Week 2- pregenancy and antenatal care

Question 1

What are the cultural consideration needed for maternity paitents?

Answer 1

Langauge barriers
prefered birth practices
prefered practices for birth and care
treatment prefrences
need for sensitivity
avoiding cultural bias
ensuring cultural saftey
minorites groups and Sosioeconimic demographics

Question 2

How can language barriers be over come in the maternity paitent>

Answer 2

Translator, family members, crews that might be able to speak other languages, online resources, body language/non-verbal communication

Question 3

What might be conisdered in relation to prefered practices in the maternity paitent?

Answer 3

Ask what are their wishes
what they are comfortable with
involve in decision making process
pain relif vs not
prefered postions
prefernce for female attendednt

Question 4

How can cultural beleifs be respected when dealing with the paitent?

Answer 4

use family members to complete parts of assessment
cultural mindfulness
combating issues through awearness, education, social inclusivity

Question 5

How can we avoid cultural bias?

Answer 5

try to remove bias before entering scene
ensure same level of duty of care facilitated
idntifying personal biases and adressing them

Question 6

How do we consider cultural awearness when treating a maternity paitent?

Answer 6

identify the normaility that exists within various cultures and act with respect
acknowalge differences and be aware of belifes and practices

Question 7

what does antepartum/pospartum refer to?

Answer 7

Antepartum- period prior to child birth

Postpartum- period after child birth

Question 8

What do gravida and parity refer to?

Answer 8

Gravid- number of pregnancies that the paitent has had- no matter what the outcome of pregnancy and including current pregnancy

Parity- number of pregnanacies that have been completes- lasted to at least 24 weeks gestation- twins only counts as one pregnancy

Question 9

what does prima gravida refer to?

Answer 9

first every pregnancy

Question 10

what term is used to describe a person that has never been preganat

Answer 10

Nulligravida

Question 11

what is a person who has never given birth refered to?

Answer 11

Nuliparity or nuliparious

Question 12

mulitigravia refers to?

Answer 12

somebody who has been pregnant more than once

Question 13

what does gran multigravia refer to?

Answer 13

a woman who has carried 6 more more pregnancy to more tahn 24 weeks

Question 14

What are the timeframs for the three trimesters?

Answer 14

1 up untill 13 weeks
2- 13-26 weeks
3rd 26 weeks untill birth of baby

Question 15

what occurs during the 3 trimesters?

Answer 15

1- rapid embryo development, uterus remains in pelvis

2- foetus continues to develop, uterus moves to abdomen

3- lower segment of uterus streches and uterus continues to move up, foetal development slows and baby gains weight

Question 16

what do 
term
premature
very premature and
post term mean?

Answer 16

term- between 37-42 weeks
preterm <37 gestation
very premature- <30
poster term >42 weeks

Question 17

What occurs in the first stage of labour?

Answer 17

1st- consists of painful regular contractions resulting in full cervical dilation

3 phases, latent, active and transition

Question 18

What occurs in the second stage of labour?

Answer 18

Full dilation to arrival of baby

2nd phases- lull and expulsive

Question 19

what is involved in the third stage of labour?

Answer 19

time from the baby born to the delivery of the placenta

Question 20

what is the definition of labour

Answer 20

normal process by which the foteus and placenta are expelled from the birth cannal

Question 21

What things will be done on the first antenatal vist?

Answer 21

confirm pregnancy, ultrasound, blood test, symptoms
Paitent history, vaccine status, ensure taking folic acid suplimments
establishing maternal/paternal risk factors
Social/lifestyle history

Question 22

what effect can low folate have on a developing foetus?

Answer 22

Critical for neural tube development and can cause spina Bifida

Question 23

What affect may smoking have on the development of the foetus?

Answer 23

Low birth weight, premature labour, congential defects (cleft pallet)

Question 24

what affects can alcohol have on a developing foetus?

Answer 24

causes miscariage, premataure birth, and may result in foetal alcohol syndrome

Question 25

why would you ask a paitent in an antenatal appointment if they have a cat?

Answer 25

Toxoplamosis- presnt in cat feaces can cause developmental problems- linked to scizophrenia

Question 26

what is check on in antenatal appointments?

Answer 26

BMI, blood pressure, urin analysis, diabetes, growth of baby

Question 27

what is a mutagen?

Answer 27

a physical or chmial agent that causes genetic material to undergo structural changes all mutagens are teratogens

Question 28

what is a carcinogen?

Answer 28

an agent that by either direct or indirect action causes normal cells to become neoplastic