NUR 2633 Maternal Child Health_Final Exam Latest | NUR2633 Maternal Child Health_Final Exam_Graded A

Maternal Child Health Final Exam Exam 1 o Maternal awareness of fetal movement ▪ 17-20 weeks • Toxoplasmosis: o Associated with the consumption of infested undercooked meat and poor hand washing after handling cat litter ▪ Educate on having someone else change the cat’s litter pan and to avoid consuming uncooked meat • Blood Volume: o Because of the increase in plasma the hematocrit will appear low, especially at 32-34 weeks gestation. A hemoglobin of 11.2 and hematocrit of 38% would be considered normal • Natural Family Planning: o Identifying the fertile time during the cycle and using abstinence or other contraceptive methods during the fertile period requires motivation and considerable counseling • IPV (Intimate Partner Violence) o Nurse should routinely screen all of their patients. Using words such as, “do you feel safe in your current environment and relationships?” • Recreational Drugs o The use of these drugs can harm the fetus, causing miscarriage/spontaneous abortion and low birth weight • First Prenatal Visit (3) o The patient has appropriate questions for her potential provider that include: ▪ The opportunity to use complementary and alternative methods during labor and birth ▪ And opportunity to meet other providers in the practice ▪ The health care provider’s beliefs and practices concerning epidural anesthesia the routine use of episiotomy • Quadruple Screen: o Screening test to determine birth defects ▪ Screens for 4 pregnancy hormones ▪ Normal Results o Usually done between the 15th and 22nd week ▪ Most accurate between the 16th and 18th week o Abnormal result does NOT mean baby has a birth defect ▪ Most testing should be done ▪ If the test is abnormal, you may want to talk or have a referral fo a genetic counselor • Vegetarian Diet: o Recommend vitamin B12 and iron supplements • Emergency Contraceptive: o Nausea and vomiting is a common side effect, an over the counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea • Primary Dysmenorrhea (cramps): o The use of non-steroidal anti-inflammatory drugs (NSAIDS) as an optimal pharmacological therapy • Gestational Diabetes Mellitus: o Recommend that all pregnant women be screened during the 24th and 28th weeks of gestation • Mother’s Blood Sugar: o Infants who are producing more insulin because of the high maternal glucose develop MACROSOMIA (meaning big body) • Side-Lying Position: o Side-lying in the lateral position decreases pressure on the vena cava and is common instruction given to increase venous return and increases fetal circulation, circulatory volume and placental and - - - - - - • Interventions: baby has blue tinge to lips, gums and tongue 4 hours after birth (3): o Monitor vital signs o Oxygen therapy o Request an echocardiogram • Blood Pressure Drops When Prepping for Spinal Anesthesia: o Do NOT place patient in supine position o Place a wedge under the patient’s left hip • Jaundice: o Discoloration may be noted on the skin surface, sclera and mucus membranes • Precipitous Delivery: o Happening very quickly o the single thing that will save the mother’s life: ▪ massage the uterine fundus with continual lower segment support • Preterm Labor: o Corticosteroid therapy is presently the only treatment shown to improve fetal survival when given to a woman in preterm labor between 24-33 weeks • Betamethasone: o Corticosteroid o Given to mom to help baby’s lungs mature • Mother does not want to really touch her infant: o Do not correct her or tell her how to act or feel o We would SUPPORT the mother in her reaction to the newborn • Discharge instructions for a C-Section: o Only lift the weight of the baby for 2 weeks o Abdominal exercises are not recommended until 6 weeks post-op • Preterm Rupture of Membranes: o The nurse will: ▪ Monitor fetal heart rate ▪ Administer antibiotics ▪ Monitor vital signs ▪ And do a SPECULUM EXAM • Not a vaginal exam • Jaundice (HYPERBILIRUBEMIA): o Inadequate intake may lead to jaundice