Pregnancy Positioning Flashcards
Name the 4 positions applicable to the first trimester?
PRONE \+ SUPINE \+ SEMI - FOWLERS \+ SIDELYING
Name the 2 positions applicable to the second trimester?
SEMI - FOWLERS
+
SIDELYING
Name the 2 positions applicable to the third trimester?
SEMI - FOWLERS
+
SIDELYING
How should supine and semi-fowlers be supported with additional lumbar support?
PLACE TWO PILLOWS UNDER KNEES
Why should you consider side-lying over prone, even in the first trimester?
BREASTS MAY BE TENDER
How would you decrease intra-uterine pressure in prone in the first trimester?
NO ABDOMEN PILLOW
What is the maximum amount of time you should treat in supine in the 2nd, 3rd trimesters?
NO LONGER THAN 15 MIN
During the 15 min allowable in supine (2nd, 3rd trimesters), why must you bolster the right hip?
SUPINE HYPOTENSION
patient may not be in tune with body
Name the condition of a decrease in BP when the pregnant patient is supine?
SUPINE HYPOTENSION
Where does the weight of the baby place pressure in supine?
AORTA
+
INFERIOR VENA CAVA
What will happen to the patient and baby as supine hypotension occurs?
PATIENT - DIZZY, NAUSEATED, UNEASY
+
BABY - DECREASED HR, DECREASED OXYGEN
Why should you consider extra pillows under the limbs?
FACILITATE LYMPH DRAINAGE
What will adding a small support on the lateral aspect of the abdomen achieve?
REDUCE PELVIC LIGAMENT STRAIN
esp 3rd trimester
Is prone contraindicated in trimester # 2?
YES
Why would postpartum patients feel uncomfortable lying prone?
CAESAREAN BIRTH (sidelying only for 4-6 weeks) \+ BREAST ISSUES \+ LB/ EPIDURAL PAIN
