CARE OF CHILDBEARING FAMILY-NACE WITH COMPLETE
SOLUTION | RATED A+ 2026
Subjec ve Changes
Amenorrhea, nausea and vomi ng, fa gue, urinary frequency, breast changes, quickening,
abdominal enlargement.
Objec ve Changes
Pregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent
Love and protect the child, parents iden fy changing roles and are willing to make the lifestyle
changes, parents iden fy with parents roles, parents discuss what roles mean, couple
incorporates child into rela onship, couples support each other.
Prepara on of Siblings/Grandparents
Grandparents- Delighted with newborn. May feel nega vity towards growing older. Provides
long term help. Demands of helping raise the grandchild can be stressful.
Siblings- O(en experience jealousy towards the newborn. Let the sibling help with care of the
infant. Con nue you to show affec on to all children.
Iron and Folic Acid Supplements
Folic acid- Decreases risk of neural tube defects.
Iron supplements- A woman is an cipa ng a short me period between pregnancies is atrium
for iron-deficiency anemia. Encourage iron rich foods.
Parent Classes
Educate on how to hold, suc on, bath, and dress the newborn.
True/False Labor
Braxton Hicks contrac ons are irregular contrac ons that begin during early pregnancy and are
perceived by the pregnant woman. If cervix is not dilated and contrac ons remain irregular or
stop, it is known as false labor (prodromal labor). True labor has cervical change, regular
contrac ons, and pink mucous.
, Common Discomforts of Pregnancy
Nausea, vomi ng, heartburn, cons pa on, leg cramps, backache, urinary frequency.
Alpho-feto Protein
Determines the level of this protein in the pregnant women's blood serum or in a sample of
amnio c fluid. Correct interpreta on requires accurate gesta onal age. Test usually preformed
at 16-18 weeks gesta on. High levels may cause spina bifida. Low levels may cause
chromosomal anomalies or hyda diform mole.
Amniocentesis
Performed to obtain amnio c fluid containing fetal cells. Under direct visualiza on of
ultrasound a thin needle is inserted through the abdominal and uterine walls to withdraw
amnio c fluid into a syringe. Sufficient fluid must be present for the test to be done, usually 15
to 17 weeks gesta on. Check for gene c disorder, levels of AFP, neural tube defects, and
chromosomal defects. Minimal risk of abor on in late pregnancy. Check Rh compa bility.
Fetal Biophysical Profile
Monitors the fetal breathing, gross fetal movements, FHR variability and reac vity to NST, and
volume of amnio c fluid. Used a(er 26 weeks gesta on. Assesses hypoxia and loss of muscle
tone.
Ultrasound
Used to visualize internal organs and ssues. Bladder must be full, so woman should drink 1-2
quarts of water before procedure. Confirms pregnancy and gesta onal age, verifies death, rules
out abnormali es, observes fetal movement.
High Risk Pregnancies
Diabetes mellitus, cardiac disease, AIDS, HIV.
Adolescent Pregnancy
There may be financial problems, shame, guilt, rela onship problems with the infants father,
and feelings of low self-esteem. Alcoholism and substance abuse may be a part of the complex
picture. Advise pa ent to eat foods rich in calcium and vitamin D, regular exercise and muscle
ac vity is necessary for bone health.
Mature Pregnancy
Women over age 35 years may have a decreased ability to adjust their uterine blood flow to
meet the needs of the fetus. Increased risk of congenital anomalies.
SOLUTION | RATED A+ 2026
Subjec ve Changes
Amenorrhea, nausea and vomi ng, fa gue, urinary frequency, breast changes, quickening,
abdominal enlargement.
Objec ve Changes
Pregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent
Love and protect the child, parents iden fy changing roles and are willing to make the lifestyle
changes, parents iden fy with parents roles, parents discuss what roles mean, couple
incorporates child into rela onship, couples support each other.
Prepara on of Siblings/Grandparents
Grandparents- Delighted with newborn. May feel nega vity towards growing older. Provides
long term help. Demands of helping raise the grandchild can be stressful.
Siblings- O(en experience jealousy towards the newborn. Let the sibling help with care of the
infant. Con nue you to show affec on to all children.
Iron and Folic Acid Supplements
Folic acid- Decreases risk of neural tube defects.
Iron supplements- A woman is an cipa ng a short me period between pregnancies is atrium
for iron-deficiency anemia. Encourage iron rich foods.
Parent Classes
Educate on how to hold, suc on, bath, and dress the newborn.
True/False Labor
Braxton Hicks contrac ons are irregular contrac ons that begin during early pregnancy and are
perceived by the pregnant woman. If cervix is not dilated and contrac ons remain irregular or
stop, it is known as false labor (prodromal labor). True labor has cervical change, regular
contrac ons, and pink mucous.
, Common Discomforts of Pregnancy
Nausea, vomi ng, heartburn, cons pa on, leg cramps, backache, urinary frequency.
Alpho-feto Protein
Determines the level of this protein in the pregnant women's blood serum or in a sample of
amnio c fluid. Correct interpreta on requires accurate gesta onal age. Test usually preformed
at 16-18 weeks gesta on. High levels may cause spina bifida. Low levels may cause
chromosomal anomalies or hyda diform mole.
Amniocentesis
Performed to obtain amnio c fluid containing fetal cells. Under direct visualiza on of
ultrasound a thin needle is inserted through the abdominal and uterine walls to withdraw
amnio c fluid into a syringe. Sufficient fluid must be present for the test to be done, usually 15
to 17 weeks gesta on. Check for gene c disorder, levels of AFP, neural tube defects, and
chromosomal defects. Minimal risk of abor on in late pregnancy. Check Rh compa bility.
Fetal Biophysical Profile
Monitors the fetal breathing, gross fetal movements, FHR variability and reac vity to NST, and
volume of amnio c fluid. Used a(er 26 weeks gesta on. Assesses hypoxia and loss of muscle
tone.
Ultrasound
Used to visualize internal organs and ssues. Bladder must be full, so woman should drink 1-2
quarts of water before procedure. Confirms pregnancy and gesta onal age, verifies death, rules
out abnormali es, observes fetal movement.
High Risk Pregnancies
Diabetes mellitus, cardiac disease, AIDS, HIV.
Adolescent Pregnancy
There may be financial problems, shame, guilt, rela onship problems with the infants father,
and feelings of low self-esteem. Alcoholism and substance abuse may be a part of the complex
picture. Advise pa ent to eat foods rich in calcium and vitamin D, regular exercise and muscle
ac vity is necessary for bone health.
Mature Pregnancy
Women over age 35 years may have a decreased ability to adjust their uterine blood flow to
meet the needs of the fetus. Increased risk of congenital anomalies.
