Ch 14 Nursing Care Of The Family During Pregnancy

Question 1

Prenatal care

Answer 1

Begins before conception so mom can be as healthy as possible when she gets pregnant

Most women find out they’re pregnant around weeks 6-8

Continues through the first year after birth

Question 2

The prenatal period is

Answer 2

A period of physical and psychological preparation for birth and parenthood

Question 3

EDD

Answer 3

Estimated due date

Most women deliver +/- 2 weeks from EDD

Estimated with nagaele’s rule

Question 4

EDC

Answer 4

Estimated date of conception

Question 5

Nagaele’s rule

Answer 5

Assumes a 28 day menstrual cycle and assumes that fertilization occurred on day 14.

Add 7 to the first day of the last menstrual period

Subtract three from the month

Then add one to the year if applicable

Question 6

Maternal adaptations to pregnancy

Answer 6

Acceptance of the pregnancy (huge milestone for mom to verbalize the pregnancy)

Identifying as a mother

Establishing a personal relationship with the fetus

Preparation for childbirth

Question 7

Paternal adaptations to pregnancy

Answer 7

Couvade syndrome: dad experiences pregnancy like symptoms such as nausea, cravings and weight gain.

Question 8

Sibling adaptations to pregnancy

Answer 8

Regression depends on age (bed wetting, tantrums)

Question 9

Grandparent adaptations to pregnancy

Answer 9

Grandparents offer support, our role models and share cultural values with new generations

Question 10

Prenatal interview

Answer 10

Health history, drug use, family history, history of abuse
Physical exam, lab tests
Spinal disorders
Pica
Genetic disorders
History of twins in family
Mental status

Question 11

Lab tests in pregnancy

Answer 11

CBC
Urine
HIV
Syphilis
Gonorrhea
Chlamydia
Group b strep (GBS) screened 35-37 weeks

Question 12

Fetal assessment

Answer 12

Fundal height
FHTs (fetal heart tones)
EGA (estimated gestational age)
Labs (genetic testing)
Education (child care, how to take care of the baby, how to feed the baby, notify provider of lack of fetal movement after 20 weeks)

Question 13

Preterm labor

Answer 13

Prior to 37 weeks

Educate mom to know normal versus abnormal discomforts

Nausea vomiting and back pain are normal

Red flags are bright red bleeding, uterine contractions or changes in fetal movement

Question 14

Vaccines to avoid during pregnancy

Answer 14

MMR and varicella

Hep b, flu, Tdap okay

Question 15

Is ibuprofen okay during pregnancy

Answer 15

No