
Maternal Serum Alpha Fetoprotein
used to rule out Down Syndrome (would have a low level)
***done at 15-22 wks
During exam, how can nurse help client ease discomfort?
have them void and breath deeply
Which pattern of fetal movements require further evaluation?
Treat N/V during first trimester?
eat crackers or dry toast 30 min - 1 hr before rising
avoid having an empty stomach
drink fluids b/t meals
What do Kegal exercises help with?
reduce stress incontinence (urine leakage from coughing and sneezing)
What type of underpants for UTIs?
cotton
How to minimize heartburn?
small frequent meals
don’t allow stomach to get too empty or too full
sit up 30 mins after meals
OTC antacids
How to deal w/ constipation?
drink lots of fluids
high fiber diet
exercise
Relieve discomfort of hemorrhoids?
warm sitz bath
witch hazel pads
topical oitments
Dealing w/ Vericose Veins during pregnancy?
rest w/ legs elevated
avoid constrictive clothing
wear support hose
avoid sitting/standing in one position for long periods
avoid sitting w/ legs crossed
sleep in left lateral position
What causes Gingivitis, Nasal Stuffiness and Epistaxis?
elevated estrogen levels
What should cause Braxton Hicks contractions to subside?
change of position and walking
Danger signs during pregnancy
■ Gush of fluid from the vagina (rupture of amniotic fluid) prior to 37 weeks of gestation
■ Vaginal bleeding (placental problems such as abruption or previa)
■ Abdominal pain (premature labor, abruptio placentae, or ectopic pregnancy)
■ Changes in fetal activity (decreased fetal movement may indicate fetal distress)
■ Persistent vomiting (hyperemesis gravidarum)
■ Severe headaches (gestational hypertension)
■ Elevated temperature (infection)
■ Dysuria (urinary tract infection)
■ Blurred vision (gestational hypertension)
■ Edema of face and hands (gestational hypertension)
■ Epigastric pain (gestational hypertension)
■ Concurrent occurrence of flushed dry skin, fruity breath, rapid breathing, increased thirst and urination, and headache (hyperglycemia)
■ Concurrent occurrence of clammy pale skin, weakness, tremors, irritability, and lightheadedness (hypoglycemia)
A nurse is teaching a group of women who are pregnant about measures to relieve backache during pregnancy. The nurse should teach the women which of the following? (Select all that apply.)
A. Avoid any lifting.
B. Perform Kegel exercises twice a day.
C. Perform the pelvic rock exercise every day.
D. Use proper body mechanics.
E. Avoid constrictive clothing.
C. Perform the pelvic rock exercise every day.
D. Use proper body mechanics.
A client who is at 8 weeks of gestation tells the nurse that she isn’t sure she is happy about being pregnant. Which of the following is an appropriate response by the nurse to the client’s statement?
A. “I will inform the provider that you are having these feelings.”
B. “It is normal to have these feelings during the first few months of pregnancy.”
C. “You should be happy that you are going to bring new life into the world.”
D. “I am going to make an appointment with the counselor for you to discuss these thoughts.”
B. “It is normal to have these feelings during the first few months of pregnancy.”
A nurse is caring for a client who is pregnant and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included?
A. Vaginal bleeding
B. Swelling of the ankles
C. Heartburn after eating
D. Lightheadedness when lying on back
A. Vaginal bleeding
A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. The nurse in the prenatal clinic provides teaching that should include which of the following?
A. Eat crackers or plain toast before getting out of bed.
B. Awaken during the night to eat a snack.
C. Skip breakfast, and eat lunch after nausea has subsided.
D. Eat a large evening meal.
A. Eat crackers or plain toast before getting out of bed.
A nurse is teaching a group of clients who are pregnant about behaviors to avoid during pregnancy. Which of the following statements by a client indicates a need for further instruction?
A. “I can have a glass of wine with dinner.”
B. “Smoking is a cause of low birth weight in babies.”
C. “Signs of infection should be reported to my doctor.”
D. “I should not take over-the-counter medications without checking with my obstetrician.
A. “I can have a glass of wine with dinner.”
