Chapter 14 Flashcards
The estimated date of birth (EDB) is determined based on? (2)
Date of woman’s last menstrual period and first accurate ultrasound examination
The EDB is important because?
Prenatal care
Scheduling specific prenatal screening tests
Assessing fetal growth
Managing complications
What is the most accurate way in assessing an EDB?
Ultrasound measurement of the embryo or fetus during first trimester
We also may use this rule?
And how does this rule work?
Naegele rule
Add 7 days from LMP and subtract 3 months
Adaption to pregnancy is vital to all family members because of what?
Cultural environmental influences on how the pregnancy may go
How can we help eliminate distrust and judgment when it comes to a newly pregnant individual?
Effective communication and focus patient care
Early in the pregnancy many women tend to fall asleep more due to fatigue
However in the second trimester many women look inwards in their pregnancy why?
Because they complete what^
Because they have mastered certain developmental tasks, such as accepting the pregnancy, identifying there role and reordering relationships
( many single moms find trouble with this )
What is the prenatal period?
A time of physical and psychologic preparation for birth and parenthood
What does duration of pregnancy mean?
Gestation
The initial prenatal visit usually is the longest and why is that?
Not only do we want to do this for mom but want to do this for the partner too, to know everything possible !!
Because they go through a very extensive history
- work history
- health history
- nutritional history
- family history etc
Any woman is at the age of pregnancy, should take extra what?
Why?
Folic acid
Because folic acid will help aid that vulnerable time during the embryonic stage in the beginning when most people don’t know they are pregnant
Things to note is that
- pregnant medications!!
- ask about abortions
- gravity = the number times of pregnancy
Perdi = birth + 20 weeks
Living = live fetus newborn
If mother is addictive to a drug, will we immediately take them off of it?
And why?
No
Because we want harm reduction drug, cause it’s rude, hard and dangerous
We will always do a violence and sti screening all patients??
Yes!!
We are very huge in education on pregnancy but it becomes very overwhelming
But what are the big things we want to know ?! (5)
Expected maternal fetal changes
Nutrition
Hygiene - increase risk for UTI & pynelofritis ( hard time drying, hair dry on cool setting )
Oral hygiene - ginivits cause loss of calcium
Kegel exercises
