First Trimester of Pregnancy Flashcards
The First trimester is what timeframe ?
Week 1 through week 13
What client education/Teaching should be done in the First Trimester (Categories) ?
- Nutrition
- Weight gain
- Prenatal vitamin supplements
- Exercise
- Don’t let your HR get above 140
- Danger-signs and potential complications of maternity
- Common discomforts
- Medications
- Smoking
- PHP visits
- Ultrasounds
It’s important for an expectant mom to follow what type of diet ?
Well-balanced diet
What is Normal protein intake per day ?
40-45 per day
In the First trimester pregnant women should increase there protein to what ?
60 grams per day
What should you consider nutritional wise in the First trimester ?
such as ?
Culture influences
Such as…
- hot vs. cold foods
- kosher foods
- fasting
Expectant mothers should expect how much weight gain in the First trimester ?
Expect to gain 1 to 4 pounds
Weight gain in the First trimester will also be dependent on what ?
On what the starting BMI is
Prenatal vitamin supplements:
What are the biggest complaints with Iron ?
Constipation and GI upset
Iron is best taken when ?
But is usually taken when and why ?
Best taken on an empty stomach
BUT
is usually taken with food d/t symptoms
Because of the side effects of Iron, what should it always be taken with ?
Vitamin C
Prenatal vitamin supplements:
What does Folic acid prevent ?
Prevents neural tube defects
In the First trimester, what should the daily dose of Iron be ?
400 mcg/day
Exercise:
In the First trimester, what type of exercise should be avoided ?
No high impact
In the First trimester, what types of exercise are best ?
Walking & Swimming
Exercise:
In the First trimester, their should be _______ heavy exercise program, but can continue _________ exercise program ?
NO heavy exercise program
BUT
can continue REGULAR exercise program
Exercise:
In the First trimester, expectant mothers SHOULD NOT let there HR do what ?
Get above 140
Why should expectant mothers Not let their HR get above 140 ?
Because if the HR goes above 140 it causes –> decreased cardiac output and decreased uterine perfusion
What do you not want Expectant mothers in the First trimester to do ?
Do not want them to get overheated
–> so no hot tubs, heating blankets, etc
Why do we not want expectant mothers in the First trimester to become overheated ?
Because it will increase body temperature and can cause birth defects
What are Danger-signs and potential complications of Maternity that are taught in the First trimester but are most often seen in the 3rd trimester ?
- Sudden gush of vaginal fluid
- Bleeding
- Persistent vomiting
- Severe headache
- Abd. pain
- Increased temps
- Edema
- No fetal movement *
(always assume the worst in NCLEX world, like call 911)
- No fetal movement *
What are common Discomforts that should be taught to expectant mothers in the First trimester ?
- Constipation - Heartburn
- Ankle edema - Increased vaginal secretion
- Nausea/vomiting - Nasal congestion
- Breast tenderness - Varicose veins
- Urinary frequency - Hemorrhoids
- Tender gums - Backache
- Fatigue - Leg cramps
If pregnant women are experiencing a common discomfort such as Nasal congestion, what should you not let them take ?
Don’t let pregnant women take drugs
Saline spray is OKAY
Medications:
What are you going to tell pregnant persons about taking medications ?
- No meds (unless asked by PCP)
When educating expectant mothers in their First trimester, what are you going to tell them regarding smoking ?
Stop smoking
if have to, go outside so your not inhaling as much
What is smoking during pregnancy associated with ?
- Small for gestational age (Low birth weight)
- Cleft lip or palate
- Risk for placental abruption (doubles with smoking)
The risk for what, doubles with smoking ?
Placental abruption
How often should a pregnant client visit the primary healthcare provider in the First 28 weeks ?
Once a month
How often should a pregnant client visit the primary healthcare provider between 28-36 weeks ?
Twice a month or __________ ?
page 217
How often should a pregnant client visit the primary healthcare provider after 36 weeks ?
Weekly until delivery
______________ clients will have more prenatal visits ?
High-risk
Before an Ultrasound what will you ask clients to so ?
Drink water
Why will you ask pregnant clients to drink water before an ultrasound ?
- To distended the bladder
- Which pushes the uterus up closer to the abdominal surface, making it easier to get a good picture
Regarding Ultrasounds, which type does not require the pregnant client to have a full bladder ?
Transvaginal ultrasound
What do you want a pregnant client to do before an ultrasound procedure like an Amniocentesis ?
We want them to void
