Nursing Care of the Family During Pregnancy Recorded (Chap 14)

Question 1

prenatal period

Answer 1

a time of physical and psychologic preparation for birth and parent hood

Question 2

gestation

Answer 2

duration of pregnancy
- 9 mo, 40 weeks, 280 days

Question 3

first tri
- weeks

Answer 3

1-13

Question 4

second tri
- weeks

Answer 4

14-26

Question 5

third tri
- weeks

Answer 5

27-40

Question 6

term is considered what weeks

Answer 6

> 37

Question 7

EDB

Answer 7

accurate dating of pregnancy is vital to promoting healthy outcomes for the woman and the fetus

Question 8

naegles rule

Answer 8

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

Question 9

maternal adaption steps

Answer 9

accepting the pregnancy
identifying with the mother role
reordering personal relationships
establishing relationship with the fetus

Question 10

phase 1 of adaptation

Answer 10

she accepts the biologic fact of pregnancy

Question 11

phase 2 of adaption

Answer 11

she accepts the growing fetus as distinct from herself

Question 12

phase 3 of adaption

Answer 12

she prepares realistically for the birth and parenting of the child

Question 13

paternal phases accepting
- announcement

Answer 13

accept biologic fact of pregnancy

Question 14

paternal phases accepting
- moratorium

Answer 14

accept reality, more engaged

Question 15

paternal phases accepting
- focusing

Answer 15

negation with partner the role he is to play

Question 16

prenatal care

Answer 16

education about healthy lifestyle, good behavior, self care, discomforts, changes, development

Question 17

centering pregnancy

Answer 17

assessment, education, peer support, allows for collaboration

Question 18

who is least likely to begin 1st trimester PNC

Answer 18

non hispanic, native Hawaiian other Pacific Islander

Question 19

what is one of the most common complications
- what are we going to do to assess

Answer 19

perinatal depression
- PHQ 9

Question 20

mental health screening

Answer 20

intimate partner violence

Question 21

test urine for

Answer 21

protein
glucose
leuckocytes

Question 22

what’s apart of the fetal assessment

Answer 22

gestational age
fetal heart tones
health status
fundal height

Question 23

how to measure fundal height

Answer 23

pubic bone to top of the fundus

Question 24

as the uterus becomes an abdominal organ the fundal ht is

Answer 24

one indication of growth

Question 25

when to do glucose test

Answer 25

24-28 weeks

Question 26

when to do GBS

Answer 26

35-37 weeks

Question 27

if you are GBS positive

Answer 27

profilyatic abx

Question 28

if you are GBS positive in past preg

Answer 28

retest each pregnancy

Question 29

when is routine fetal ultrasound examination done
- 1st tri

Answer 29

18-22 weeks

Question 30

most common cause of UTI

Answer 30

e coli

Question 31

what position do we want the patient

Answer 31

side lying

Question 32

when do we do Rh - antibody screen

Answer 32

1st and 3rd trimester

Question 33

Rh + fetus

Answer 33

Rh immune globulin admin to mom to prevent formation of antibodies

Question 34

when is Rh immune globulin

Answer 34

during pregnancy and within 72 hours after delivery

Question 35

cultural prescriptions vs cultural proscriptions

Answer 35

prescriptions: tell women what to do
proscriptions: established taboos

Question 36

adolescence risk

Answer 36

maternal anemia, preterm birth, preeclampsia, HELLP syndrome, PPH, chronio

Question 37

are AMA or adolescent less likely to received PNC

Answer 37

adolescents

Question 38

Ama increase risk

Answer 38

misscariage, still borne, DM, HTN, placental previa, abruption, C/S, preg related mortality, infant with chromosomal ab, decrease BW, preterm birth, multiple ges

Question 39

are multifetal preg more likley to end in prematurity

Answer 39

yes

Question 40

doulas

Answer 40

trained to provide emotional, physical, informational support

Question 41

3 locations of birth setting

Answer 41

hospital
birth center
home birth

Question 42

even in normal preg what shouldnthe nurse be aware for

Answer 42

supine hypotension

Question 43

t/f there is increased incidence of physical, mental, and verbal abuse during preg

Answer 43

true