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NCM-N 107 > antepartum discomfort > Flashcards

antepartum discomfort Flashcards

1
Q

Caused by elevated levels of
human chorionic
gonadotropin and other
pregnancy hormones as well
as changes in carbohydrate
metabolism

A

Nausea and Vomiting

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2
Q

NAUSEA AND VOMITING
NURSING INTERVENTIONS

A

N - o brushig of teeth after arising
A - void spicy and fried foods
U- se of herbal and Accupuncture- Ask your doctor
S - mall frequent, low fat feeding, Liquid in between
E - at dry crackers before arising
A- nti-emetic medications as prescribed

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3
Q

NAUSEA AND VOMITING
NURSING DIAGNOSIS

A

Risk for Fluid Volume Deficit

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3
Q

occurs in the first trimester;
supine hypotension occurs
particularly in the second and third trimesters.

A

SYNCOPE

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4
Q

SYNCOPE
NURSING INTERVENTIONS

A

C.O.P.E.
C- hange position carefully
O - h no! Supine position, Supine Hypotension!
P-ressure of Uterus in Inferior vena Cava.
E - levate legs while sitting

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4
Q

increased blood
volume, anemia, fatigue, sudden
position changes, or lying supine

A

syncope

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4
Q

SYNCOPE
NURSING DIAGNOSIS

A

Risk for Injury
Ineffective Tissue Perfusion
Knowledge deficit

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5
Q

Caused by
pressure of the
uterus on the
bladder

A

URINARY FREQUENCY
AND URGENCY

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6
Q

URINARY FREQUENCY AND URGENCY
NURSING INTERVENTIONS

A

K.I.D.N.E.Y
K - egel’s exercise
I - ntake of fluid in evening - LIMIT IT!
D- rink no less than 2000ml/day
N- ight time - side lying position
E- mpty bladder regularly
Y - ou wear Perineal pads if necessary

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7
Q

URINARY FREQUENCY AND URGENCY
NURSING DIAGNOSIS

A

Risk for Infection
Impaired Urinary
Elimination

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8
Q

Caused by
increased levels
of estrogen and
progesterone

A

BREAST TENDERNESS

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9
Q

BREAST TENDERNESS
NURSING INTERVENTIONS

A

B.B. BRA.
B - reast - don’t wash with soap - can cause drying
B- reast examination for fissures, abscess
BRA - wide strap, supporter bra

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10
Q

BREAST TENDERNESS
NURSING DIAGNOSIS

A

Risk for Infection
Altered Comfort: Pain
Hyperthermia

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11
Q

Caused by
hypertrophy and
thickening of the
vaginal mucosa and
increased mucus
production

A

INCREASED VAGINAL
DISCHARGE

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12
Q

INCREASED VAGINAL DISCHARGE
NURSING INTERVENTIONS:

A

K.E.P.S
K - oton underwear
E - ndi gid mag Douche!
P- roper cleansing and Hygiene
S - ee a doctor if infection occurs

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13
Q

NASAL STUFFINESS
NURSING DIAGNOSIS

A

INEFFECTIVE BREATHING
PATTERN
INEFFECTIVE AIRWAY
CLEARANCE

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13
Q

INCREASED VAGINAL DISCHARGE
NURSING DIAGNOSIS:

A

RISK FOR INFECTION

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13
Q

Results from increased estrogen, which causes edema of the nasal tissues and dryness

A

NASAL STUFFINESS

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14
Q

NASAL STUFFINESS
NURSING INTERVENTION

A

Encouraging the use of a humidifier
Avoiding the use of nasal sprays
or antihistamines (the HCP should
be consulted about their use)

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15
Q

Occurs usually in
the first and third
trimesters
Usually results from
hormonal changeS

A

FATIGUE

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16
Q

FATIGUE
NURSING INTERVENTIONS

A

K.A.P.O.Y.
K- eep frequent rest periods throughout the day
A - void eating food containing stimulants
P -erform muscle strengthening and leg relaxation
O - btain regular exercise
Y - es to Correct posture and body mechanics

17
Q

FATIGUE
NURSING DIAGNOSIS

A

Fatigue
ACTIVITY INTOLERANCE
RISK FOR INJURY

18
Q

Results from increased
progesterone levels,
decreased gastrointestinal
motility, esophageal reflux,
and displacement of the
stomach by the enlarging
uterus

A

HEARTBURN

19
Q

HEARTBURN
NURSING INTERVENTIONS

A

H- ealth care provider need to know about antacids
E - at small, frequent feedings, drink milk between
meals
A -void fatty and spicy food
R-est, Upright sitting position 30minutes after meals
T- ailor sitting exercise

20
Q

HEARTBURN
NURSING DIAGNOSIS:

A

Imbalanced Nutrition: Less Than Body
Requirements
Acute Pain
Imbalanced Nutrition: More Than Body
Requirements
Risk for Aspiration
Deficient Knowledge

21
Q

Results from
vasodilation,
venous stasis, and
increased venous
pressure below the
uterus

A

ANKLE EDEMA

22
Q

ANKLE EDEMA
NURSING INTERVENTIONS

A

A- VOID standing and sitting in long periods
N- ice to elevate your legs while resting 2x a day
K- eep wearing supportive hose or stockings
L- ie in side-lying when sleeping

23
Q

ANKLE EDEMA
NURSING DIAGNOSIS

A

FLUID VOLUME EXCESS
ACUTE PAIN
ACTIVITY INTOLERANCE

24
Q

Result from
weakening walls of
the veins or valves
and venous
congestion

A

VARICOSE VEINS

25
Q

Usually occur in the
second and third
trimesters
Result from increased
venous pressure and
constipation

A

HEMORRHOIDS

25
Q

VARICOSE VEINS
NURSING DIAGNOSIS

A

ACUTE PAIN
ACTIVITY INTOLERANCE
RISK FOR INJURY

25
Q

VARICOSE VEINS
NURSING INTERVENTION

A

V.E.I.N.S
V - ein support leg stockings or hose, non-constricting
E - levate feet when resting
I - n lying, elevate feets and hips
N - o long period of standing and LEG CROSSING
S - tand and move, to improve circulation

26
Q

Usually considered
benign in the first
trimester. May need
further investigation if
occurring in the second
and third trimesters
Result from changes in
blood volume and
vascular tone

A

HEADACHES

26
Q

HEADACHES
NURSING INTERVENTIONS:

A

A -pply cold cloth in the forehead
C- hanging position slowly
H - CP prescribed acetaminophen
E - ating small snacks

27
Q

HEADACHES
NURSING DIAGNOSIS

A

ACUTE PAIN
ALTERED COMFORT: PAIN

28
Q

Hemorrhoids nursing interventions

A

Soaking in a warm sitz bath
Sitting on a soft pillow
Eating high-fiber foods and drinking sufficient
fluids to avoid constipation
Increasing exercise, such as walking
Applying ointments, suppositories, or compresses
as prescribed by the HCP

29
Q

HEMORRHOIDS
NURSING DIAGNOSIS

A

ACUTE PAIN
ALTERED COMFORT: PAIN
INEFFECTIVE BOWEL ELIMINATION

30
Q

CONSTIPATION
NURSING DIAGNOSIS

A

INEFFECTIVE BOWEL ELIMINATION
CONSTIPATION

30
Q

CONSTIPATION
NURSING INTERVENTIONS:

A

Eating high-fiber foods such as whole grains,
fruits, and vegetables
Drinking no less than 2000 mL per day
Exercising regularly, such as a daily 20- minute
walk
Consulting with the HCP about interventions
such as the use of stool softeners, laxatives, or
enemas

30
Q

Results from an increase in
progesterone produc tion,
decreased intestinal
motility, displacement of
the intestines, pressure of
the uterus, and taking iron
supplements

A

CONSTIPATION

31
Q

Caused by an exaggerated
lumbosacral curve
resulting from an enlarged
uterus
Risk for falls; teach to
move about slowly

A

BACKACHE

32
Q

BACKACHE
NURSING INTERVENTION

A

L.I.K.O.D
L- ie on a firm mattress especially sleeping
I- nitiate Pelvic-rock exercises and relaxation techniques
K- eep in mind, correct body mechanics and posture
O- btain rest
D - eal with low-heeled, comfortable, and supportive shoe

33
Q

BACKACHE
NURSING DIAGNOSIS

A

RISK FOR INJURY
ACUTE PAIN
ALTERED COMFORT: PAIN
ACTIVITY INTOLERANCE

34
Q

Result from an
altered calciumphosphorus balance
and pressure of the
uterus on nerves or
from fatigue

A

LEG CRAMPS

35
Q

Result from an
altered calciumphosphorus balance
and pressure of the
uterus on nerves or
from fatigue

A

Leg cramps

36
Q

leg cramps

A

C.R.M.P.
C - alcium intake increase
R - egular exercise
M - aintain walking exercise
P - erform Dorsiflexion of the affected leg

37
Q

Can occur in the
second and third
trimesters
Results from
pressure on the
diaphragm from the
enlarged uterus

A

SHORTNESS OF BREATHING

38
Q

SHORTNESS OF BREATHING NURSING INTERVENTION

A

Taking frequent rest periods
Sitting and sleeping with the head elevated or
on the side
Avoiding overexertion

39
Q

SHORTNESS OF BREATHING

A

INEFFECTIVE BREATHING PATTERN

40
Q
A

NCM-N 107 (11 decks)

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