Nursing Care of the Family During Pregnancy Recorded (Chap 14) Flashcards
prenatal period
a time of physical and psychologic preparation for birth and parent hood
gestation
duration of pregnancy
- 9 mo, 40 weeks, 280 days
first tri
- weeks
1-13
second tri
- weeks
14-26
third tri
- weeks
27-40
term is considered what weeks
> 37
EDB
accurate dating of pregnancy is vital to promoting healthy outcomes for the woman and the fetus
naegles rule
assuming the woman has a 28 day cycle and fertilization occurs on 14th day
after determining the first day of the LMP, subtract 3 calendar months and add 7 days
- most births occur 7 days before or after
maternal adaption steps
accepting the pregnancy
identifying with the mother role
reordering personal relationships
establishing relationship with the fetus
phase 1 of adaptation
she accepts the biologic fact of pregnancy
phase 2 of adaption
she accepts the growing fetus as distinct from herself
phase 3 of adaption
she prepares realistically for the birth and parenting of the child
paternal phases accepting
- announcement
accept biologic fact of pregnancy
paternal phases accepting
- moratorium
accept reality, more engaged
paternal phases accepting
- focusing
negation with partner the role he is to play
prenatal care
education about healthy lifestyle, good behavior, self care, discomforts, changes, development
centering pregnancy
assessment, education, peer support, allows for collaboration
who is least likely to begin 1st trimester PNC
non hispanic, native Hawaiian other Pacific Islander
what is one of the most common complications
- what are we going to do to assess
perinatal depression
- PHQ 9
mental health screening
intimate partner violence
test urine for
protein
glucose
leuckocytes
what’s apart of the fetal assessment
gestational age
fetal heart tones
health status
fundal height
how to measure fundal height
pubic bone to top of the fundus
as the uterus becomes an abdominal organ the fundal ht is
one indication of growth
when to do glucose test
24-28 weeks
when to do GBS
35-37 weeks
if you are GBS positive
profilyatic abx
if you are GBS positive in past preg
retest each pregnancy
when is routine fetal ultrasound examination done
- 1st tri
18-22 weeks
most common cause of UTI
e coli
what position do we want the patient
side lying
when do we do Rh - antibody screen
1st and 3rd trimester
Rh + fetus
Rh immune globulin admin to mom to prevent formation of antibodies
when is Rh immune globulin
during pregnancy and within 72 hours after delivery
cultural prescriptions vs cultural proscriptions
prescriptions: tell women what to do
proscriptions: established taboos
adolescence risk
maternal anemia, preterm birth, preeclampsia, HELLP syndrome, PPH, chronio
are AMA or adolescent less likely to received PNC
adolescents
Ama increase risk
misscariage, still borne, DM, HTN, placental previa, abruption, C/S, preg related mortality, infant with chromosomal ab, decrease BW, preterm birth, multiple ges
are multifetal preg more likley to end in prematurity
yes
doulas
trained to provide emotional, physical, informational support
3 locations of birth setting
hospital
birth center
home birth
even in normal preg what shouldnthe nurse be aware for
supine hypotension
t/f there is increased incidence of physical, mental, and verbal abuse during preg
true
