First Trimester of Pregnancy

Question 1

The First trimester is what timeframe ?

Answer 1

Week 1 through week 13

Question 2

What client education/Teaching should be done in the First Trimester (Categories) ?

Answer 2

• 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

Question 3

It’s important for an expectant mom to follow what type of diet ?

Answer 3

Well-balanced diet

Question 4

What is Normal protein intake per day ?

Answer 4

40-45 per day

Question 5

In the First trimester pregnant women should increase there protein to what ?

Answer 5

60 grams per day

Question 6

What should you consider nutritional wise in the First trimester ?

such as ?

Answer 6

Culture influences

Such as…

• hot vs. cold foods
• kosher foods
• fasting

Question 7

Expectant mothers should expect how much weight gain in the First trimester ?

Answer 7

Expect to gain 1 to 4 pounds

Question 8

Weight gain in the First trimester will also be dependent on what ?

Answer 8

On what the starting BMI is

Question 9

Prenatal vitamin supplements:

What are the biggest complaints with Iron ?

Answer 9

Constipation and GI upset

Question 10

Iron is best taken when ?

But is usually taken when and why ?

Answer 10

Best taken on an empty stomach
BUT
is usually taken with food d/t symptoms

Question 11

Because of the side effects of Iron, what should it always be taken with ?

Answer 11

Vitamin C

Question 12

Prenatal vitamin supplements:

What does Folic acid prevent ?

Answer 12

Prevents neural tube defects

Question 13

In the First trimester, what should the daily dose of Iron be ?

Answer 13

400 mcg/day

Question 14

Exercise:

In the First trimester, what type of exercise should be avoided ?

Answer 14

No high impact

Question 15

In the First trimester, what types of exercise are best ?

Answer 15

Walking & Swimming

Question 16

Exercise:

In the First trimester, their should be _______ heavy exercise program, but can continue _________ exercise program ?

Answer 16

NO heavy exercise program
BUT
can continue REGULAR exercise program

Question 17

Exercise:

In the First trimester, expectant mothers SHOULD NOT let there HR do what ?

Answer 17

Get above 140

Question 18

Why should expectant mothers Not let their HR get above 140 ?

Answer 18

Because if the HR goes above 140 it causes –> decreased cardiac output and decreased uterine perfusion

Question 19

What do you not want Expectant mothers in the First trimester to do ?

Answer 19

Do not want them to get overheated

–> so no hot tubs, heating blankets, etc

Question 20

Why do we not want expectant mothers in the First trimester to become overheated ?

Answer 20

Because it will increase body temperature and can cause birth defects

Question 21

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 ?

Answer 21

• 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)

Question 22

What are common Discomforts that should be taught to expectant mothers in the First trimester ?

Answer 22

• Constipation - Heartburn
• Ankle edema - Increased vaginal secretion
• Nausea/vomiting - Nasal congestion
• Breast tenderness - Varicose veins
• Urinary frequency - Hemorrhoids
• Tender gums - Backache
• Fatigue - Leg cramps

Question 23

If pregnant women are experiencing a common discomfort such as Nasal congestion, what should you not let them take ?

Answer 23

Don’t let pregnant women take drugs

Saline spray is OKAY

Question 24

Medications:

What are you going to tell pregnant persons about taking medications ?

Answer 24

• No meds (unless asked by PCP)

Question 25

When educating expectant mothers in their First trimester, what are you going to tell them regarding smoking ?

Answer 25

Stop smoking

if have to, go outside so your not inhaling as much

Question 26

What is smoking during pregnancy associated with ?

Answer 26

• Small for gestational age (Low birth weight)
• Cleft lip or palate
• Risk for placental abruption (doubles with smoking)

Question 27

The risk for what, doubles with smoking ?

Answer 27

Placental abruption

Question 28

How often should a pregnant client visit the primary healthcare provider in the First 28 weeks ?

Answer 28

Once a month

Question 29

How often should a pregnant client visit the primary healthcare provider between 28-36 weeks ?

Answer 29

Twice a month or __________ ?

page 217

Question 30

How often should a pregnant client visit the primary healthcare provider after 36 weeks ?

Answer 30

Weekly until delivery

Question 31

______________ clients will have more prenatal visits ?

Answer 31

High-risk

Question 32

Before an Ultrasound what will you ask clients to so ?

Answer 32

Drink water

Question 33

Why will you ask pregnant clients to drink water before an ultrasound ?

Answer 33

• To distended the bladder

- Which pushes the uterus up closer to the abdominal surface, making it easier to get a good picture

Question 34

Regarding Ultrasounds, which type does not require the pregnant client to have a full bladder ?

Answer 34

Transvaginal ultrasound

Question 35

What do you want a pregnant client to do before an ultrasound procedure like an Amniocentesis ?

Answer 35

We want them to void