Anticipatory Guidance Pregnancy

Question 1

First Trimester

Answer 1

Discomforts of pregnancy (N/V, urination, etc.)
Increased sleep needs (8hr per night)
Exercise is fine as long as client can converse during
Work: no exposure to hazardous chemicals or toxins
No medication, no alcohol/drugs, no smoking

Question 2

Second Semester

Answer 2

Sexual needs and desires (communication between parents)

Regular dental check up (but no X-rays)

Question 3

Third Trimester

Answer 3

Childbirth and breastfeeding classes
Increased urinary frequency and dyspnea
Choose a pediatrician and clinic
Nutritional needs (this is a time of rapid fetal growth)
Teach signs and symptoms of preterm labor, pre-eclampsia

Question 4

Nutrition

Answer 4

Increase intake by 300 calories above basal and activity needs
Increase protein by 30 gm a day
Increase iron to 30 mg/day, folic acid to 800-1000 mcg/day through diet and supplement
Increase intake of Vitamin A and C and Calcium

Question 5

Weight Gain

Answer 5

2-4 lbs in first trimester
0.9 lbs per week after
Total weight gain 25-35 lbs

Question 6

Substance Abuse

Answer 6

Smoking: low birth weight infant
Alcohol: fetal alcohol syndrome
Cocaine: preterm labor and abruptio placenta

Teratogenic effects highest in first term