Lecture 4A Preconception care and care of the pregnant woman Flashcards
Neonatal signs of maternal SSRI use
Continuous crying, irritability, jitteriness, shivering, fever, hypertonia, respiratory distress, feeding difficulty, hypoglycemia, and seizures. The onset of signs and symptoms ranges from several hours to several days after birth, but the signs generally resolve within 2 weeks.
A woman asks the nurse, “What protects my baby’s umbilical cord from being squashed while the baby’s inside of me?” What is the nurse’s best response?
“Your baby’s umbilical cord is surrounded by connective tissue called Wharton’s jelly, which prevents compression of the blood vessels.” [Explaining the structure and function of the umbilical cord is the most appropriate response. Connective tissue called Wharton’s jelly surrounds the umbilical cord, prevents compression of the blood vessels, and ensures continued nourishment of the embryo or fetus.]
What is the most basic information that a nurse should be able to share with a client who asks about the process of conception?
Implantation in the endometrium occurs 6 to 10 days after conception.
Which information regarding amniotic fluid is important for the nurse to understand?
Amniotic fluid serves as a source of oral fluid and a repository for waste from the fetus. [Amniotic fluid serves as a source of oral fluid, serves as a repository for waste from the fetus, cushions the fetus, and helps maintain a constant body temperature. The volume of amniotic fluid constantly changes. The study of amniotic fluid yields information regarding the sex of the fetus and the number of chromosomes. Too much amniotic fluid (hydramnios) is associated with gastrointestinal and other abnormalities.]
The uterus moves from a pelvic to an abdominal organ at _
12 weeks.
The uterine fundus is at the level of the umbilicus at _
20 weeks.
At 20 weeks gestation, the fundal height is _
20 centimeters.
Quickening, the first fetal movements felt by the mother, occurs at _
16-20 weeks.
Ballottement can be performed by the examiner at _
16-18 weeks.
Chadwick sign, a bluish color change to the cervix and vagina, occurs around _
8 weeks.
Goodall sign, the softening of the cervical tip, occurs around _
6 weeks.
Hegar sign, the softening of the lower uterine segment (isthmus), occurs around _
6 weeks.
Colostrum can be expressed around _
16 weeks.
Estrogen
prompts hyperplasia & hypertrophy
Progesterone
relaxation effect on the body; causes vasodilation & increased blood flow
