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antepartum
maternity
| Question | Answer |
|---|---|
| list 3 commonly used pregnancy tests | 1.) hemagglatination inhibition (home test) 2.) enzyme immunoassays (confidot) 3.) ELISHA (home test) |
| 6 presumptive signs of pregnancy | 1.) amenorrhea 2.) N/V 3.) fatigue 4.) breast changes 5.) frequent urination 6.) quickening |
| 6 probable signs of pregnancy | 1.) abdominal distension 2.) hegar's sign 3.)inc. vaginal secretions 4.) braxton-hicks contractions 5.)ballottement 6.) pregnancy tests |
| causes of a positive/negative pregnancy test | substance abuse, hormone producing tumors, not 1st a.m. void, bld in urine, premature menopause, prescriptions drugs (antianxiety, anticoagulants) |
| causes of frequent urination | bladder infection, diabetes, emotional upsets, dec. ADH |
| causes of amenorrhea | pituitary imbalance, stress, local infection. irr. period, neoplasm |
| causes of braxton-hicks contractions | peristalsis, pseudocyesis |
| discomforts of 1st trimester | n/v, frequent urination, breast changes, fatigue, dizziness/faintness, emotional changes |
| normal hct & hgb levels | hct: 38-45% hgb: 12-15 |
| nursing interventions for faintness.dizziness, fatigue | get up slowly, prenatal vit. (iron + folic acid), inc. fluids during the day, 6-8 meals/day |
| discomforts of 2nd trimester | heartburn,constipation/flatulence, muscle cramps/spasms, vaginal discharge, nose bleeds, headaches, inc. salivation, heart pounding, pelvic discomfort, emotional changes |
| nursing interventions for muscle cramps | dorsal fles, dec. milk intake |
| causes of muscle cramps | dec. Ca level, inc P, circulation impaired, pressure on nerves |
| causes of vaginal discharge | inc estrogen + bld supply + normal secretion, parasite, inc. glycogen content of vaginal epithelium, pre-existing infection |
| s/s of trichomonas vaginalis | profuse, irritating, foamy secretions, yellow odorous, itching |
| discomforts of 3rd trimester | dyspnea, supine hypotensive syndrome, braxton-hicks contractions, varicosites, freq. urination, edema of lower extremities, back ache, waddling, bleeding gums, fatigue, insomnia, emotional changes |
| causes of supine hypotensive syndrome | uterus compresses inferior vena cava when lying on back |
| nursing intervention for supine hypotensive syndrome | left lateral position |
| calculate EDB | LMP-3months + 7days add 1 year of LMP > March 24 |
| 1st visit to clinic or MD's office | discuss risky lifestyles w/ pregnancy, i.d health issues, history, medical exam, lab studies |
| how + when is the FHR checked after audible | 12-16w using ultrasonic stethoscope 20-24w w/ conventional stethoscope |
Created by:
kamia2010
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