WEEK 6 - Pregnancy Care Fundamentals Flashcards
What is the RN’s role in providing PREGNANCY CARE?
- Assessing coping + adaptations
- Active listening, validation, reassurance
- Informational support (what is normal or concerning, what to report, etc)
- Data collection
- Documentation
- Resource referrals
- Interprofessional collaboration (lab, pharmacy, ultrasound tech, etc)
What are some examples of Pregnancy RED FLAGS?
- vaginal bleeding
- vaginal leaking = amniotic fluid
- contrxns
- decreased fetal mvmts
- fever
- visual disturbances: blurry, spots, diploplia (related to pre-eclampsia)
- severe headache (pre-eclampsia)
- pain: abdominal, back, urination, epigastric (pre-eclampsia)
A pregnant client reports having dysuria and is diagnosed as having a Urinary Tract Infection (UTI). UTIs tend to occur in pregnancy because:
A) The ureters are compressed by the uterus, leading to stasis of urine.
B) The urine has increased acidity because of the addition of fetal urine.
C) The kidneys are pushed entirely sideways and do not drain readily.
D) Follicle-stimulating hormone causes ureter diameter to narrow.
A) The ureters are compressed by the uterus, leading to stasis of urine.
See text pg 219
Match each statement with the corresponding hormone. (Ch.10) A. Progesterone B. Beta HCG C. Prolactin D. Estrogen E. Oxytocin
1) Slows gastrointestinal tract motility and digestion contributing to constipation and/or heartburn in pregnancy.
2) Contributes to musculoskeletal joint and ligament relaxation in pregnancy.
3) Stimulates the milk ejection reflex.
4) Responsible for initial lactation.
5) Earliest biologic marker for pregnancy.
1) Slows gastrointestinal tract motility and digestion contributing to constipation and/or heartburn in pregnancy.
A. Progesterone
2) Contributes to musculoskeletal joint and ligament relaxation in pregnancy.
D. Estrogen
3) Stimulates the milk ejection reflex.
E. Oxytocin
4) Responsible for initial lactation.
C. Prolactin
5) Earliest biologic marker for pregnancy.
B. Beta HCG (human chorionic gonadotropin)
CHAPTER 10
During a FOCUSED ANTENATAL ASSESSMENT, what is performed by the nurse? And what document is used (name)?
- Subjective data (interview/history)
- Weight
- Vital Signs (monitor BP - important)
- Urinalysis
- Fundal height
- Fetal mvmt
- FHR (fetal HR) auscultation
All documented on an OPR (ontario prenatal record)*
During antenatal visits, what type of content is covered?
- Medical + OB-G history
- Social + family history
- Physical assess.
- Fetal assess.
- Diagnostics = initial screen/ biophysical/ biochemical testing
- Health education/promotion
- Illness prevention
- DO’s, DON’TS, Red Flags
What are some examples of Pregnancy “DO’S”?
- Healthy diet
- Hydration
- Folic acid + PNVs
- Adequate rest + sleep
- Physical activity
- Flu shot, Tdap
What are some examples of Pregnancy “DON’TS”?
- Smoking, alcohol
- Substance use
- Foods to avoid
- Hot tub/sauna
- Avoid cat litter
- Risky activities
How is FUNDAL HEIGHT measured during pregnancy?
From symphysis to top of fundas using a measuring tape.
What is the avg. # of antenatal visits for a client during pregnancy?
12.9 visits, typically in antenatal clinic or office setting
What is Nageles Rule?
Used to determine EDB (estimated date of birth) + assumes client has a regular period every 28 days
1st day of LMP + 7 days + 9 months
What are the PRESUMPTIVE signs of pregnancy?
- Amenorrhea
- Fatigue
- Breast changes
- Nausea +/or vomiting
What are the PROBABLE signs of pregnancy?
+ Goodell’s sign = softening of cervix palpated during internal exam
+ beta hCG = produced by corpus luteum when fertilized
Braxton-Hicks contrxns = uterine toning
Interventions surrounding Rubella (immune vs non-immune)
Immune - no actions required
Non Immune - @ risk for infection, will get vaccine after birth CANNOT be given during pregnancy
What is the importance of knowing the Blood type + Rh of birth parent?
Blood type = to be transfused if needed + ABO compatibility
