Exam 3 - Health Promotion During Pregnancy Flashcards
What eating regimen should be recommended to pregnant women?
3 meals/day, 2 snacks, avoid prolonged periods of fasting
Nutritional needs of pregnancy
- Limit high glycemia carbohydrates (e.g. fruit juices, soda)
- 2 servings of omega 3
- Vitamin A, beta carotene, vitamin D, iron, calcium, folic acid
What effect do anticonvulsants have on pregnancy?
Anticonvulsants can have anti-folate effect
- Continue to take medications through pregnancy with folate supplementation
What two minerals do prenatal vitamins contain?
Iron and folic acid
For what women can prenatal vitamins be beneficial?
- Multiple gestation pregnancy
- Heavy smokers
- Alcohol users
- Adolescents
- Vegetarians
- History of bariatric surgery
- Eating disorder or lactose deficient
Common side effects of prenatal vitamins
GI distress, constipation, N/V
- Usually resolves by end of first trimester
- If choose to d/c due to side effects, continue folic acid supplementation
Infection precautions against toxoplasmosis, herpes, varicella
- Avoid cleaning litter boxes, avoid working in dirt
- Can wear gloves or wash hands after
- Avoid sexual contact with active herpes lesions
- Avoid contact with people who have chicken pox
Car seat patient education
Buy car seat in late third trimester
- Rear facing until 2 years old
What patient education would you give to a pregnant women about hot tubs and saunas?
Hot tubs and saunas can cause symptoms of maternal fever
- Increase in core temperature which is associated with increased risk of neural tube defects
- Takes 10 minutes to raise temp to 104; 15 minutes to 102
How should pregnant women wear their seatbelt?
Lap belt across hips and below uterus, shoulder belt between breasts and lateral to uterus
When is sex contraindicated during pregnancy?
- Placenta previa
- Preterm labor
- Ruptured membranes
