Antepartum Flashcards

Question

Maternal Tasks of Pregnancy | RUBIN

Answer 1

``` Rubin Seeking safe passage Securing acceptance Binding in to unknown child Learning to give of self ``` Mimicry, role play, fantasy, search for role fit, grief work

Answer 2

Duvall Prepare for role as childcare providers Reorganize home, family member duties, patterns of money management Reorient family relationships Each pregnancy—adjust to transitions in relationships with each other, children

Answer 3

Involvement Nurturer vs. Alienated Minimal vs. Dominating Couvade --> similar symptoms to mom “Announcement” phase -- father accepts pregnancy “Moratorium” phase -- adjusts to reality of pregnancy “Focusing” phase -- father becomes more involved and builds relationship

Answer 4

Reactions influenced by age and level of involvement with pregnancy Toddlers -- Regression Preschoolers -- May not grasp reality of a baby in the family School-age -- Excited, happy Adolescents

Answer 5

``` Preconception Early pregnancy Exercise Childbirth preparation Refresher courses Cesarean birth preparation -- Planned Vaginal birth after cesarean birth (VBAC) Breastfeeding Parenting/infant care Postpartum Classes for other family members -- Fathers, Siblings, Grandparents ```

Answer 6

What works Epidural, spinal, inhalation (general anesthesia) What may work Not much evidence but good satisfaction: Immersion, Relaxation, Acupuncture, Non-opioid, Massage, Not much evidence, not much satisfaction: Hypnosis, Biofeedback, Aromatherapy, TENS, IV opioids

Answer 7

[Alleviate] Pain intensity Satisfaction with pain relief Sense of control in labor Satisfaction with childbirth experience

Answer 8

Pyschoprophylactic – Stimulation/Response conditioning Controlled breathing may reduce pain during labor Labor “coach” Focal point, memory prompts Breathing patterns Slow chest breathing, Accelerated/Decelerated, Pant - Blow (modified pace with emphasis blow), Pushing (blow repeatedly with short puffs when urge to push increases) DON’T hold breath –> Valsalva maneuver can decrease maternal cardiac output and compromise fetal circulation “Natural Childbirth” – limited medication

Answer 9

Pregnancy and Childbirth are joyful, natural processes 12 week course Natural childbirth -> no medications preferred Exercises, relaxation, to prepare Abdominal breathing, and massage to manage labor Partner-coached -> an active role During the pregnancy, labor, and early newborn period Exercises Pelvic rocking - influences baby’s position (rock back and forth through pregnancy) Tailor sitting - strengthens lower back muscles

Answer 10

Dick-Read Method Fear -> Tension -> Pain Education reduces fear, which reduces pain Leboyer “Birth Without Violence” Odent Birthing pool of water to reduce low lumbar pain HypnoBirthing State of deep relaxation to block distractions, pain

Answer 11

``` ABCs Safety Maslow Hierarchy of Needs Physiological Comfort – warmth, pain management Fluids, Food, Elimination Safety - psychological Love and Belonging Self-Esteem Self-Actualization ```

Answer 12

``` Appointment schedule Nutrition Calories/Weight gain Protein Vitamins Minerals/supplements Herbal supplements Exercise Breastfeeding Physiology of pregnancy Managing symptoms Warning signs Sleep patterns ```

Answer 13

``` Medication OTC medication Prescribed medication Sexuality Modifiable risks Work (physical & environmental stressors) Substance abuse Safety Seat belts Behavior/Lifestyle choices IPV ```

Answer 14

``` Normal adolescent developmental tasks conflict with tasks of pregnancy May not seek prenatal care Non-compliant with care plan Not future oriented Acceptance of pregnancy hindered ```

Answer 15

``` Adolescence Personal value system Body image and sexuality Vocation or career Independence from parents Achievement of a stable identity ``` Pregnancy Seeking safe passage Acceptance of the pregnancy by self and others Acceptance of the reality of the unborn child Acceptance of the reality of parenthood Giving of oneself to the child

Answer 16

dilution of hemoglobin concentration Increase in plasma and the production of RBC does not speed up at the same pace as the increase in plasma No symptoms of anemia 34 weeks gestation

Answer 17

Slow massage of abdomen during contractions Helps with back labor

Antepartum Flashcards

(41 cards)