NUR 2633; Maternal Child Health Final Work Sheet.

NUR 2633: Maternal Child Health Final Work Sheet


1. DysmenorrheaA–AaAcommonAcomplaintAwithAwomenA–AwhatAareAtheAnon-

pharmacologicalAandApharmacologicalAtreatments.ANSAID’sA(Motrin,ANaproxen,AAlive)

,AheatingApad,Arest,AincreaseAcalcium,AincreaseAfluids,AdecreaseAredAmeat,Aalcohol,Asmok

ingAdrugs,Aexercise.
2. ObstetricalAissuesA–ApregnancyArisksA-AKnowANaegle’sARuleA–

AtoAestablishAgestationalAageAovulationAoccursAinAtheAmiddleAofAtheAcycle,AstressAcanAaffe

ctAcycle,AasAwellAasAhighAexercise,Apregnancy,Amedications,Adrugs,Ahormones,Aobesity.A

AddA1Ayear,AsubtractA3Amonths,AaddA7Adays.APregnancyArisksAsmoking,AalcoholAdrinking

,Aobesity,Adiabetes,AdrugAuse,Ahypertension,ApoorAnutrition,AeatingAdisordersAALLAaffectA

pregnancy.AEDDAcanAalso

beAmeasuredAbyAfundalAheightA(Ex.AFundalAheightAisAmeasuringAatAumbilicusA=A20Aweeks)
3. FetalAassessmentA3AthingsAbabyAisAokayA–AfetalAheartAtonesA(audibleAatA10-12Aweeks),

movementA(16-18AweeksAforAmultiparis,A18-20AforAprimaAgravida),AfundalAheightA(12-

14Aweeks,AatAtheAsymphysisApubis,AumbilicusAisA20Aweeks)
4. PoorAnutrition,Adrugs,AHTN,ADMAareAallAissuesAofAplacentalAperfusionA–

AwhatAwillAtheAfetalAresultAbeA–

A IUGRAisAtheAresult,AhowAdoAweAidentifyAIUGR?ASmallerAfundus.AUncontrolledAdiabetesA

=AlargeAbaby,AlargerAfundalAheight,AbabyAcanAhaveAhypoglycemiaAafterAbirth,Abirth

injuriesAandArespiratoryAimmaturity
5. DoesAtheAplacentaAprovideAnutrition?A–
AnoAitAprovidesAforAgasAexchange,AbabyAgetsAoxygen.

6. AnemiaAbecomesAaAproblemAinApregnancyA–

AcanAyouAdiscussAtheAmaternalAandAfetalArisksA–

AlowAhemoglobinA=AlowAoxygen,AbabyAwithAlowAoxygenAmeansAlessAmovement.AIronAing

estionAcanAcauseAGIAupset,AtarryAstools,AconstipationA(increaseAfluids,Afiber,Astool

softenersAandAexercise)
7. HyperemesisA–
ThisAstudyAsourceAwasAdownloadedAbyA100000823822032AfromACourseHero.comAonA05-11-
2021A12:59:03AGMTA-05:00

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, AexcessiveAvomitingAthatAexceedsAmoreAthanA3Amonths,AatAriskAforAfluidAandAelectrolyteAi

mbalance,AmanageAbyAIVAfluidsAandAantiemeticsA(Zofran),AsmallAfrequent

meals,AavoidAtriggerAfoods,AcarbAsnack
8. HypertensionA–ApreeclampsiaAhasAspecificAsymptomsA–

ApleaseAknowAtheseAasAwellAasAtreatmentAmodalitiesAandAnursingAinterventionsA–

AkeepAinAmindAMagnesiumASulfate




ThisAstudyAsourceAwasAdownloadedAbyA100000823822032AfromACourseHero.comAonA05-11-
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, nursingAinterventionsA–

Aheadaches,AblurryAvision,AepigastricApain,Abloated,Aedema,AhighABP,AproteinAinAtheAurine.

AManageAbyAbedArest,AdimAtheAlights,AMagAsulfateA4gAmaintenanceAoverA20-

30Aminutes’Abolus,AmaintenanceA2g.ASeizureAprecautions,AandAmonitorAbaby,AleftAsideAlyi

ng.AForAMagAwatchAforAmagAtoxicityAandArespiratoryAdepression,AcheckAforAurineAoutput,A

andAdeepAtendonAreflexes,AvitalsAeveryAhour.ALungsAifAhaveAtoAdeliverAbaby,Ause

BetamethasoneAtoAhelpAwithAlungAmaturity.ANoAbolusAfluidsAinApreeclampsia.
9. Pre-AtermAlaborA–

AdefineAit;AsignsAandAsymptoms,AtreatmentAmodalitiesAandAnursingAinterventionsA–

ApelvicApressure,Acramping,Acontractions,AbabyAdrop,AlowerAbackApain,AincreaseAurineAo

utputAandAvaginalAdischarge.ACanAbeAcausedAbyAdehydrationAorAinfection.APutAonAmonit

or,AGIVEAFLUIDSA(BolusALactatedAringers),AFFNAtestAbeforeAvaginalAexam,ALABORAI

SANOTALABORAWITHOUTACERVICALACHANGE.A2CMAORA80%Aeffaced,

startAaggressivelyAmanagingApreAtermAlaborAwithAterbutalineA(CausesAmaternalAtachycardia
,

watchAheartArate),AifAunsuccessfulAgoAtoAmagAsulfateAandAuseAbetamethasone.
10. DiabetesAMellitusA–

ATypeA1,ATypeA2AandAGestationalADMAallAhaveAissuesAthatAareAcommonAtoAallAandAspecifi

cAtoAeach.A NoteAtheAconcernsAspecificAtoAeach,AmanagementAandAfetalAsurveillanceA–

AtypeA1AconcernedAwithAcardiac,AskeletalAandACNSAinAbaby,AwomanArequiresAlessAinsulinA

1stAtrimesterAbecauseAofAbasalAmetabolicArateAisAincreased,AthenAneedsAprogressAoverA2nd/3
rd
trimester.AMonitorAclosely,AbabiesAatAriskAforAsuddenAfetalAdemise,AhaveAmomAmonitor
A




A#AofAfetalAmovements.ATypeA2AconcernedAwithAcontrollingAsugars,AcontrolAbyAdiet,

andAhypoglycemic/macrosomicAbaby.AGestationalADM,AsameAinterventionsAasAtypeA2ADM.
11. DefineAMacrosomiaA–AandAwhatAareAtheArisksA–AlargeAbaby,AlargerAfundalAheight,AbabyAcan

haveAhypoglycemiaAafterAbirth,AbirthAinjuriesAandArespiratoryAimmaturity
12. WhatAisAanANST,AandAaABPPAforAwhomAwouldAyouArecommendAtheseAtests?A–

ThisAstudyAsourceAwasAdownloadedAbyA100000823822032AfromACourseHero.comAonA05-11-
2021A12:59:03AGMTA-05:00

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