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1. Subjective Amenorrhea, nausea and vomiting, fatigue, urinary frequency, breast changes,
Changes quickening, abdominal enlargement.
2. Objective Pregnancy test, fetal heart sounds, fundal height.
Changes
3. Developmental Love and protect the child, parents identify changing roles and are willing to make
task of becoming the lifestyle changes, parents identify with parents roles, parents discuss what roles
a parent mean, couple incorporates child into relationship, couples support each other.
4. Preparation of Grandparents- Delighted with newborn. May feel negativity towards growing
Siblings/Grand- older. Provides long term help. Demands of helping raise the grandchild can be
parents stressful.
Siblings- Often experience jealousy towards the newborn. Let the sibling help with
care of the infant. Continue you to show affection to all children.
5. Iron and Folic Folic acid- Decreases risk of neural tube defects.
Acid Supple-
ments Iron supplements- A woman is anticipating a short time period between pregnan-
cies is atrium for iron-deficiency anemia. Encourage iron rich foods.
6. Parent Classes Educate on how to hold, suction, bath, and dress the newborn.
7. True/False Labor Braxton Hicks contractions are irregular contractions that begin during early preg-
nancy and are perceived by the pregnant woman. If cervix is not dilated and
contractions remain irregular or stop, it is known as false labor (prodromal labor).
True labor has cervical change, regular contractions, and pink mucous.
8. Common Dis- Nausea, vomiting, heartburn, constipation, leg cramps, backache, urinary frequen-
comforts of Preg- cy.
nancy
, CARE OF CHILDBEARING FAMILY-NACE EXAM NEWEST ACTUAL EXAM CO
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9. Alpho-feto Pro- Determines the level of this protein in the pregnant women's blood serum or in a
tein sample of amniotic fluid. Correct interpretation requires accurate gestational age.
Test usually preformed at 16-18 weeks gestation. High levels may cause spina
bifida. Low levels may cause chromosomal anomalies or hydatidiform mole.
10. Amniocentesis Performed to obtain amniotic fluid containing fetal cells. Under direct visualization
of ultrasound a thin needle is inserted through the abdominal and uterine walls
to withdraw amniotic fluid into a syringe. Sufficient fluid must be present for the
test to be done, usually 15 to 17 weeks gestation. Check for genetic disorder, levels
of AFP, neural tube defects, and chromosomal defects. Minimal risk of abortion in
late pregnancy. Check Rh compatibility.
11. Fetal Biophysical Monitors the fetal breathing, gross fetal movements, FHR variability and reactivity
Profile to NST, and volume of amniotic fluid. Used after 26 weeks gestation. Assesses
hypoxia and loss of muscle tone.
12. Ultrasound Used to visualize internal organs and tissues. Bladder must be full, so woman
should drink 1-2 quarts of water before procedure. Confirms pregnancy and
gestational age, verifies death, rules out abnormalities, observes fetal movement.
13. High Risk Preg- Diabetes mellitus, cardiac disease, AIDS, HIV.
nancies
14. Adolescent Preg- There may be financial problems, shame, guilt, relationship problems with the
nancy infants father, and feelings of low self-esteem. Alcoholism and substance abuse
may be a part of the complex picture. Advise patient to eat foods rich in calcium
and vitamin D, regular exercise and muscle activity is necessary for bone health.
15. Mature Pregnan- Women over age 35 years may have a decreased ability to adjust their uterine
cy blood flow to meet the needs of the fetus. Increased risk of congenital anomalies.