nursing management during pregnancy Flashcards
what happens during the 1st prenatal visit after a missed period?
-urine pregnancy test-figure put EDD
demographics
-ob/gyno hx
-current pregnancy
-medical hx
comprehensive physical assessment
gravida
number of pregnancies
para
number of births 20 weeks and over
term
how many pregnancies were carries to 37-42 weeks
preterm
how many pregnancies were 20-36 weeks
abortion
how many pregnancies were under 20 weeks
living children
how many children are alive
when does CBC occur?
first visit & 24-28 weeks
do women get rhogam?
28 weeks & 72 hours after birth or trauma
recommend vaccines during pregnancy
-hep B
-inactivated influenza
-t-dap
-rabies
contraindicated vaccine during pregnancy
-influenza nasal spray
-MMR
-Varicella
-TB
-typhoid
how often should a woman come in from conception to 28 weeks
1x per month
how often should a woman come in 29-36 weeks
every other week
how often should a woman come in after 37 weeks?
1x per week
when should the gestational age match the final height of the umbilicus
20 weeks
amniocentesis time
15-20 weeks
CVS time
10-13 weeks
high alpha -fetoprotein analysis
neural tube defect
low alpha fetoprotein analysis
Down syndrome
when is an NST performed?
28 weeks
what type of NST is desired?
reative
when is a BPP done?
after a non assuring NST
what does a BPP measure?
fetal tine
fetal movements
fetal breathing
amniotic fluid
fetal heart reactivity
lamaze
breathing technique
Bradley
partner coached birth
dick-read
natural birth
first trimester discomforts
-urinary frequency/incontience
-fatigue
-N/V
-breast tenderness
-constipation
-nasal stuffiness
-bleeding gums
-epistaxis
-cravings
-leukorrhea
second trimester discomforts
-backhache
-varicosities of the vulva and legs
-hemorrhoids
-flatulence with bloating
third trimester discomforts
-return of 1st trimester discomforts
-shortness of breath & dyspnea
-heartburn and indigestion
-dependent edema
-Braxton Hicks contraction
