Chapter 12 - Promote Fetal & Maternal Health Flashcards
What are the four 2020 Health Goals related to a Healthy Lifestyle During Pregnancy?
- ) Receive early and adequate prenatal care.
- ) Abstain from illicit drugs during pregnancy.
- ) Abstain from alcohol during pregnancy.
- ) Abstain from cigarette smoking during pregnancy.
Know the FDA Pregnancy Risk Categories of drugs.
A = No risk B = No risk C = Some risk D = Risk X = Huge risk
What are six discomforts throughout pregnancy?
Ptyalism (hypersalivation) Nasal congestion Back pain Leukorrhea (white/yellow discharge) Constipation Insomnia
What are common discomforts during the 1st Trimester?
Nausea Vomiting Fatigue Urinary frequency Nocturia
What are common discomforts in the 2nd Trimester?
Dyspepsia (heartburn) Gum hyperplasia (swelling) and bleeding Dependent edema Leg varicosities Hyperventilation and shortness of breath Numbness in fingers Supine hypotension syndrome
What are common discomforts in the 3rd Trimester?
Fatigue Urinary frequency Dyspepsia (heartburn) Flatulence Gum swelling and bleeding Leg cramps Edema Leg varicosities Dyspareunia (painful intercourse) Nocturia Round ligament pain Supine hypotensive syndrome
What are maternal complications that appear in the 2nd Trimester?
Pre-eclampsia
Premature rupture of the membranes
Preterm labor
What are maternal complications that appear in the 3rd Trimester?
Gestational diabetes
Placenta previa
Abruptio placentae
What are fetal complications that can appear in the 2nd Trimester?
Decreased fundal height
Absence of fetal movement after quickening
What fetal complication can appear in the 3rd Trimester?
Hypoxia
What is included in a Birth Plan?
Written information that identifies labor and birth preferences - the choices
Chosen provider
Chosen location
What is Sims position?
Laying on your left side with the top leg forward.
Why is the Sims position beneficial during pregnancy?
Puts the weight of the fetus on the bed, rather than the woman, and allows good circulation to the lower extremities.
What can result from a woman resting flat on her back?
Supine hypotension syndrome (faintness, diaphoresis, and hypotension from the pressure on the expanding uterus on the inferior vena cava impairing the blood return to the heart).
What causes a pregnant woman to experience muscle cramps during pregnancy?
Decreased serum calcium levels
Increased serum phosphorus levels
Inference with circulation
Why do women develop varicosities (development of tortuous leg veins) during pregnancy?
Because the weight of the distended uterus puts pressure on the veins returning blood from the lower extremities, causing blood to pool and vessel distention.
The veins become enlarged, inflamed and painful.
Usually occurs in the lower extremities or vulva.
What causes hemorrhoids during pregnancy? How can they be prevented?
(Varicosities of the rectal veins) occur because of pressure on these veins from the bulk of the growing uterus.
Prevention: daily bowel evacuation, drinking adequate fluids, eating adequate fiber and resting in a modified Sims position.
What is leukorrhea and what is it caused from?
White viscous vaginal discharge or an increased amount of normal vaginal secretions.
Occurs in response to high estrogen levels and increased blood supply to the vaginal epithelium and cervix during pregnancy.
Teratogenic maternal infections: What does TORCH stand for?
T - Toxoplasmosis O - Other infections R - Rubella C - Cytomegalovirus H - Herpes Simplex
