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NUR 230 EXAM 1 > Antepartum II > Flashcards

Antepartum II Flashcards

(67 cards)

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1
Q

How to alleviate N/V?

A

eat dry food before rising
small frequent meals
avoid greasy/spicy foods
drink carbonation

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2
Q

How to alleviate urinary frequency?

A

void every 2 hours during day

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3
Q

How to alleviate fatigue?

A

napping

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4
Q

How to alleviate breast tenderness?

A

wear supportive bra

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5
Q

How to alleviate vaginal discharge?

A

daily bathing, cotton underwear, avoid douching

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6
Q

How to alleviate nasal stuffiness?

A

cool air vaporizers, normal saline nasal spray

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7
Q

How to alleviate heartburn?

A

take combination, non-sodium antacids

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8
Q

How to alleviate ankle edema?

A

avoid prolonged sitting or standing, keep feet and legs elevated

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9
Q

How to alleviate varicose veins?

A

regular exercise, avoid prolonged sitting or standing

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10
Q

How to alleviate flatulence?

A

regular bowel habits

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11
Q

How to alleviate hemorrhoids?

A

avoid constipation, gently self-reduce hemorrhoid
topical ointments, warm soaks, sitz baths

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12
Q

How to alleviate constipation?

A

increase fluids and fiber
daily exercise
regular bowel habits

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13
Q

How to alleviate backache?

A

pelvic tilt exercises
good posture
avoid fatigue
good body mechanics

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14
Q

How to alleviate leg cramps?

A

massage
warm soaks
stretching
dorsiflex foot

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15
Q

How to alleviate faintness?

A

sit down and lower head between knees
avoid standing in one place too long

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16
Q

How to alleviate shortness of breath?

A

good posture when sitting, prop up in bed

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17
Q

How to alleviate difficulty sleeping?

A

avoid caffeine, maximize comfort in bed

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18
Q

How to alleviate round ligament pain?

A

warmth to abdomen

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19
Q

How to alleviate carpal tunnel syndrome?

A

avoid repetitive hand movements
may disappear after delivery
sometimes surgery required

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20
Q

Self Care: fetal movement (kick) counts

A

noted 16-22 weeks, check same time of day - 1 hr after meals, side lying position
contact HCP if <10 move in 2 hours

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21
Q

Self Care: breast care

A

supportive bra
cleanliness
no soap on nipples
breast shields for inverted nipples

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22
Q

Self Care: clothing

A

avoid restrictive clothing, no high heeled shoes

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23
Q

Self Care: cleanliness

A

daily bathing based on culture

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24
Q

Self Care: employment

A

can work until labor starts
must be aware of environmental hazards

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25
Self Care: travel
no restrictions unless complications take frequent breaks during car travel use seat belt
26
How many extra cals do you need per day if exercising?
300 kcal
27
benefits of exercise during pregnancy
improves self image increases energy improves sleep relieves tension helps control weight gain promotes regular bowel function
28
Concerns about sexual activity
first trimester: fatigue, N/V second: fewer discomforts, vascular congestion third: fatigue, SOB, decreased mobility
29
Father's feeling about sex are affected by?
previous relationship w partner acceptance of pregnancy attitude towards partner's change in appearance concern about hurting mother or baby
30
dental care
continue regular check ups brush twice a day brush after N/V avoid X-rays
31
immunizations
avoid live viruses (rubella) encourage flu and tdap up to date before pregnancy
32
teratogenic substances
medications, tobacco, alcohol, caffeine, marijuana, cocaine
33
What can happen if tobacco use?
low-birth weight preterm births PROM (ruptured membrane) fetal demise placenta previa abruptio placenta
34
What can happen if alcohol use?
fetal alcohol syndrome (growth retardation, facial anomalies, mental retardation) increased risk of miscarriage IUDF lower birth weight no safe level of drinking
35
limit caffeine to?
200 mg/day
36
What can happen if cocaine use?
maternal MI, seizure, stroke abrutpio placenta, PROM, low birth weight, SIDS, defects cord sampling urine screening
37
medical risks with advanced maternal age
increased rate of miscarriage, GDM, GHTM, placenta previa, difficult labor, C/S, multiple births, Down syndrome, infertility
38
special concerns of expectant couples over age 35
enough energy to care for baby ability to deal with needs of child only couple in peer group expecting first baby
39
socioeconomic and cultural factors contributing to adolescent pregnancy
poverty ethnicity (African Americans and hispanic) low educational achievement lack of involvement in after school
40
behavioral factors contributing to adolescent pregnancy
sexual activity with multiple partners inconsistent w contraception lack of knowledge sense of invulnerability
41
psychosocial factors contributing to adolescent pregnancy
family dysfunction poor self esteem physical, emotional, sexual abuse desire to punish parents
42
physiologic risks with adolescent pregnancy
preterm births and LBW preeclampsia-eclampsia iron deficiency anemia CPD alcohol/drug use STIs
43
prenatal nursing interventions
nutrition assessment/counseling assess for high risk conditions testing for/prevent STDs educate about substance use promote family adaptation facilitate prenatal education
44
labor nursing interventions
sustained presence education about choices help support people understand role
45
postpartum nursing interventions
contraception education availability of community resources parenting
46
Which nutrients should mothers eat more of if they have a nutritional deficiency?
folic acid, iron, calcium
47
How much does the fetus, placenta, and amniotic fluid weigh?
11 pounds
48
How much does the uterus weigh?
2 pounds
49
How much does increased blood volume weigh?
4 pounds
50
How much does the breast tissue weigh?
3 pounds
51
How much does maternal storage in tissue weigh?
5-10 pounds
52
Risks associated with obesity in pregnancy
spontaneous abortion gestational diabetes preeclampsia labor induction cesarean birth fetal anomalies
53
What is fluid essential for in pregnancy?
biochemical reactions, lubricant, transport, temp control drink 8-10 (8oz) glasses a day
54
What is PICA?
craving for and persistent eating of nonnutritive substances can produce iron deficiency anemia
55
Nursing Diagnoses related to nutrition
imbalanced nutrition: less imbalanced nutrition: more health-seeking behavior
56
Nursing Interventions related to nutrition
address nutritional deficiencies improve overall quality of the diet plan in cooperation with the patient
57
Evaluation related to nutrition
evaluate effectiveness - keep a journal, weekly weight checks
58
How do we assess for fetal well-being? (main)
ultrasound (sound waves) identifies anomalies, neural tube deficits, skeletal malformations
59
What is a Nuchal Translucency Test (NT)?
early as 11 weeks to test for Trisomy genetic disorders greater than 3mm = at risk detect 70-80% of Down's Syndrome
60
What is a transvaginal ultrasound?
uses a probe which is sterilely inserted into the vagina predictor of preterm births
61
What are the benefits of ultrasounds?
early identification fetal heartbeat and breathing multi-gestational pregnancy estimate fetal weight fetal anomalies detection of fetal death
62
What is a Doppler Blood Flow Study (Umbilical Velocimetry)?
noninvasive US test which measures blood flow changes in material and fetal circulation wave-form picture highest peaks = systolic lowest=diastolic elevations >95th percentile = abnormal
63
What is a non stress test?
fetal monitor and contraction monitors are placed accelerations of fetal HR with movement or contractions shows adequate oxygenation and intact CNS
64
What is a fetal acoustic stimulation and vibroacoustic stimulation test?
produces sound and vibrations to stimulate infant on fetal monitor, should show accelerations in fetal heart rate
65
What is a contraction stress test?
evaluates oxygenation and carbon dioxide exchange of the placenta with contractions, intrauterine pressure increases and blood flow decreases to the fetus if placental insufficiency, a decrease in FHR will occur
66
What is an amniotic fluid analysis?
amniocentesis - procedure used to obtain amniotic fluid for genetic testing for fetal abnormalities fetal lung maturity in the third trimester L/S ratio - 2:1 = mature
67
What is chorionic villus sampling?
obtaining a small sample of the chorionic villi from the developing placenta early diagnosis- typically between 10-13 weeks risk: ROM, bleeding, intrauterine infection, possible limb reduction and birth defects

NUR 230 EXAM 1 (7 decks)

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