pre labour Flashcards
what are the places that nurses normally work at?
- Hospital, home, community and ambulatory
nurses work collaboratively with other members of the…
interprofessional healthcare team, such as physicians, midwives, and social workers
what is the main objective in nursing?
healthy person giving birth to a healthy baby
what are the principles of nursing standards in L&D
- Caring
- Health and well-being
- Justice
- Informed Decision Making
- Dignity
- Confidentiality
- Accountability
what are some current labour issues with Indigenous Women
- tend to be lack of hospitals therefore there is no proper care
- may get care that is unsafe
homelessness and pregnancy
- little knowledge
- mental health concern
- poor hygiene
- exposure to violence
- lack of money for proper food, transportation, helath care etc.
LGBTQ2
- lack of knowledge
global concerns
- genital cutting
- human trafficking
what does GTPAL stand for?
- gravdity (number of all pregnanices)
- term birth (more than 37 weeks)
- preterm brith (before 37 weeks *20-37)
- abortions and miscarriages
- living children
what is the goal for preconception?
- improving moms health and reduce things that can be causing danger to both mom and baby
what are some risk assessments for preconception?
- intimate partner violence
- STI and infertilty
- diseases
- medication or substnace abuse
what are some interventions that can be done to aid preconception?
- health teaching
- weight management
- family planning
what is the average weight to gain when someone is underweight?
28-40
what is the average BMI
18.5 - 24.9
what is the average weight needed to gain for someone obese?
11-20
what is a NTD?
neural tube defect
- when a babys nural tube does not close properly before brith
what does the neural tube form?
brain and spine
when do the neural tubes close?
first months of gestation
why do women take folic acid?
prevent from NTD
how many mg of folic acid needed to take if you are low, moderate or high risk for NTDS?
- Low Risk: 0.4mg in a daily multivitamin 2-3 months throughout pregnancy
- Moderate Risk: 1.0mg in first trimester, then reduce to 0.4mg
- High Risk: 4mg/day through first trimester, then reduce to 0.4mg – 1.0mg daily
true or false: you dont need to take multivitamins before pregnancy
FALSE: you need to take them at least 3 months in advance even if you are low risk for NTD’S
when taking a pregnacy test, what is the test looking for in the body?
- Beta HCG
how can you estimate the date of birth?
- through the LMP (last menstrual period)
- date of intercourse
what is nagele’s rule?
add 9 months from last known period then add 7 days
what are the placental functions?
- respiration
- nutrition
- excretion
- storage
the placenta acts like a….
endocrine gland
at what age does a kid notices the mothers appearance change?
2 years old
what age does a kid think its “their baby”?
school aged
what are the 4 phases in a period?
- menstrual cycle
- follicular phase
- ovulation phase
4.leuteal phase
what happens in menstrual phase?
- starts when the egg isnt fertilized
- therefore estrogen and progesterone decrease
- thicken lining of uterus starts to shed (bleeding)
what happens in the follicular phase ?
- starts on the first day of the period
-ends when ovulation occurs - hypothalamus in brain sends signal to pituitary gland to release hormones that stimulate follicules that contain eggs (immature)
- thickens uterus lining
what happens in ovulation phase
- the increase of estrogen in folicular phase triggers the pituitary gland to release a hormone that starts ovulation
- when the ovary release a mature egg
- egg travels down fallopian tubes to uterus to be fertilized by sperm
- pregnancy happens here
what happens in the luteal phase?
- after the egg is released
- turns into corpus lutium (a structure that releases estrogen and progesterone)
- therefore these hormones increase
- help uterine lining thick
body will produce HCG at this phase
what does the uterus do?
the lining of your uterus thickens and its blood vessels enlarge to provide nourishment to the fetus
the cervix is…
fibrous connective and elastic tissue
where is the cervix located?
above vagina under uterus
what does the cervix do?
protects baby and secure it in uterus
- cervix is closed and rigid until labour
where is your true pelvis located?
lower body
when is the placenta finished being produced?
by week 12, the corpus lutieum will act as placenta until then
when is the umbilical cord produced?
week 2-3
what does amniotic fluid do?
- maintains temp
- cushions fetus from trauma
- aids in fetal lung development
- infection wall
what are the three layers of the uterus?
Endometrium, myometrium, peritoneum
Where does implantation occur under normal circumstances?
endometrium
what is the hormone responsible for triggering ovulation
Luteinizing hormone (LH)
What are the two layers that surround an ovum?
Zona pellucida and corona radiata
