quiz 1 study guide Flashcards
(46 cards)
Situation that requires pt to take in more calories?
20 y/o F who had a vaginal birth 5 months ago and is breastfeeding.
Pt having doubts about pregnancy, how should the nurse respond to s/o?
Ambivalent feelings are quite common for women early in pregnancy.
Indication for further teaching regarding non-stress test?
“I will have to lie on my back during the test”
**left side or sitting
positive signs for pregnancy.
Visualization of fetus by ultrasound
***positive = explained only by pregnancy
**fetal movement
**ausculation of heart sounds
Know therapeutic communication for genetic counseling. Nurse response:
“It is important to ask other family members for any info for insight into the
health history.”
warning signs of potential danger during pregnancy.
Call the clinic if experiencing facial edema.
**vaginal bleeding
Best method for preventing venous stasis?
Rest often with feet elevated.
**avoid sit / stand
**no crossing @ knee
cultural influences on a pt’s diet.
Identify the food preferences and methods of food preparation common to
the pt’s culture.
Nurse teaching?
fetal developmental milestones
“The baby’s heart beat is audible by a doppler’s stethoscope at 12 weeks of pregnancy.”
Be able to interpret the results of a nonstress test. HR 120 bpm w/ minimal accel. 2 variable decels during fetal movement, lasting 20 sec ea.
Non-reactive test
***minimal accelerations is the key word
You are asked what Chadwick’s sign is. Response:
“This sign occurs normally in pregnancy when estrogen causes increased
blood flow in the cervix.”
(NGN) List physiological maternal changes during pregnancy IN ORDER.
a. Amenorrhea
b. Goodell’sSign
c. Quickening
d. Lightening
People who have two copies of the same abnormal autosomal dominant gene are generally
more severely affected by the disorder than people with one copy of the gene
Pt teaching before amniocentesis procedure?
Empty her bladder immediately prior to the procedure
Pt complains of feeling faint, dizzy, and agitated in her third trimester. Nursing intervention?
Have the pt lay on her left side and recheck her blood pressure in 5 minutes.
What cahge occurs during fetal period of development?
Maturation of organ systems
*development of genitals
Expected physiological change during third trimester of pregnancy?
Gradual Lordosis
***posture change
Pt is at 7 weeks gestation and has urinary frequency. How should the nurse respond?
It occurs during the first trimester and near the end of the pregnancy.
Obstetric code for 5th pregnancy w 2 spontaneous abortions, on infant at 32 weeks gestation, and one at 38 weeks gestation.
G5 T1 P1 A2 L2
Pt says boyfriend is feeling aches and pains of pregnancy w her. She thinks he is making fun of her.
Explain that her boyfriend may be experiencing couvade syndrome and that this is a normal finding seen with male partners.
Nurse explains function of placenta. What statement indicates further teahcing?
“The placenta helps maintain a stable temperature for my baby.”
.Pregnant pt is feeling heartburn. Most helpful suggestion?
Use Tums or Rolaids to obtain relief, as directed by the health care
provider.
What is causing the pt’s heartburn?
Increased progesterone production causes decreased motility of smooth muscle
Rationale for woman in first trimester to expect to visit her health care provider every 4 weeks?
The conditions of the expectant mother and fetus can be monitored
