NUR 254 Maternal and Pediatrics Unit Objectives
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1. GTPAL: Gravida - # of pregnancies (including current), Term - # of deliveries @
37-42 weeks, Preterm - # of deliveries from 20-36 weeks, Abortion - # of deliveries
before 20 weeks (or < 500g at birth), Living - # of children living.
2. Naegele's Rule: 1st day of last period - 3 months + 7 days (+ 1 year).
3. Presumptive signs of pregnancy: Subjective s/s reported by mom (Missed
period, fatigue, nausea, quickening).
4. Probable signs of pregnancy: Positive pregnancy test, Braxton hicks, objective
s/s, softened cervix (Goodell's Sign), bluish color of cervix (Chadwick's Sign),
softened lower uterine segment (Hegar's Sign).
5. Quickening: First fetal movements between 16-20 weeks, often confused for gas.
6. Cardiovascular changes during pregnancy: ‘ HR, ‘ Blood Volume, ‘ CO, “ BP,
palpitations.
7. Renal changes during pregnancy: Kidneys enlarge, ureters relax, ‘ risk of UTIs
8. Gastrointestinal changes during pregnancy: Nausea/Vomiting (N/V), Consti-
pation.
9. Respiratory changes during pregnancy: Shortness of Breath (SOB), ‘ O2 con-
sumption.
10. Musculoskeletal changes during pregnancy: Backache, leg cramps, depen-
dent edema.
11. Neurological changes during pregnancy: Tension headache (HA), syncope.
12. Vena Cava Syndrome: Compression of vena cava.
13. Interventions for Vena Cava Syndrome: Get mom on side and off of her back.
14. Warnings signs in Pregnancy: Signs that indicate potential complications
during pregnancy.
15. Glucose tolerance testing process: Fast for 12 hours, take glucose drink, wait
1 hour, have blood drawn. Want level < 140.
16. Folic Acid during pregnancy: Essential for development of neural tube (usually
closed by 4-6 weeks) - need 400mcg/day.
17. Caffeine intake during pregnancy: Limit to <200mg/day.
18. PICA: Craving of non-food items.
19. Causes of PICA: Iron deficiency anemia.
20. Signs of anemia in the pregnant client: Symptoms indicating potential anemia
during pregnancy.
21. Dietary considerations for iron deficiency anemia: Increase intake of iron
(meat, green leafy vegetables, nuts, beans).
22. Craving of non-food items: A phenomenon often associated with nutritional
deficiencies.
23. Iron deficiency anemia: A condition characterized by a lack of adequate iron
in the body, leading to reduced hemoglobin levels.
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Study online at https://quizlet.com/_hk5b8p
1. GTPAL: Gravida - # of pregnancies (including current), Term - # of deliveries @
37-42 weeks, Preterm - # of deliveries from 20-36 weeks, Abortion - # of deliveries
before 20 weeks (or < 500g at birth), Living - # of children living.
2. Naegele's Rule: 1st day of last period - 3 months + 7 days (+ 1 year).
3. Presumptive signs of pregnancy: Subjective s/s reported by mom (Missed
period, fatigue, nausea, quickening).
4. Probable signs of pregnancy: Positive pregnancy test, Braxton hicks, objective
s/s, softened cervix (Goodell's Sign), bluish color of cervix (Chadwick's Sign),
softened lower uterine segment (Hegar's Sign).
5. Quickening: First fetal movements between 16-20 weeks, often confused for gas.
6. Cardiovascular changes during pregnancy: ‘ HR, ‘ Blood Volume, ‘ CO, “ BP,
palpitations.
7. Renal changes during pregnancy: Kidneys enlarge, ureters relax, ‘ risk of UTIs
8. Gastrointestinal changes during pregnancy: Nausea/Vomiting (N/V), Consti-
pation.
9. Respiratory changes during pregnancy: Shortness of Breath (SOB), ‘ O2 con-
sumption.
10. Musculoskeletal changes during pregnancy: Backache, leg cramps, depen-
dent edema.
11. Neurological changes during pregnancy: Tension headache (HA), syncope.
12. Vena Cava Syndrome: Compression of vena cava.
13. Interventions for Vena Cava Syndrome: Get mom on side and off of her back.
14. Warnings signs in Pregnancy: Signs that indicate potential complications
during pregnancy.
15. Glucose tolerance testing process: Fast for 12 hours, take glucose drink, wait
1 hour, have blood drawn. Want level < 140.
16. Folic Acid during pregnancy: Essential for development of neural tube (usually
closed by 4-6 weeks) - need 400mcg/day.
17. Caffeine intake during pregnancy: Limit to <200mg/day.
18. PICA: Craving of non-food items.
19. Causes of PICA: Iron deficiency anemia.
20. Signs of anemia in the pregnant client: Symptoms indicating potential anemia
during pregnancy.
21. Dietary considerations for iron deficiency anemia: Increase intake of iron
(meat, green leafy vegetables, nuts, beans).
22. Craving of non-food items: A phenomenon often associated with nutritional
deficiencies.
23. Iron deficiency anemia: A condition characterized by a lack of adequate iron
in the body, leading to reduced hemoglobin levels.
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