Ch 14 Powerpoint, Care of the Family

Question 1

Of the three trimesters, which is known as the honeymoon phase? Which trimester has morning sickness?

Answer 1

The 2nd trimester is the Honeymoon phase because everything levels out.
The 1st trimester involves morning sickness.

Question 2

EDB, EDD, and EDC are all abbreviations in OB that mean ultimately mean what?

Answer 2

The due date

EDB-Estimated Date of Birth
EDD-Estimated Due Date
EDC-Estimated Date of Confinement

Question 3

What is the most accurate assessment of the EDB? Why?

Answer 3

An Ultrasound. It will take into account your statement of your LMP

Question 4

What is Naegele’s rule to calculate the EDB?

Answer 4

(LMP - 3 months + 7 days) = EDB

Question 5

True or False:

It is not uncommon for the partner to have ambivalence towards the baby

Answer 5

True

Question 6

For prenatal care, the initial visit occurs during which trimester? What is the frequency of these visits and how long do they last?

Answer 6

Initial visits occur during the 1st trimester and have monthly visits until the 28th week

Question 7

After the 28th week, what is the frequency of prenatal visits?

Answer 7

After 28 weeks, you visit Prenatal care every 2 weeks until week 36

Question 8

After week 36, how often do you visit Prenatal care?

Answer 8

Every week until birth

Question 9

Ideally, when is it best to start your entry into prenatal care?

Answer 9

Before 10 weeks of gestation

Question 10

The initial prenatal visit contains a prenatal interview. THis is expansive and covers many topics. What is a very important part of interview to make sure you assess?

Answer 10

Psychological profile/Mental Health test

Question 11

It is typical for a Rubella Titer test to be performed during pregnancy. What does this test for?

Answer 11

Rubella Titer test screens for immunity to Rubella to determine if vaccination is necessary.

Question 12

How do you measure the Fundus height?
What should the height be?

Answer 12

Measure the height of the fundus from the top of the fundus to the symphysis pubis in centimeters.

From 18 weeks to 30, the height in centimeters should follow the gestational age.

22 weeks? 22” inches.

Question 13

Typically, will there be an ultrasound in the 3rd trimester?

Answer 13

No, typically there is no ultrasound in the 3rd semester

Question 14

What are some STD’s that will be tested for in a Prenatal assessment?

Answer 14

Syphilis, Chlamydia and Gonorrhea

Question 15

Since FHT’s are usually picked up by an Ultrasound during the 1st trimester. What is another device that can be used in the later part of the 1st trimester?

Answer 15

A Doppler

Question 16

What are the normal ranges for FHT’s?

Answer 16

120-160 BPM

Question 17

What gestational age is Rhogam typically given?

Answer 17

Rhogam is given at 28 weeks’ gestation, or between 26-30 weeks.

Question 18

IF an RH-Negative mother has received 1 Rhogam shot, and gives birth to a baby who is Rh-Positive, how soon does the mother get a second shot?

Answer 18

Within 72 hours postpartum

Question 19

What is the recommended daily exercise level for a pregnant woman to maintain adequate muscle tone?

Answer 19

At least 30 minutes every day of moderate exercise

Question 20

After exercise, what position should you lay down in, and for how long?

Answer 20

Lay down in a side-lying position for 10 minutes after exercising

Question 21

Oral care for a pregnant woman is very important.
What two oral diseases are prevalent during pregnancy that can lead to LBW and preeclampsia?

Answer 21

Gingivitus (gum inflammation) and Periodontitis (Infection of the gums that can cause damage to bone).

Question 22

What is the most common cause for UTI’s in pregnant women?

How are most UTI’s in pregnant women treated?

Answer 22

E. coli is the primary cause

Most UIT’s are treated with oral Antibiotics.

Question 23

How much water a day is recommended for a pregnant woman to drink to ensure frequent urination (to avoid UTI’s)?

Answer 23

2.5L of water a day is recommended

Question 24

Is Travel contraindicated in low-risk pregnancies?

Answer 24

No, just make sure to take frequent breaks to move around to avoid thromboembolisms. Don’t cross your legs.

Question 25

During the 1st prenatal visit, how is the pregnant mother taught to prepare for breastfeeding?

Should ETOH, soap or ointments be used to prepare?

Answer 25

Cleanse the nipples with warm water to keep the ducts free from being blocked with dried colostrum.

ETOH, soap and ointments should NOT be used to clean the nipple

Question 26

What are 2 risks of a woman having a multifetal pregnancy?

Answer 26

ROM and preterm labor

Question 27

If a mother were to need a surgery or a c/sec, who is the healthcare professional that would be responsible for delivery?

Answer 27

The OB; Obstetrician

Question 28

A midwife CAN assist in (____), but a midwife cannot do (____). They also cannot use a (____) suction or a pair of (____)

Answer 28

A midwife can assist in (deliveries), but a midwife cannot do (surgeries). They also cannot use a (vacuum) suction or a pair of (forceps)

Question 29

A Doulas is not a medical professional in any way. They are just there for what?

Answer 29

A Doulas is just there to support the mother emotionally during the labor and birthing process.

Question 30

Birth centers are a cost-effective alternative to hospitals and are usually staffed with who?
What kind of patients do Birth centers take?

Answer 30

Midwives with some privileges at local hospitals.

Because of the staff of midwives, birth centers only take low-risk patients

Question 31

Are most home-births covered by insurance?

Answer 31

No, most people who do home births pay out of pocket and are financially stable.

Question 32

Does Medicaid cover the cost of a birthing center?

Answer 32

Yes, Medicaid will recognize and reimburse some of the cost for birthing centers

Question 33

Supine Hypotension is an EMERGENCY!
Signs and Symptoms are:
-Pallor
-Dizziness/Faintness
-Tachycardia
-Nausea
-Clammy skin and sweating

What is the appropriate nursing intervention for Supine Hypotension?

Answer 33

Position the woman on her side until the signs and symptoms subside and her vitals stabilize

Question 34

How do you avoid Supine Hypotension when giving an Ultrasound or examining Fundal height?

Answer 34

Place a pillow under the pt’s head with a small wedge placed under one hip so that her uterus is slightly tilted to the side