Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

XIO > maternity week 2 > Flashcards

maternity week 2 Flashcards

1
Q

morning sickness, heartburn, etc. cause

A

unknown, likely hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how many ppl plan to get pregnant?

A

about 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

main issues w/ pregnancy (the usual)

A

HTN and diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is purpose of prenatal care?

A

Purpose of PNC: To reduce risks to pregnant person and fetus.
Routine assessments and screenings that increase in frequency.
Individualized counseling related to diagnoses and prenatal testing.
Patient education.
Individual vs. Group setting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

CENTERING PREGNANCY® PRENATAL CARE

A

Evidence-based model
Group visits w/ pregnant people w/ similar EDD
Improves health outcomes/reduces disparities
Greatest impact for Black childbearing people
Often CNM led (best for Black community)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

prenatal scheduled visits (one, a month to 28 days, 2 weeks to 36, then weekly)

A
  • First visit within the first trimester (12 weeks)
  • Monthly visits weeks 16 through 28
  • Every 2 weeks from weeks 29 to 36
  • Weekly or bi-weekly visits week 36 to birth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

baby is viable at

A

24 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

if bleeding in the middle of the night before 24 weeks, go to

A

labor and delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

midwife vs doctor

A

can have medication with both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

first prenatal visit

A

Confirm pregnancy: Blood or urine pregnancy test
Determine Estimated Due Date (EDD - estimated due date), EDC, EDB - same thing)
Screening exams: blood tests, weight/BMI, urine dip, STI tests, full physical assessment/pelvic exam
Health Baseline: Baseline VS, reproductive history, medications, substance use, nutritional status, comorbidities (including age) (Ricci p. 370, Fig12.2, Health History Summary)
Comprehensive history taking: Family structure, psychosocial risk factors (Ricci p. 366, Fig. 12.1: Preconception screening tool)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

urine

A

checking protein, glucose, specific gravity,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

nagele’s rule

A

Last Menstrual Period (LMP)
Plus 7 days
Minus 3 Months
= Estimated Due date

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

stress test at when? (Stressed not quite at 28 weeks later)

A

24 weeks and above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

at least 15 bmp

A

above the baseline for 15 min (stress test, look this up in the book)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

BPP

A

NST, breathing movement, fetal tone, fetal movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

follow up visits

A

Weight tracking
Assessment physical and emotional well being
VS/BP
Urine checked for protein, glucose
Additional blood tests PRN
Education
Additional tests 2nd/3rd tri: GBS, Gestational Diabetes Screening
Rhogam (immunoglobulin) PRN
Planning for birth/preferences - usually 3rd trimester - pain management at birth, etc.
Genetic Testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

RH test**

A

COOMBs test - anytime the blood is mixed with RH - mom, will get a coombs test.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

follow up visits - fetus

A

Fetal growth: fundal height
Fetal wellbeing subjective: FHR via U/S or doptones
Fetal wellbeing subjective: fetal movement (a “VS”) - (quickening) - fist baby 20 weeks, 2nd - 12 weeks
Genetic Screening exams/results

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

fundal height at what time

A

12-14 weeks (check this)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

potential complications

A

Infection: All trimesters
Spontaneous Abortion (SAB)/Miscarriage: 1st
Hyperemesis: All trimesters
Pyelonephritis: All trimesters
IUFD: 2nd/3rd tri
Kidney Stones: All trimesters
Gestational Diabetes: 3rd tri (but could be
earlier)
PPROM: 2nd/3rd
Hypertensive disorders: All trimesters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

pylonephritis main symptom

A

pain

22
Q

hypertension++ what is the number? (The normal number)

A

140/90

23
Q

Hypertensive Disorders of pregnancy - death++

A

Hypertensive Disorders of pregnancy 2nd leading cause of morbidity.

24
Q

3rd Trimester Testing:
Group B Strep++

A

Vaginal/Rectal Swab at 35-37 weeks
Considered GBS+ if urine contains GBS in first tri
Affects 50% of pregnant people
GBS normal vaginal flora
GBS+: ABX prophylaxis in labor

25
Q

rhogam - dose (rhogam costs $300)

A

300 mcg IM, deltoid

26
Q

interventions for morning sickness

A

Eat dry carbs in AM before getting up
Avoid empty stomach/eat small frequent meals
Avoid: strong smelling foods/fatty, fried foods
Ginger
Vit B6, & doxylamine (unisom), or Zofran may be prescribed
PNV to maintain adequate nutrition

27
Q

physical changes - Round ligament pain (my stomach is round)

A

abdominal pain. 2nd and 3rd trimester a lot of abdominal pain. (exercise and belt for patients)

28
Q

sexual changes***

A

no problem having sex during pregnancy.

29
Q

only time sex can be harmful is…

A

if pt has history of preterm labor.

30
Q

MMR and varicella -can you give during pregnancy?

A

given during pregnancy bc they are live vaccines.

31
Q

genetic screening

A

Screening test vs. Diagnostic Tests
Screening for neural tube defects, trisomy 21 and other chromosomal abnormalities.
Screening tests may be followed by diagnostic tests.
Individual counseling based on risk factors/beliefs/preferences to guide decision-making.

screening tests lower risk, diagnostic higher risk

32
Q

earliest test - Cell-free fetal DNA: 8-10 weeks

A

Blood draw from pregnant person
Detects fetal cells in maternal circ
High sensitivity to Tri 21 (99.9%)

33
Q

diagnostic - Amniocentesis

A

Amniocentesis:
15-20 wks gestation (may be done 11-14 w/ higher SAB risk.
Risk of SAB similar to CVS
Amniotic fluid anayzed for chromosomal abnormalities, infection, Rh sensitization
3rd tri: used to test for lung maturity

34
Q

diagnostic - Chorionic Villus Sampling (cronion is early, it’s genetics)

A

Chorionic Villus Sampling:
10-13 wks of gestation
Placenta specimen obtained trans-abd. or trans-vag.
Genetic material analyzed for common chromosomal abnormalities.
Does not detect neural tube defects.
Risks: damage to structures, 0.5-1.0% risk of miscarriage (SAB).

35
Q

Excessive intake - how big will the baby be? (The baby weighs 4000 tons)

A

baby over >4000 grams

36
Q

more at risk for malnutrition during pregnancy

A
  • Adolescence or less than 2 years post menarche
  • Frequent pregnancies: three within 2 years
  • Poor fetal outcome in a previous pregnancy
  • Poverty/food insecurity
  • Poor diet habits with resistance to change
  • Use of tobacco, alcohol, or substances
  • Weight at conception under or over normal weight
  • Problems with weight gain
  • Weight loss during pregnancy
37
Q

nutrtional risk during pregnancy - what weight gain is dangerous?

A

Weight gain of more than 3 kg (6.6 lb)/month after the first trimester
Weight gain of less than 1 kg (2.2 lb)/month after the first trimester
Multi-fetal pregnancy
Low hemoglobin and/or hematocrit values (biochemical measure
Diabetes
Chronic illness, including an eating disorder, that affects intake, absorption, or metabolism of nutrients

38
Q

nutritional assessment

A

Anthropometric: obtain baseline and serial weight/BMI
Obtain diet record
Review supplement intake
Formulate individualized plan of care based on objective/subjective data
Education on food choice/calorie intake: additional 300 kCal (2nd/3rd tri.)
Physical assessment: head to toe/signs of malnutrition?

39
Q

calcium - what nut has it?

A

Sources: dairy, almonds, canned fish, dried beans/lentils

40
Q

folic acids (black eyed peas on acid)

A

Leafy greens, black-eyed peas and other legumes, citrus, peanuts, liver
Deficiency: risk for NTD

41
Q

iron

A

Animal meats, leafy greens, eggs, tofu, tempeh, fortified foods (but whole foods are better)
Vit C aids absorption
Low iron=anemia

42
Q

folic acid*****

A

Necessary for RBC formation
 risk of NTD (neural tube defect)
People who may become pregnant should take supplement

43
Q

alcohol*****

A

No safe amount in pregnancy

44
Q

Artificial Sweeteners

A

Unknown effects: may be linked to higher birthweight/childhood obesity
No nutritional value

45
Q

mercury

A

May lead to pregnancy complications & childhood developmental delays
Limit fish to 2x/week & avoid fish higher in mercury

46
Q

Listeriosis

A

Unpasteurized & raw foods, deli meats, refrigerated smoked fish, deli salads, “old” food, poorly refrigerated
May pass through placenta
Risk of miscarriage, stillbirth, neonatal demise

47
Q

Psychological Adaptation to Pregnancy: Stages

A

(1st - 3rd trimester)

Ambivalence
Introversion
Acceptance

48
Q

Psychological Adaptation to Pregnancy: 2nd trimester

A

Establishing a relationship with the fetus
Fetal movement/fetus as separate being
Pregnancy/fetus main focus
Attention to own mother and others who are pregnant (more outward focus)

49
Q

Psychological Adaptation to Pregnancy: 1st Trimester

A

Introversion: Focus on self.
The baby isn’t real
Ambivalence: Examines what needs to be given up
Emotional lability
Change in body image.

50
Q

Psychological Adaptation to Pregnancy: 3rd Trimester

A

Tired of being pregnant
Prepares realistically for the birth and parenting
May be unconfident about parenting
Identifying with the mother/parent role
Reordering of relationships

XIO (393 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions