Antepartum Normal Pregnancy Flashcards
During a NST (non-stress test) is it good to see a reactive test? Why?
A reactive test indicates a good result
-The test is done over 20min and within the 20min we want to see 2 accelerations (increase in heart rate at 15 bpm from the baseline) every 15 seconds
- accelerations indicate the fetus is reacting to activity
During a NST (non stress test) is it good to see a non-reactive response? Why?
It is NOT good to see a non-reactive result
-this could indicate the fetus is under stress or is sleeping
-no accelerations (increase in FHR) not active fetus
Why would someone who is pregnant receive a NST?
This test is usually done for patients who are high risk pregnancies
- this test is typically done with a BPP (biophysical profile)
When measuring fetal kicks how would the patient measure
5 kicks per hour should at least be felt
That medication should Rh- patients receive
Rogan
What is it important that a mom who is Rh- need Rogan
The incompatibility of mixing (-) blood with (+) blood moms blood/body can attack the fetus
If after delivery and baby blood type is (-) will mom need Rogan?
No mom will not need Rogan
What does it mean if a patient is (presumptive) pregnant
This means it is subjective information s/s could mean something else
What is the DEFINITIVE (positive) sign of pregnancy
-visualization of fetus by ultrasound or delivery
-fetal heart tones by ultrasound at 6-7weeks
Define Nageles rule to determine a pregnant woman’s due date
First you need to know the last menstrual period (first day)
Then you would subtract 3 months from LMP
Then add 1 year and (+) 7 days
That will give you your expected due date
If a patient thinks that she is pregnant what is that (subjective) term called
Presumptive
What are some s/s of a presumptive pregnancy
Breast changes
Amenorrhea
N/V
Urinary frequency
Fatigue
Quickening (feeling movement)
Define the Goodell sign
Softening of the cervix
Define the Chadwick sign
Color change of the vaginal/cervix to a blueish purple color
A patient is 8-19 weeks pregnant can fetal heart tones be detected on a Doppler?
Yes
A patient is in her 1st trimester what are the s/s of a (probable) pregnancy
Gooddell sign
Chadwick sign
Hagar sign
Positive hCg test (can be faults positive)
Braxton hicks
Ballottement
During the 1st trimester of pregnancy the patient experiences N/V when/ what will take over for symptoms to stop
The placenta will take over and symptoms should subside
During the 2nd trimester of pregnancy the musculoskeletal will start to change. What type of pain will the patient feel?
Round ligament pain
During the 3rd trimester of pregnancy what type of changes would you expect to see
Postural changes
Sleep/wake schedule changes
Frequently urination
Frequent prenatal visits
When is it the best time to provide patient teaching
Before the event happens
Real time
Relevant information
What are some s/s of preeclampsia that the nurse should monitor
Excessive headaches
Visual changes edema (face swelling)
Decreased urine output (30ml per hour)
RUQ pain
Blood pressure greater >than 140/90
What is the ideal HGB level for a pregnant woman
11
Or greater than 11
What are some education tips that you can give to your pregnant patient to promote healthy nutrition building blocks
Folic acid
Iron
Calcium
Vitamin A
Vitamin C
Vitamin D
Iodine
What food education would you provide to a pregnant patient to avoid
AVOID raw foods like eggs, uncooked meats
Cold cut meats
Raw seafood
Soft unpasteurized cheese
Fish high in mercury like tuna and canned fish
Artificial sweetener (saccharin)
Alcohol
Weight loss pills
What are some Teratogens pregnant women should avoid
Toxoplasmosis
Other infections like Hep B, chlamydia
Rubella
Cytomegalovirus
Herpes simplex virus
Radiation
Toxic meds
Environmental
