Unit 6

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Author:
shannonm2003
ID:
153379
Filename:
Unit 6
Updated:
2012-05-10 22:36:45
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Nursing Care During Pregnancy
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Nursing Care During Pregnancy
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  1. What does an elevated maternal serum alpha-fetoprotein (MSAFP) indicate
    Open neural tube defects such as spina bifida
  2. what does a lowered MSAFP indicate
    Down syndrome
  3. Is intercourse during pregnancy safe?
    Yes, although intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present. Uterine contractions that accompany orgasm can stimulate labor and would be problematic if the woman were at risk for or had a history of preterm labor.
  4. A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg cramps if she
    Extends her leg and dorsiflexes her foot during the cramp. Extending the leg and dorsiflexing the foot is the appropriate relief for a leg cramp.
  5. What does an H&H and WBC test indicate
    detects anemia/detects infection
  6. what does a hemoglobin electrophoresis indicate
    identifies women with hemoglobinopathies (sickle cell anmea, thalassemia)
  7. What does the blood type, Rh, and irregular antibody indicate
    identifies fetuses at risk for developing erythroblastosis fetalis or hyperbilirubinemia in neonatal period
  8. what does the rubella titer indicate
    immunity to rubella
  9. what does the U/A indicate
    identifies woman with DM, renal disease, HTN, infection
  10. what does a urine culture indicate
    identifies women with asymptomatic bacteriuria
  11. what do renal function tests like BUN, creatinine, electrolytes, and creatinine clearance indicate
    Evaluates level of possible renal compromise in women with a history of DM, HTN, or renal disease
  12. What does the pap test indicate
    screens for cervical intraepithelial neoplasia, herpes simplex type 2 and HPV
  13. and does the vaginal or rectal smear for HPV, chlamydia, gonorrhoea, and GBS indicate
    screens high risk population for asymptomatic infection; GBS done at 35-37 weeks
  14. What does the RPR/VDRL/FTA-ABS indicate
    Identifies woman with untreated syphilis
  15. what does the 1-hr glucose tolerance test indicate
    screens for gestational DM done at initial visit for women with risk factors, done at 28 weeks for all pregnant women
  16. what does the 3-hr glucose tolerance test indicate
    screens for DM in women with elevated glucose level after 1-hr test; must have 2 elevated readings for dx
  17. what is the cardiac evaluation; ECG; chest x-ray film and echo
    evaluates cardiac function in women with a history of HTN or cardiac disease
  18. How many additional calories are needed in the second trimester?
    340 calories per day
  19. How many additional calories are needed in the first trimester?
    no additional calories needed
  20. How many additional calories are needed in the 3rd trimester?
    462 calories
  21. What is an inadequate weight gain?
    less than 1 kg per month
  22. What is excessive weight gain?
    more than 3 kg per month
  23. what are the four major goals of prenatal care
    • define the health status of mother and fetus
    • determine gestational age - monitor development
    • identify risk factors and minimize
    • provide appropriate education and counseling
  24. what do you want to do for prenatal care in the 1st trimester
    obtain their history, due date, physical exam, pelvic exam and blood work
  25. what do you want to do for prenatal care in the 2nd trimester
    measure the baby's growth, heartbeat, movement and mom's prenatal tests
  26. what do you want to do for prenatal care in the 3rd trimester?
    vag exam, check baby position, and cervical changes
  27. what are normal cardiovascular changes in pregnancy
    increased intravascular volume, decreased systemic vascular resistance
  28. what are some community resources
    • crisis center
    • law enforcement agency
    • counseling center
    • shelters
    • legal aid

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