Module 3
What are presumptive signs of pregnancy?
Amenorrhea
N/V
Fatigue
Urinary frequency
Breast and skin changes
Fetal movement
What interventions would the doctor prescribed for moms with an H&H less than 11/33
Give iron supplement
Take with water or juice
No milk
What is gravida?
How many times a women has been pregnant
When and why is the Rohgram show given?
Given at 28 weeks
If mom has RH negative blood and baby doesn't
How many extra calories does the mother need during the first, second and third trimester?
1st- none
2nd- 350
3rd - 450
What is not a positive sign of pregnancy?
If mother feels fetal movement (Quickening)
What are signs of supine hypotensive syndrome?
Faintness
Lightheadedness
Dizziness
Nausea
Agitation
Syncope
What is the term?
Pregnancy that delivered 38-42 weeks
What is a normal fetal heart beat?
110-160
What is a normal weight gain during pregnancy?
25-35 pounds
What is a pregnancy test considered?
a probable sign of pregnancy
What are your interventions for supine hypotensive syndrome?
Turn patient to lateral recumbent position (side lying) to alleviate the pressure on blood vessels
What is a preterm?
Birth between 20-38 weeks
Where is the fetal heartbeat found?
Heard best over the baby back
Usually found in lower quadrant
Upper quadrant means baby is breached
What can excessive intake of vitamin A cause during pregnancy?
Spontaneous abortion
Serious fetal defects
What are the only three positive signs of pregnancy?
Fetal movement by examiner
Auscultation of fetal heart sounds
Visualization of fetus through ultrasound
What is the first thing a nurse should do if her patient has supine hypotensive syndrome and has to lay supine?
Place pillow under her hips
What is abortion?
spontaneous or elective abortions under 20 weeks
How much weight should a mother gain during the first trimester?
1.1-4.4 Ilbs
0.5-2kg
What can a deficiency of folic acid cause in the first trimester?
Cleft lip/palate
Neural tube defects
Cardiac defects
What lab value change in moms?
H/H lower
What does GTPAL stand for?
Gravida
Term
Preterm
Abortions
Living
What is nagales rule?
Establishes the estimated due date
Subtract 3 months from the first day of the last menstrual cycle, add 7 days and correct the year
How much weight should eb gained after the first trimester?
0.8-1lb a week
When is a transvaginal ultrasound used?
First trimester
You only give it if you absolutely have too