Term
| When is the initial visit? |
|
Definition
|
|
Term
| Important Teaching for 1st Trimester? |
|
Definition
-Do not chnage cat litter
- Limit fish and caffeine intake
-Ask doctor before taking OTC meds
-NO ALCHOL
-If you can't quit smokng, decrease amount |
|
|
Term
|
Definition
RPR/VDRL/ FTA-ABS- for syphillis
CBC
Antibody Screen- (Rubella, toxoplasmosis, and anti-Rh)
HGsAG and HGsAB
Sickle Cell Screen
|
|
|
Term
Special Concerns for Rh factor and Rubella
|
|
Definition
-Rh- If mother is Rh- and baby is Rh+, mom's body will form antigens against baby! Need to give RHOGAN within 72 hours!
-Rubella- if Mom is not immune, must give her immunization AFTER birth and tell her NOT to get preggo for at least 3 MONTHS! |
|
|
Term
When do you have Follow Up visits?
|
|
Definition
1st and 2nd Trimester- Monthly and PRN
At 28 weeks- q 2 weeks
At 36 weeks- weekly |
|
|
Term
| Teaching for 1st Trimester: |
|
Definition
-Meds, alcohol, sustance abuse
-Fluids (no caffeine)
-X-rays and chemical exposure
- Prenatal Vitamins
-Sexual activity
-Danger Signs
- Discomforts
- Exercise |
|
|
Term
|
Definition
-Discomforts
-Danger signs (ROM, vag. bleeding,pee on self)
-Importance of fetal movement
-Contractions
|
|
|
Term
|
Definition
|
|
Term
| True or False: After quickening, fetal movement does NOT need to be evaluated at each visit |
|
Definition
| FALSE! Fetal movement should be evaluated at each visit past initial quickening. If baby stops moving= PROBLEM! |
|
|
Term
| After __ weeks, FHR needs to be checked at every visit. |
|
Definition
|
|
Term
| When do you test for Group B Strep? |
|
Definition
| Patient should be cultured around 35-37 weeks |
|
|
Term
| Teaching for Maternal Nutrition |
|
Definition
-Additional 300 cal/day
-8-10 glasses of fluids
-Prenatal vitamins and folic acid
-Dec. caffeine
-No OTC drugs unless OK'd by OB
-No rec. drugs or smoking |
|
|
Term
Normal weight gain for pregnancy is __ to __ pounds
__-__ pounds in 1st 20 weeks
__-__ per weeks after 20 weeks |
|
Definition
|
|
Term
| Danger Signs- 1st Trimester |
|
Definition
- Severe vomitting
-Chills, fever
- Burning on urination
- Diarhhea
- Abd. cramping, vag. bleeding |
|
|
Term
| 2nd and 3rd Trimester: Danger Signs |
|
Definition
-Same as 1st plus....
- Sudden discharge of fluids before 37 weeks
- Severe back or flank pain
-Change in fetal movements
-Contractions before 37 weeks
- Vision problems
-HA
- Epigastric or abd. pain
|
|
|
