*NURSING > STUDY GUIDE > NURS 4341 OB Exam 1 Objectives Review - University of Texas. (All)
NURS 4341 OB Exam 1 Objectives Review - University of Texas. Preconception and Early Prenatal Care Identify primary purpose and key components of preconception health care. o HELPS mom get the ... best health prior to conception o GET chronic illness under control o CHANGE diet/ meds to improve outcomes We want all women to see their provider before trying to get pregnant. Conception and Fetal Development Examine the basic functions/purpose of the placenta, umbilical cord, and amniotic fluid. o Placenta: acts as the respiratory center, nutrition center, excretion, storage of nutrients (carbs, protein, Ca+, Fe+) Like a grocery store- provides storage for later use o Umbilical cord: 3 vessel cord 2 arteries- carries blood away (de-oxy blood) 1 vein- carries blood to the fetus (oxy blood) These vessels do the EXACT opposite, arteries are smaller in size and veins are larger in size) o Amniotic fluid: functions as thermoregulation, oral fluid, cushion from trauma, freedom of mvmt for musculoskeletal develop., fetal lung development. Classify the fetal causes of oligohydramnios and hydramnios (also known as polyhydramnios) AF abnormalities Oligohydramnios: <500ml of AF Too little can cause resp or urinary syst. Problems Hydramnios (polyhydramnios): > 2000ml of AF (at term) Possible causes could be maternal DM (maybe the mom isn’t controlling her DM) Too much can cause NTD (neural tube defect), or other CNS defects, chromosomal deviations, GI issues. Maternal Adaption in Pregnancy Differentiate between subjective (presumptive), objective (probable), and diagnostic (positive) signs of pregnancy. Pg.333 o Presumptive: things mom feels; subjective data Queasy, breast tenderness, morning sickness o Probable: Objective: related S/S but could be something else Change in color of cervix (seen in pap smear tests) o Diagnostic (Positive changes): can’t be attributed to anything except pregnancy Hearing fetal HR, seeing baby in the ultrasound. Correctly determine a woman’s GTPAL and EDC when given a case history. o G/P- only gives minimal info G- gravida (# of pregnancies) P- Para (# of pregnancies reaching 20 weeks) o GTPAL: tells a better way to document a woman’s case history. [Show More]
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