NUR 1600 Test 4 Ch.4
- Pre-pregnacy care checkup
Answer The first step in planning a healthy pregnancy. The goal is to find things that could affect your pregnancy. You will discuss diet, lifestyle, medications, medical and family history, and past pregnancies.
- Weight before and during pregnancy
Answer You should try to reach a healthy weight before you get pregnant. Excess weight during pregnancy can cause high blood pressure, preeclampsia, preterm birth, gestational diabetes, or birth defects.
150 minutes of moderate physical activity each week, along with muscle-strength- ening activities on 2 days or more a week.
- What vitamins should you take during pregnancy?
Answer Daily prenatal vitamins that contain 400 micrograms of folic acid each day. Folic acid helps prevent major birth defects of the baby's brain and spine. 27 mg of iron per day
- Why is it important to stop using substances before getting pregnant?
Answer Use of tobacco, alcohol, marijuana, illegal drugs, and prescription drugs taken for a nonmedical reason could cause birth defects, low birth weight, preterm birth, or stillbirth.
Things in the environment such as lead, mercury, and certain pesticides can cause harmful effects on a fetus.
- Up to date vaccination for pregnancy
Answer Flu vaccine and whopping cough (Tdap) are recommended
- Healthy People 2030 goals for the pregnant patient and newborn 1 / 3
Answer Increase the proportion of women who get screened for postpartum depression Reduce the rate of fetal deaths at 20 or more weeks of gestation Reduce preterm births Increase the proportion of pregnant women who receive early and adequate prena- tal care
Increase the proportion of women who had a healthy weight before pregnancy
- Risk factors for the pregnant patient
Answer Maternal characteristics
Under 16 or over 35 years of age, marital status
single, less than 5ft. tall, weigh less than 100lb or more than 200lbs, poverty, low education level, or lives at a high altitude
Maternal habits
Alcohol consumption, illicit drug use, no early prenatal care, smoking, high-risk sexual behaviors, and poor diet Obstetric history
previous birth to infant weighing less than 2500 g, previous birth to infant weighing more than 4000 g, previous pregnancy ending in perinatal death, more than two previous spontaneous abortions, birth to infant with congenital or perinatal disease, or birth to infant with isoimmunization or ABO incompatibility
Current Medical Problems
Chronic illnesses, including diabetes mellitus, thyroid disorder, heart disease, hy- pertension, pulmonary disease, renal failure, anemia, sickle cell disease, sexually transmitted disease, or infectious diseases.
Problems with Current Pregnancy 2 / 3
Bleeding, pregnancy-induced hypertension, eclampsia, preeclampsia, fetal position breech, transverse at term, polyhydramnios, multiple fetus, post-maturity, premature rupture of membranes, weight gain that is inadequate or excessive
- Signs and symptoms of pregnancy at various stages
Answer Presumptive
breast fullness, amenorrhea, nausea, vomiting, frequent urination, quickening.Probable
Chadwick sign (blue color to cervix), goodell sign (softening of cervix), hegar sign (softening of lower uterine segment), positive pregnancy test, ballottement
Positive signs
visualization of fetus by ultrasound, auscultation of fetal heart tones, palpation of fetal movements, observable fetal movements
- Describe abnormal findings of the pregnancy examination
Answer Preexisting hy- pertension, pregnancy induced hypertension, excessive edema, facial edema, blurred vision, nipple thickening, mass, numbness, weakness, carpal tunnel syn- drome, hyperreflexia, absence of palpable fetal movement after 22 weeks, greater than 2 cm discrepancy of fundal height and gestational age
- Healthy Newborn Assessment
- / 3
Answer milia, erthema toxicum, congenital dermal melanocytosis, cafe-au-lait spot, telangiectasis, lanugo, seborrheic dermatitis, asymmetrical head, easy respiration, acrocyanosis, capillary refill less than 1 sec, visible pulsations, equal arm and leg length and movement, infantile reflexes