Nursing Care 2026 |
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, Average vital signs during pregnancy? BP: 90-140/60-90
Pulse: 60-90 bpm
Resp: 16-24 breaths/min
Temp: 36.1-37.7 C
At what weeks of gestation does the plasma volume 28-32 wks
increase 25-40% resulting in hemodilution of pregnancy
and Hct values?
If the blood plasma volume increases ABOVE 38% , what gestational hypertension
is this associated with?
If the Hgb levels rise ABOVE 13 g/dL, what is that Gestational hypertension
associated with?
If high Hct values look good, should we assume this is No, they may in reality represent a gestational hypertension disorder and a
normal rise ? depleted vascular space
Can Hgb and Hct be used to evaluate nutritional status? yes
i.e. 22 yr old primigravida at 12 wks has a Hgb of 9.6 g/dL and a Hct of 31 %. She
has gained 3 lbs during 1st trimester. A weight gain of 2-4 lb during first trimester
is recommended.
Since the client is anemic, supplemental iron and a diet higher in iron are needed
As pregnancy advances, what abdominal vessels does Vena Cava
the uterus press on?
Aorta
What position can you teach the woman to be in to Left-side lying position
relieve supine hypotension and increase perfusion to
uterus, placenta and fetus?
What is the normal FHR? 110-140 bpm
What are the FIRST and MOST IMPORTANT indicators of Changes in FHR
compromised blood flow to the fetus?
YES, THEY REQUIRE ACTION
Do they require action?
How is fetal well being determined? Assessing:
- fundal height
- fetal heart tones and rate,
-fetal movement,
-uterine activity
What is the best way to optimize maternal and fetal Early intervention
outcome?