More Pregnancy Basics
How many calories should a prenatal patient add to her daily intake to nourish the fetus?
300
Identify the germ layers
Mesoderm, Endoderm, Ectoderm
You patient has suspected placenta previa, what may the patient experience?
A large amount of bright red vaginal bleeding without pain
Why would you administer Rho(D) immune globulin (RhoGAM) within 72 hours after delivery?
For a woman who is Rh-negative gives birth to an Rh-positive newborn.
If a newly pregnant patient experiences facial edema, what should she do?
Contact her provider
Aside from a positive HCG, what might a woman recognize if she is pregnant?
Fetal heartbeat
Identify some functions of amniotic fluid
Maintaining an even temperature
Acting as a cushion for the fetus
Explain Supine hypotension syndrome to a 38 week pregnant patient....
They may feel dizzy when lying on their back
What significance of adolescence and pregnancy?
A pregnant adolescent is experiencing two major life transitions at the same time.
What could sudden weight gain indicate during pregnancy?
Pregnancy-induced hypertension
The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago. What is the nurse’s initial action?
(I literally had this on a slide, if you get this wrong I will disown you)
Take the patient's blood pressure
How early might fetal heart tones be detected with an electronic Doppler device?
10 weeks
What is an expected clinical manifestation of possible ectopic pregnancy at 8 weeks of gestation
Pelvic pain
How is the best way to approach a single mother when providing care?
In a nonjudgmental manner and never make assumptions
If a pregnant patient reports blurry vision, what might this indicate and what should she do?
Gestational hypertension and report immediately
A 28-year-old woman visits the clinic and tells the nurse that the first day of her last menstrual period (LMP) was October 10, 2024. Using Nägele’s Rule, what is the client’s estimated date of delivery (EDD)
July 17, 2025
What will the nurse begin with when asking a patient about drug use during a prenatal history?
Discuss all over-the-counter and prescription drugs
An ultrasound on a woman who is 33 weeks pregnant reveals the placenta implanted over the entire cervical os, what might this indicate?
Total placenta previa
Why may some women delay pregnancy until they are older?
Increasing career options, high cost of living, increasing technology allows for later pregancies
Elevated blood glucose during pregnancy may indicate?
Gestational Diabetes
How frequently will the nurse assist the patient to schedule prenatal visits in an uncomplicated pregnancy?
Every 4 weeks until the 7th month, after which appointments will become more frequent
The nurse is examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/minute from a rate of 160 beats/minute earlier in the pregnancy. What could this mean?
Normal findings
What should a pregnant woman with diabetes be concerned about?
Potential for macrosomic infant, stillbirth, and polyhydramnios
What social challenges may older couples having children experience?
Their established peer group might have different goals and activities that do not match well with a couple having a young baby
A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can "feel the baby moving." The client should undergo an ultrasound to determine which of the following findings?
Location of the placenta