Maternal Child Health Final Exam Exam 1, 100% proven pass rate, Graded A+

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Maternal Child Health Final Exam Exam 1  Quickening: o Maternal awareness of fetal movement  17-20 weeks  Toxoplasmosis: o Associated with the consumption of infested undercooked meat a... nd poor hand washing after handling cat litter  Educate on having someone else change the cat’s litter pan and to avoid consuming uncooked meat  Blood Volume: o Because of the increase in plasma the hematocrit will appear low, especially at 32-34 weeks gestation. A hemoglobin of 11.2 and hematocrit of 38% would be considered normal  Natural Family Planning: o Identifying the fertile time during the cycle and using abstinence or other contraceptive methods during the fertile period requires motivation and considerable counseling  IPV (Intimate Partner Violence) o Nurse should routinely screen all of their patients. Using words such as, “do you feel safe in your current environment and relationships?”  Recreational Drugs o The use of these drugs can harm the fetus, causing miscarriage/spontaneous abortion and low birth weight  First Prenatal Visit (3) o The patient has appropriate questions for her potential provider that include:  The opportunity to use complementary and alternative methods during labor and birth  And opportunity to meet other providers in the practice  The health care provider’s beliefs and practices concerning epidural anesthesia the routine use of episiotomy 1 Quadruple Screen: o Screening test to determine birth defects  Screens for 4 pregnancy hormones  Normal Results o Usually done between the 15th and 22nd week  Most accurate between the 16th and 18th week o Abnormal result does NOT mean baby has a birth defect  Most testing should be done  If the test is abnormal, you may want to talk or have a referral fo a genetic counselor  Vegetarian Diet: o Recommend vitamin B12 and iron supplements  Emergency Contraceptive: o Nausea and vomiting is a common side effect, an over the counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea  Primary Dysmenorrhea (cramps):  The use of non-steroidal anti-inflammatory drugs (NSAIDS) as an optimal pharmacological therapydms sSSvestational Diabetes Mellitus: o Recommend that all pregnant women be screened during the 24th and 28th weeks of gestation vdcd  Mother’s Blood Sugar: o Infants who are producing more insulin because of the high maternal glucose develop MACROSOMIA (meaning big body)  Side-Lying Position: o Side-lying in the lateral position decreases pressure on the vena cava and is common instruction given to increase venous return and increases fetal circulation, circulatory volume and placental and renal perfusion  Fundal Height: o 14 weeks is slightly above the symphysis pubis  Urgent Reportable Signs in Pregnancy: o Vaginal bleeding 2o Rupture of membranes o Headaches that do not respond to usual therapy  GTPAL o GRAVIDA- pregnant woman o Term- carried to term o P- number of preterm deliveries o A- number of abortions/spontaneous or induced o L- number of living children  Cardiac Output: o Increases and peaks around 20-24th week (second trimester) o Frequently it is 10-15 beats higher to facilitate the extra volume  EDD or EDB o Naegele’s Rule:  Subtract 3 FULL months + 7 days  Nutritional Counseling: o Essential nutritional elements are protein, iron, folic acid, calcium and water  Breast Self-Exam: o Step 1: exam with arms down o Step 2: exam with arms up o Step 3: signs of fluid discharge o Step 4: feel while lying down o Step 5: feel while sitting or standing  Nausea and Pregnancy: o Avoid trigger foods o Small frequent meals, plain dry crackers, remaining upright after eating Exam 2 3 Newborns Addicted to Drugs: o INCESSANT CRYING  Fractures Can Occur from Birth: o Large babies can become lodged in the birth canal, and the CLAVICLE can fracture during the process of birth  Spinal Anesthesia- Epidural (4): o Intake and Output o Blood Pressure o Respiratory Rate o Fetal Heart Rate  Preeclampsia: o Nursing care would include administering magnesium sulfate according to the agency policy  Assessment of Postpartum Woman (3): o Assessment of pain and provide pain medication o Ongoing physical assessment o Notification to the provider if the RR is still elevated an hour after med admin  Mental Health Questions: o Ask to hear about how things are going in their own words. o Use words like, “tell me about…”  Erythromycin Ointment and Vitamin K: o Start at the inner cannulas and move to the outer cannulas o Dab excess on the skin, but DO NOT wash it away  Symptoms of Early Labor: o Excited or irritable related to answering multiple questions about contractions o Her pulse rate will be 100 beats per minute o Her pulse rate will be 100 beats per minute  Headache and the Postpartum Patient: 4o INQUIRE about the location and the severity of the headache  Fetal Monitor Indicates Late Decelerations: o Change positions  NOT on back o Turn Pitocin off if it was running o Decelerations always need to be documented but should have an ACTION by the nurse o Oxygen may be administered by face mask (8-10 L/min)  Afterpains: o When baby breastfeeds, the uterus contracts and feels just like a labor pain  Interventions: baby has blue tinge to lips, gums and [Show More]

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