ANTEPARTUM NURSING CARE (starts on pg 226)

Question 1

What are the normal maternal responses in the first trimester?

Answer 1

Ambivalence
Financial worries
Career concerns

Question 2

What are the normal maternal responses in the second trimester?

Answer 2

Quickening occurs and pregnancy becomes “real”
Pregnant woman accepts pregnancy
Ambivalence wanes

Question 3

What are the normal maternal responses in the third trimester?

Answer 3

Woman becomes introverted and self-absorbed

Woman begins to ignore partner

Question 4

Maternal responses throughout pregnancy?

Answer 4

Wide mood swings
Ultrasensitive
Strained relationship with partener

Question 5

Healthy maternal-fetal bonding techniques should you look for while the mother is pregnant?

Answer 5

Talking to fetus in utero
Massaging abdomen
Nicknaming fetus

Question 6

When men experience pregnancy-like sx, such as nausea, Wt. gain, and other physical sx it is known as _________ __________?

Answer 6

Couvade syndrome

Question 7

Period of adjustment to the reality of pregnancy?

Answer 7

Moratorium phase

Question 8

What are the phases of the aternal responses to pregnancy?

Answer 8

Announcement
Moratorium
Focusing

Question 9

ACTIVITIES DURING FIRST PRENATAL VISIT?

Answer 9

Medical HX
OB HX-  2 or 5 digit system
HX of  current pregnancy
-assist with physical exam
-Calculate EDD
VS: BP should be no more than 30 points sys and 15 points dias from previous baseline.
Normal VS: SBP 90-140   Dias 60-90   HR 60-90   RR-16-24   T 97-100 F
Future visit schedules
Lab values

Question 10

FUTURE OFFICE VISITS LOW RISK schedule?

Answer 10

Every 4 weeks until 28 weeks
Every 2 weeks from 28 - 36 weeks
Every week from 36 to birth

Question 11

FUTURE OFFICE VISITS HIGH RISK schedule?

Answer 11

Determined by client’s needs

Question 12

Which labs are taken at first visit?

Answer 12

HgB: >11
Hct: >33
WBC and diff
HgB electrophoresis (sickle cell)
Pap smear and cytology (gonorrhea and chlamydia)
Antibody screens
     -HIV
     -HepB
     -Toxoplasmosis
     -Rubella (>1:10 = immunity)
     -Syphilis (RPR, VDRL)
     -CMV
PPD
Rh & blood type
U/A

Question 13

Expected values of H&H at first visit?

Answer 13

HgB: >11
Hct: >33

Question 14

High Hct values may be good at 28-32 wks gestation, but in reality they represent>

Answer 14

Gestational HTN & depleted vascular space

Question 15

Recommended Wt. gain during first trimester?

Answer 15

2-4 lb

Question 16

Foods high in iron?

Answer 16

Fish and red meats
Cereals and yellow veg’s
Green leafy veg’s and citrus fruits
Egg yolks and dried fruits

Question 17

Activities during subsequent visits?

Answer 17

Check urine