Prenatal Care Flashcards
goals of prenatal care?
- Safe outcome to pregnancy
* Fostering positive feelings by client and family around childbearing experience
Prenatal Assessment
• OB, medical, nutrition, family, medications, psychosocial, environmental exposures, work conditions, exercise, lifestyle, vaccine status, allergies, current medications, hazardous exposure
◦ ambivalence is common in 1st trimester but should subside
• **ABUSE rick/history assessment - be non judgmental, s/s of abuse - physical/mental/emotional
◦ do for all pregnant people
is ambivalence common in 3rd trimester?
no! okay during 1st trimester, investigate if still there in 3rd trimester
when do. we do first prenatal assessment?
within 12 weeks
assessment components for 1st prenatal visit?
◦ Social supports, review of systems – determine risk factors, physical assessment, weight, vitals, pelvic exam, labs, GTPAL
ongoing visit assessments?
◦ Monitor weight, b/p, urine, fetal development, fundal height, fetal movement (16-20 weeks), management of discomforts
when do we test for Group B Strep?
3rd trimester- 35-37 weeks
Lab tests for prenatal care
• Blood type
• Rh factor, Indirect Coombs’ test
• CBC, Hgb, Hct –> assessment for anemia/ infection/sickle cell
• Platelets stay normal!
• Hgb electrophoresis
• Rubella, Hep B, GBS+, VDRL, HIV, G/C
◦ cannot give rubella vaccine during preggo, but want to know if she is immune or not
• Urinalysis, One-hour glucose tolerance test, Three-hour glucose tolerance test if don’t pass the 1 hour test
• Pap test
• PPD
• MSAFP 15-22 weeks , =Maternal serum alpha-fetoprotein – down syndrome or neural tube defects
• Toxoplasmosis, infections, TORCH screening
what is MSAFP? when do we do it?
15-22 weeks
=Maternal serum alpha-fetoprotein
– down syndrome or neural tube defects
Client Education during prenatal visit
Health Promotion ◦ Avoid OTC medications, alcohol, substance use, hot tubs, saunas ◦ Exercise ◦ Consume 8-10 glasses of water/day ◦ Need for flu vaccine ◦ Smoking cessation ◦ Treatment of infections ◦ Genetic testing ◦ Hazardous material exposure
First trimester danger signs to report
◦ signs of infection- fever chills burning on urination, diarrhea
◦ hyperemesis gravidarium - dehydration
◦ miscarriage/ectopic- cramping/ vaginal bleeding
2nd/3rd trimester signs to report
◦ abd pain related to ectopic preg, miscarriage, placental abruption
◦ gush of fluid- premature labor
◦ decreased fetal movement
◦ severe headache, blurred vision, edema in hands/feet- high BP
◦ difficulty urinating- infection
◦ gestational diabetes - hypoglycemia and hyperglycemic signs
weight gain for 1st, 2nd and 3rd trimesters?
◦ 2.2 to 4.4 lbs during 1st trimester
◦ 1 lb a week during 2nd and 3rd trimester
recommended weight gain for single preggo for standard BMI
25-35 pounds
overweight vs underweight weight gain during preg
- Underweight 28-40
* Overweight 15-25
