Promoting Healthy Pregnancies Flashcards
What could alcohol do to a developing fetus
can cause physical/mental abnormalities, can also cause fetal alcohol syndrome
how many weeks is early term
37 0/7 - 38 6/7 weeks
how many weeks is full term
39 0/7 - 40 6/7 weeks
how many weeks is late term
41 0/7 - 41 6/7 weeks
how many weeks is post term
42+ weeks
how many weeks is preterm
20 1/7 - 26 6/7
What is included in the initial prenatal assessment
biographical data( name, marrital status, DOB), Current pregnancy (EDB expected/unexpected), Past medical history, Oral hygiene, Vaccination hx, OB hx, Family hx, Social hx
Who can give child bearing care
certified nurse midwife, family practice physician, obstetrician
what do you need to make sure when a patient picks a medical professional for pregnancy
need to ensure the provider and patient have the same views on management of pregnancy, and assessing cultural factors in relation to maternity care
would you give FDA category C meds to a pregnant patient
if the benefits outweigh the risks
why would you need to increase consumption of iron
to maintain O2 carrying capacity of blood and provide adequate number of RBCs
how much iron should a pregnant patient consume a day
27mg/day
where can you find iron in foods
spinach, organ meets
how teaching should be included for iron (for taking it and prevent side effects)
take with orange juice to increase absorption, dont take with tea, milk, or coffee
what does parity mean
number of pregnancies carried to viability
what does nullipara mean
no pregnancies carried to viability
what does primipara mean
1st pregnancy carried to viability
what does mullipara mean
2 or more pregnancies carried to viability
what could cannabis do to a developing fetus
could be born with hyper irritability, tremors, and/or photosensitivity
what is pre-conceptive care and when would it start
before pregnancy to identify adverse complications that may present future complications, begins at first trimester if not started before
what is a reproductive life plan tool
reflects number and timing of pregnancies intended
why do you need to increase protein when pregnant
increase in growth of maternal tissue
how much should you increase protein when pregnant (mg and servings)
60mg/day approx 5-6 servings
what foods contain protein
milk, eggs, meat, fish
would you give FDA category A meds
yes - no association with fetal risk
what does cocaine do to developing fetus
at risk for significant congenital abnormalities, also at risk for still birth, abruptio placentae, preterm labor, small baby
a non pregnant women should eat how many calories a day
1200-2400cal/day
when pregnant how many calories should be added to diet
300 cal/ day (1500- 2700cal/day)
how much weight should a pregnant person gain per term (and total)
25-35lbs (1b per month for 1st trimester then 1lb/ week)
would you give FDA category B meds
yes- no studies on pregnant women
when should you start taking folic acid (vit B9)
should take a month before conception to decrease neural tube defects
how much folic acid should a pregnant person take
4000mcg/day
what foods include folic acid (B9)
eggs, dark green leafy,
what should you take folic acid (B9) with
orange juice to increase absorption
what does G stand for in GTPAL
gravid - how many times pregnant
(nulligravid - none
Primigravid - 1st time
Mulligravid - 2 or more times )
what does T stand for in GTPAL
term pregnancies
what does P stand for in GTPAL
preterm pregnancies
what does A stand for in GTPAL
abortions (miscarriage or assisted)
what does L stand for in GTPAL
living children
what could tobacco do to a developing fetus
SAB, decrease birth weight, IUGR (intrauterine growth restriction), preterm labor, placenta previa, premature ROM, SIDs
how often does a patient need to be seen when pregnant
every 4 weeks till 28 weeks
every 2 weeks will 36 weeks
then every week till birth
if they are a high risk pregnancy then they will need to be seen more often
would you give FDA category D meds
no - adverse and fetal risk
what is included in prenatal 1st exam
complete physical exam, pelvic exam, VS, wt, BMI
would you give FDA category X meds
no never - evidence of fetal risk and congenital abnormalities
what is leopold maneuvers
4 part assessment of palpation to determine fetal lie and presenting position
what are some prescription meds you should avoid if pregnant
accutane, some antimicrobals
what foods should be avoided when pregnant
deli meats (unless heated up) raw unpasterirzed foods/drinks,
how much caffeine can a pregnant patient have
200mg/day (12oz cup)
where is FHR best heard at on baby and where is that on mom
over fetal upper back, usually maternal lower abdomen
FHR is assessed with a doppler at ____ weeks, should have ___ accels in ___ min
10 weeks 3 accels in 20min
if fetal heart rate is heard in mother upper abdomen what might that mean
baby in breach position
what is a gynecoid pelvic type
most common in 40% of women circular shape
what is android pelvic shape
male - heart shaped
what is anthrpoid pelvic shape
most common in non Caucasian oval shape ()
what is a playtypelloid pelvic shape
rarest type 3% oval shale <>
what should be done at each prenatal exam
BP, Wt, fundal height, urine, FHT, fetal movement
what does fundal height correlate to
weeks gestation
what herbs should be avoided when pregnant
feverfew, senna, licorice root, juniper berries
