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Nursing 2nd Spring Semester > Antepartum- EXAM 1 > Flashcards

Antepartum- EXAM 1 Flashcards

1
Q

Nursing priorities during pregnancy

A

Address self care and discomforts
Perform ongoing assessments to ensure health and safety of women and fetus
Prepare women and family for childbirth

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2
Q

Antepartum

A

before birth
prenatal

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3
Q

Intrapartum

A

during birth

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4
Q

Postpartum

A

after birth

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5
Q

Prenatal health history

A

First day of last period
Contraceptive, meds used
Medical and surgical hx
Woman & partner family hx
Both woman and partners hx

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6
Q

Routine assessments at each visit

A

vital signs
urinalysis
Leopold meanuvers
fundal height
blood glucose
fetal heart rate
nutrition intake
any discomforts

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7
Q

objective of physical examination

A

Evaluate the woman’s general health
Determining baseline weight and VS
Evaluating nutritional status
Identifying current physical and social problems
Determining EDD

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8
Q

miscarriage time frame

A

before 24 week

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9
Q

abortion time frame

A

before 20

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10
Q

gravida

A

has been pregnant before

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11
Q

Nulligravida

A

never been pregnant before

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12
Q

primigravida

A

first time pregnant

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13
Q

multigravida

A

more then 1 pregnancy

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14
Q

para

A

delivered before 20 weeks

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15
Q

primipara

A

had a pregnancy over 20+ weeks

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16
Q

GTPAL

A

Gravida
Term: 37+ weeks
Preterm
Abortions
Living children

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17
Q

Nägele’s rule

A

Determining the estimated date of delivery
Identify first day of LNMP
Count backwards 3 month
Add 7 days
Update year if need be

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18
Q

FIRST TRIMESTER common discomforts

A

N&V: estrogen and HcG
Urinary frequency:pressure on the bladder
Fatigue: hormones,stress
Brest tenderness
Increased vaginal discharge
Nasal stiffness and epistaxis

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19
Q

SECOND & THIRD TRIMESTER common discomforts

A

heartburn
hemorrhoids
leg cramps
flatulence
backache
ankle edema
varicose veins
constipation
faintness

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20
Q

Pregnancies at risk include those who

A

Are under16 years or above 35 years
Have maternal history of stillbirth
Have had prior preterm birth
Have chronic illnesses: HTN, GDM, PC, HD

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21
Q

When does maternal assessment typically begin

A

28 weeks gestation

22
Q

every 4 weeks visits

A

From conception to 28 weeks

22
Q

every 2 to 3 weeks visits

A

From 29-36 weeks

23
Q

weekly visits

A

From 37 weeks to birth

24
How long does pregnancy last and how is it divided
Lastas an average of 40 weeks plus or minus 2 weeks Divided into 3 13 week parts
25
Reasons for prenatal tests
determine gestational age evaluate fetal growth detect congenital anomalies assess fetal status diagnose cardiac problems assess fetal lung maturity determine fetal presentation
26
Ultrasound and its types
noninvasive, painless and non radiating helps visualize fetus and growth Transabdominal and Transvaginal
27
Transabdominal ultrasound
moved across abdomen full bladder needed to examine structures in relation to bladder
28
Transvaginal ultrasound
Probe inserted into vagina Produces clearer, more defined image Can be done with empty bladder Detection of fetal anomalies
29
Nonstress test Procedure & results
Evaluates fetal status aka oxygenation by looking at FHR reaction to movement, women must be still got 20 min Px is semi Fowler, monitor placed on stomach reactive: >2 accelerations of FHR at 15 beats/min Desired Nonreactive: reactive criteria not met unsatisfactory: data cannot be interpreted or inadequate fetal movement IF ANY DECELERATIONS, PROVIDER NOTIFIED ASAP
30
Contraction stress test
Done if NST results are non-reassuring Used to identify risk for asphyxia Evaluates respiratory function of placenta
31
Amniocentesis and the process
Amniotic fluid analysis Done in third trimester, for fetal abnormalities Ultrasound is used to identify fetal placental placement to insert the needle to withdraw amniotic fluid without puncturing fetus
32
Chronic Villus Sampling
Small sample of chronic villi is obtained from placenta Performed at 10-12 weeks gestation, NOT done before 10 weeks due to possible association with birth defect Does quadruple screen
33
Quadruple Screen
Blood test for Down syndrome, trisomy 18 and neural tube defect, but cannot detect early in pregnancy
34
First trimester Nutritional requirement for pregnant women
Increase by 300 kcal/day Up to 4.4 pound weight gain
35
Second trimester Nutritional requirement for pregnant women
Increase by 40 to 340 kcal/day 1 pound a week during rest of pregnancy
36
Third trimester Nutritional requirement for pregnant women
Increase by 110 to 450 kcal/day 1 pound a week during rest of pregnancy
37
Ideal weight gain pattern
25-30 pounds in normal weight 15-25 in overweight women 11-20 in obese women 37-54 in multifetal carriers (4-6 in first trimester and 1.5 per week in 2 and 3 trimester)
38
iron defeciency anemia most common concern in who
Pica patients
39
Lacto-ovo-vegeterian
eat milk, dairy products and eggs should eat 4 servings of B12 food daily
40
Lactovegeterians
eat dairy products, no eggs
41
Vegan
eat no food from any animal sources should eat 4 servings of B12 food daily
42
Folic Acid
Assists in normal growth, reproduction and lactation Prevents microcytic, megablastic anemia of pregnancy No intake=fetal neuraltube defects 400 mcg daily
43
Artificial sweetener
Saccharin, aspartame safe if taken within guideline Splenda, Truvia, safe for pregnant, lactating women
44
Mercury in fish
can be beneficial but can threaten developing nervous system of fetus and young child
45
Who has an increased risk for complications- higher incidences of fetal anomalies
obese women
46
height of fundus
10 and 12 ar low pelvis 16 between belly button and lower pelvis 20 at belly button 26 at wait 32 36 at sternum, top
47
important factors to assess in pregnant adolescents
low prepregant weight low weight gain during pregnancy smoking excessive weight unhealthy lifestyle
48
Prenatal exercises
pelvic tilt abdominal exercise perineal inner thigh stretch
49
Environmental hazards
Bioterrorism 3: A-can be easily transmitted from person to person b-can be oread via food and water c-can be spread via manufactured weapons designed to spread disease Substance abuse and alcohol
50
Key time frames Abortion Miscarriage Preterm Full term Max weeks
Before 20 weeks Before 24 weeks Before 36 weeks 37 weeks and over 40 weeks max

Nursing 2nd Spring Semester (42 decks)

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