Nursing Care of Family -- Week 5

Question 1

Prenatal Period

Answer 1

A time of physical & psychological preparation for birth & parenthood; 9 months
* health promotion
* risk reduction

Question 2

EDB

Answer 2

Estimated Date of Birth
* based on LMP & first ultrasound
* Calculated by Nagele’s rule

Question 3

Maternal Adaptation

Answer 3

Accepting pregnancy, identifying with the mothering role, reordering personal relationships, establishing relationship with fetus, & preparing for childbirth

Question 4

Attachment Process (mother)

Answer 4

• Phage 1: she accepts the biologic idea of pregnancy
• Phase 2: she accepts the growing fetus as distinct from herself
• Phase 3: She prepares realistically for the birth & parenting of the child

Question 5

Partner Adaptation

Answer 5

• Accepting the pregnancy
• Identifying with the parent role
• Reordering personal relationships
• Establishing relationship with the fetus
• Preparing for birth

Question 6

Prenatal Care

Answer 6

• education
• promote health & wellbeing
• nutrition
• self-care
• information about changes

Question 7

Prenatal Interview

Answer 7

• Health hx
• Nutritional hx
• Hx of drug/herbal use
• Informed consent for drug testing
• Family hx
• Social, experiential, & occupational hx
• Hx of physical abuse
• ROS
• PE
• Supine hypotension
• Lab tests

Question 8

Follow-Up Visits

Answer 8

• Interview (has anything changed?)
• PE
• Fetal assessment (fundal height, tells you if the baby is growing at a normal rate, gestation age, & health status of the baby, hearing the heartbeat at 4-5 weeks w/ vaginal ultrasound & 12 weeks with doppler ultrasound)
• Labs (GBS)

Question 9

Nursing Interventions

Answer 9

• Expected maternal & fetal changes
• nutrition
• hygiene
• UTI prevention
• kegal exercises
• breastfeeding
• umbilical cord
• oral health
• physical activity
• body mechanics
• rest / relaxation
• employment
• clothing
• travel
• medications
• immunizations
• Rh immune globuline

Question 10

Sexual Counseling

Answer 10

• sexual hx
• countering misinformation
• safety & comfort during sexual activity

Question 11

Goal fo Perinatal Care

Answer 11

To help individuals & family members make informed/safe decisions about pregnancy, birth, infant care, & early parenthood

Question 12

Birth Plan

Answer 12

A written outline of parents’ wishes fro labor & birth, intended to help HCPs know what parents want & expect