OB exam 1 - Antepartum 2 Flashcards
how to alleviate N/v
-eat crackers/toast before getting up
-SFM
-avoid greasy or spicy foods
-drink carbonated bevs
how to alleviate urinary frequency
void every 2 hrs during the day
how to alleviate fatigue
nap
how to alleviate breast tenderness
wear a supportive bra
how to alleviate increased discharge
-bath dialy
-wear cotton underwear
-avoid douching
how to alleviate nasal stuffiness
-cool air
-normal saline spray
how to alleviate heart burn
take combination non sodium antacid
how to alleviate ankle edema
-avoid prolonged sitting or standing
-keep feet & legs elevated
-hydrate
-socks above knees
when are we concerned about ankle edema
it is caused by decreased venous return and we are concerned if it is not relieved by rest or if it spreads to generalized edema
how to alleviate varicose veins
-regular exercise
-avoid prolonged sitting or standing
how to alleviate flatulence
-keep regular bowel habits
-avoid gas producing foods
how to alleviate hemorrhoids
-avoid constipation
-gentle self reduce them
-topical ointments
-warm soaks/sitz baths
how to alleviate constipation
-increase fluids & roughage
-daily exercise
-regular bowel habits
how to alleviate backache
-pelvic tilt exercise
-good posture
-avoid fatigue
-good body mechanics when lifting
when are we concerned about backaches
when it comes and goes regularity
how to alleviate faintness
-sit down and lower head between knees
-avoid standing in one place too long
how to alleviate SOB
-good posture when sitting
-prop up in bed
how to alleviate difficulty sleeping
-avoid caffeine
-maximize comfort in bed
how to alleviate round ligament pain
warmth to abdomen
how to alleviate carpal tunnel syndrome
-avoid repetitive hand movements
-wear splints
-may disappear after delivery but if not then surgery
when are we concerned of SOB
when it the timing doesn’t make sense -> SOB after doing stairs is normal and not concerning, if the SOB doesn’t go away with rest tho after stairs or just at rest then it is concerning
what do we do if a pregnant women is having difficulty breathing
-apply pulse ox
-listen to lungs
-resp assessment
how to alleviate leg cramps
-massage
-warm soaks
-stretching exercises
-dorsiflex the foot
when is fetal movement usually noted
between 16-22 wks 20
how to check fetal movement counts
take same time every day (suggest 1 hr after eating or when in a side lying position) and count the # of times baby moves within 1 hour+
when to contact HCP in regards to concerns of fetal movement
if the baby has less than 10 movements in 2 hours
a patient calls you saying she has low fetal movement, what is our initial response
ask the patient if they have eaten, laid down, and did you have an empty bladder
if the answer to all of these is yes then contact HCP
breast care
-supportive bra
-cleanliness
-no soap on nipples
-breast shields for inverted nipples during last 3-4 wks of preg
what type of clothing should be avoided during pregnancy
-restrictive clothing
-no high heeled shoes