Maternal Child Health (NUR2633)

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