ch. 14: nursing care of the family during pregnancy

Question 1

What is the MOST ACCURATE means of estimating date of birth?

Answer 1

is based on ULTRASOUND measurements of the embryo/fetus during the first trimester

Question 2

What is the PRENATAL VISIT SCHEDULE?

Answer 2

1) FIRST: during first trimester (12 weeks)
2) MONTHLY: week 16-28
3) EVERY 2 WEEKS: week 29-36
4) WEEKLY: 36-BIRTH

Question 3

What is discussed during the FIRST prenatal visit?

Answer 3

-EXTENSIVE
-physical exam, FHT, health status, lab work
-reasons for seeking care
-current pregnancy
-health hx, nutrition hx, reproductive hx, med hx and herbal preparation use, family hx,
-social, experimental, occupational hx
-mental health screening

Question 4

What labs are taken during INITIAL prenatal visit?

Answer 4

-urine, cervical, blood samples
-if mom is RH - discuss about rhogan
-screening for disease and metabolic conditions

Question 5

What should the pt be EDUCATED ON during the initial visit?

Answer 5

-maternal fetal changes
-nutrition
-personal hygiene
-prevention of UTI
-kegel exercise
-breastfeeding preparation
-oral health
-physical activity
-vaccines
-rhogan
-birth plan
-substance use
-sleep
-normal pregnancy discomforts

Question 6

What is discussed during 2nd and 3rd-trimester visits?

Answer 6

-birth plan
-umbilical cord banking
-potential complications in 3rd trimester
-travel
-body mechanics and posture
-REINFORCE first trimester teaching
-labwork
-mood changes
-family situations