antepartem Flashcards
Interventions for nausea/vomiting
avoid greasy foods
eat small frequent meals
try crackers/toast
Carbonated drinks
Good, oral care
interventions for stuffy nose
Cool compress
Cool humidifier
Interventions for breast, enlargement/sensitivity
non-tight bra
Good posture
Avoid soap on nipples
Warm showers
interventions for urine frequency
avoid drinks before bed
Limit caffeine
Keagle exercises
Void every two hours
interventions for increased leukorrhea
Bathing
Avoid soap on volva
Loose, cotton undies
Avoid douching
interventions for increased fatigue
Rest
Balanced diet
Iron rich foods
Napping
interventions for heartburn
Small, frequent meals
Avoid fatty/fried food
Avoid caffeine
Upright one hour after eating
Non-sodium antacid
interventions for ankle edema
Rest on left side
Avoid tight clothes
elevate legs
Move every one to two hours
Interventions for varicose veins
elevate legs
Supportive hose
Avoid crossing legs
Avoid standing, long periods of time
interventions for hemorrhoids
Avoid tight clothes
Witch hazel compress
Avoid straining
Sitz bath
Topical ointments
interventions for backaches
Heat
Pelvic rocking
Firm mattress
interventions for constipation
Moderate exercise
Increase fluids and fiber
Avoid mineral oil
interventions for leg cramps
Calcium/phosphorus, rich foods
Rest, massage
Warmer clothes
Dorsiflex foot pull toes toward leg
interventions for supine, hypotension/vena cava syndrome
Avoid lying flat
lie on left side
Flex knees
interventions for dyspnea
Proper posture
Semi Fowlers with sleep
Additional pillows
Respiratory assessment
interventions for flatulence
Avoid gas foods
chew thoroughly
Avoid straws
Recommended weight gain during first trimester
1.1–4.4 pounds.
normal weight gain during last two trimesters
About 1 pound per week
presumptive signs of pregnancy
Amenorrhea
N/V
Excess fatigue
Urinary frequency
Breast changes
probable signs of pregnancy
Changes in pelvic organs
Abdomen enlarges
Striae
Braxton Hicks
Uterine soufflé
Pigment changes of skin
Positive pregnancy test
Palpation of fetal outline
positive signs of pregnancy
Auscultation of fetal heartbeat
Fetal movement
Visualize fetus in ultrasound
GTPAL
G – number of pregnancies, including current
T– term 37 weeks or greater
P – number of preterm deliveries 20 to 36, six weeks
A – number of pregnancies less than 20 weeks
L – # living children
Naegele’s rule
First day LMP
-3 months
+7 days
danger signs
Gosh of fluid from vagina
Vaginal bleeding
Abdominal, epigastric pain
Fever
Dizzy, blurred vision/spots
Persistent, vomiting
Seizures
Oliguria, dysuria
Absent fetal movement
When should fetal movement kick counts be monitored
16–22 weeks
went to contact HCP when monitoring FMC
Less than 10 in two hours
what to avoid
High heels
Hot tub/hot water
Hyperthermia
Overheating
what vaccine should be encouraged during pregnancy?
Flu and Tdap
what ethnicities are more likely for adolescent pregnancies
African-American
Hispanic
T/F the adolescent becomes an emancipated minor when pregnant
True
fluid requirements during pregnancy
8 to 10 glasses of fluid
Half should be water
PICA
craving nonnutritive substances, such as clay, soil, soap
Indicates iron deficiency
interventions for round ligament pain
Warmth
interventions for carpal tunnel
Avoid repetitive hand movements
Splints
What is considered spontaneous abortion?
A miscarriage
Less than 20 week gestation
Threatened abortion
Just bleeding
Closed cervix
Fetus still in
Incomplete abortion
Fetus out
Placenta remains intact
Bleeding
Imminent abortion
Placenta separates
Cervix dilates
Bleeding
Fetus still in