and Correct Detailed Answers Already
Graded A+
o Venous dilation/stasis - CORRECT ANSWER-§ Effect of estrogen and P of
fetus on femoral and pelvic BV's
o Pt education for venous dilation/stasis - CORRECT ANSWER-§ Do not stand
for long periods of time or cross legs.
§ Elevate legs as often as possible.
§ Wear support stockings
o Clotting factors during pregnancy - CORRECT ANSWER-§ hypercoagulable
state where the mother's blood clots more readily. This is because of an increase
in factors that favor coagulation and a decrease in factors that inhibit coagulation.
,§ offer some protection from hemorrhage during childbirth.
o DVT risk during pregnancy - CORRECT ANSWER-§ Increase in clotting factors
(fibrin &fibrinogen) & RBC's as well as venous stasis increase risk of
thrombophlebitis-->teach about dvt risk and development.
§ Will have warmth, redness, and streaking.
· Organization of prenatal care - CORRECT ANSWER-o Comprehensive
antepartum care program that involves a coordinated approach to medical care
and psychosocial support that optimally begins before conception and extends
throughout the antepartum period.
· Comprehensive Antepartum assessment - CORRECT ANSWER-o Pre-
conceptional care (optimal) is ideal, especially important for women>35.
o Establish diagnosis of pregnancy.
o Baseline health pregnancy
o Determine risks to pregnancy, fetus, mother.
o Following prenatal visits
· Antepartum care - CORRECT ANSWER-o Should begin w/ preconception
counseling.
,o Assess for genetically transmitted prob's.
o Put mom and dad in best health for healthy conception.
o Adequate folic acid in diet to prevent neural defects.
o Research for healthcare provider, place for delivery, type of delivery, "PLAN",
family's role in EDU, breastfeeding
o Early intervention if problems to reduce risks predispositions.
· Barriers to prenatal care in the U.S - CORRECT ANSWER-o Sociodemographic
(race, poverty, access to care)
o Insurance/finances
o Inadequate care providers for low income
o Childcare
o Delay in onset of prenatal care.
o Cultural factors
o Transportation to prenatal care appointments
, o Attitudes towards people who need additional help
· GTPALM - CORRECT ANSWER-G- gravida
T- term pregnancies
P- preterm pregnancies
A- abortions
L- living children
M- multiple gestations & birth
· TPAL - CORRECT ANSWER-o Term: 38-40 weeks gestation
o Preterm:30-37 weeks
o Abortion: any pregnancy that ends prior to 20 weeks gestation
o Living: alive today (not just born alive)
· Pregnancy - CORRECT ANSWER-o From 1st day of LMP until beginning of true
labor
o 3 trimesters
o 280 days=40 weeks=9 calendar months