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Mother-Baby > Prenatal Care and Nutrition > Flashcards

Prenatal Care and Nutrition Flashcards

1
Q

Prenatal visits and schedule

A

1st trimester: 1 visit (confirmation of pregnancy)
12-28 weeks: every 4 wks
29-36 wks: every 2 wks
37-delivery: every week

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2
Q

What should the nurse anticipate during a pt initial visit?

A

Confirm pregnancy/determine due date
Obtain history
VS, including weight
Full PE
Initial heart tones (FHTs): should hear by 10 wks, no later than 12 wks
Anticipatory guidance: self-care of common complaints, warning s/s

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3
Q

What initial screening tests would the nurse conduct during initial visit?

A

Hgb & Hct, WBC
Blood type, Rh factor
Rubella titer: looking to see if they are immune, rubella is detrimental
Urinalysis: protein, glucose, infection, confirmation of pregnancy
Pap smear
STI screening: gonorrhea, chlamydia, HIV, syphilis, Hep B antigen, Hep C

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4
Q

Initial visit: history components

A

Current symptoms
Reproductive and obstetric hx
Medical hx
Nutritional hx
Medications/smoking/substance use
Psychosocial (feeling about pregnancy, support system, employment hx, depression hx/screening, intimate partner abuse screening)

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5
Q

What assessments should the nurse expect during follow up visits?

A

VS, weight
Urine for protein/glucose/nitrites/WBCs
Gestational-age based screening tests
FHTs (10-12 wks)
Fetal movement (at 16+ wks)
Fundal height (20+ wks)
Edema
Preterm labor or other complication s/s
Discuss birth plan

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6
Q

Normal fetal heart rate

A

110-160

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7
Q

Fundal height landmark for 12 wks

A

Pubic symphysis

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8
Q

Fundal height landmark at 20 wks

A

Umbilicus

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9
Q

Fundal height landmark at 36 wks

A

Xiphoid process

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10
Q

Fundal height landmark 37-40 wks

A

Regression of fundal height b/w 36-32 cm

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11
Q

Normal fundal growth

A

1 cm per week

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12
Q

When do we start assessing fetal movement

A

16 wks

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13
Q

Kick count instruction

A

Start at 28 wks
same time every day, generally a time baby is usually active
Have a snack or drink first
Sit or lie on side
Note time kick count is started
Continue counting until 10 movements are felt
If <10 movements in 2 hrs, contact provider

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14
Q

When is cfDNA genetic screening done and what does it indicate

A

10-14 wks
Aneuploidy/Rh/sex

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15
Q

When is AFP/Quad Screen done and what does it indicate

A

16-18 wks
May indicate neural tube defect
May indicate trisomy 18 or 21
Can be done earlier (10-14wks) in conjunction w/ nuchal translucency screening

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16
Q

When do we do ultrasound

A

1st trimester to confirm gestational age
18-22 weeks for fetal anatomy scan

17
Q

When do we screen for gestational diabetes

A

24-28 wks
1st trimester if high risk
initial screen: 1 hour OGTT
If initial screen >140 then 3 hours OGTT

18
Q

Group B strep

A

35-37 wks
Via vaginal/rectal swab

19
Q

What immunizations should be given in pregnancy

A

Injectable Flu vaccine
TDAP
COVID

20
Q

When is Rh Immune globulin (RhoGAM) given to a pregnant person is RH negative

A

at 26-28 wk
at 72 hours after delivery of RH positive infant
After procedures/events with increased risk of bleeding

21
Q

Common discomforts of pregnancy during 1st trimester

A

Nausea & vomiting
Fatigue
Breast tenderness
Nasal stuffiness & epistaxis
Heartburn
Constipation
Leukorrhea

22
Q

Common discomforts of pregnancy: 2nd trimester

A

1st trimester discomforts may continue
Backache
Leg cramps
Varicosities
Hemorrhoids

23
Q

Common discomforts of pregnancy: 3rd trimester

A

1st and 2nd trimester discomforts may continue
SOB/dyspnea
Dependent edema
Hemorrhoids
Braxton-hicks contractions

24
Q

Warning signs in pregnancy

A

Persistent vomiting
Fever
Dysuria
Severe back/flank pain
Pelvic cramping/pain
Vaginal bleeding
Gush of vaginal fluid
UCs prior to 37 weeks
Decrease fetal movement

25
Q

Severe/Urgent warning signs

A

Severe, persistent or frequent headaches
Visual changes: spots, blurring, double vision
Epigastric pain
Severe swelling of lower extremities
Swelling of face, fingers, or sacrum

Mother-Baby (3 decks)

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