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NUR 2633/NUR 2633 Maternal Child Health Final Work Sheet.
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NUR i2633: iMaternal iChild iHealth i i i i i i Final iWork iSheet1. Dysmenorrhea i– ia icommon icomplaint iwith iwomen i– iwhat iare ithe inon-pharmacological
and ipharmacological itreatments. iNSAID’s i(Motrin, iNaproxen, iAlive), iheating ipad, irest,
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increase icalcium, iincrease ifluids, idecrease ired imeat, ialcohol, ismoking idrugs, iexercise.
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2. Obstetrical iissues i– ipregnancy irisks i- iKnow iNaegle’s iRule i– ito iestablish igestational iage
ovulation ioccurs iin ithe imiddle iof ithe icycle, istress ican iaffect icycle, ias iwell ias ihigh
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i exercise, ipregnancy, imedications, idrugs, ihormones, iobesity. iAdd i1 iyear, isubtract i3
i months, iadd i7 idays. iPregnancy irisks ismoking, ialcohol idrinking, iobesity, idiabetes, idrug
i use, ihypertension, ipoor inutrition, ieating idisorders iALL iaffect ipregnancy. iEDD ican ialso
be imeasured iby ifundal iheight i(Ex. iFundal iheight iis imeasuring iat iumbilicus i= i20 iweeks)
3. Fetal iassessment i3 ithings ibaby iis iokay i– ifetal iheart itones i(audible iat i10-12 iweeks),
movement i(16-18 iweeks ifor imultiparis, i18-20 ifor iprima igravida), ifundal iheight i(12-14
iweeks, iat ithe isymphysis ipubis, iumbilicus iis i20 iweeks)
4. Poor inutrition, idrugs, iHTN, iDM iare iall iissues iof iplacental iperfusion i– iwhat iwill ithe ifetal
result ibe i– iIUGR iis ithe iresult, ihow ido iwe iidentify iIUGR? iSmaller ifundus. iUncontrolled
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i diabetes i= ilarge ibaby, ilarger ifundal iheight, ibaby ican ihave ihypoglycemia iafter ibirth, ibirth
injuries iand irespiratory iimmaturity
5. Does ithe iplacenta iprovide inutrition? i– ino iit iprovides ifor igas iexchange, ibaby igets ioxygen.
6. Anemia ibecomes ia iproblem iin ipregnancy i– ican iyou idiscuss ithe imaternal iand ifetal irisks i–
low ihemoglobin i= ilow ioxygen, ibaby iwith ilow ioxygen imeans iless imovement. iIron i
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ingestion ican icause iGI iupset, itarry istools, iconstipation i(increase ifluids, ifiber, istool
softeners iand iexercise)
7. Hyperemesis i– iexcessive ivomiting ithat iexceeds imore ithan i3 imonths, iat irisk ifor ifluid iand
electrolyte iimbalance, imanage iby iIV ifluids iand iantiemetics i(Zofran), ismall ifrequent
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meals, iavoid itrigger ifoods, icarb isnack
8. Hypertension i– ipreeclampsia ihas ispecific isymptoms i– iplease iknow ithese ias iwell ias
treatment imodalities iand inursing iinterventions i– ikeep iin imind iMagnesium iSulfate
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, nursing iinterventions i– iheadaches, iblurry ivision, iepigastric ipain, ibloated, iedema, ihigh
i BP, iprotein iin ithe iurine. iManage iby ibed irest, idim ithe ilights, iMag isulfate i4g imaintenance
over i20-30 iminutes’ ibolus, imaintenance i2g. iSeizure iprecautions, iand imonitor ibaby, ileft
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i side ilying. iFor iMag iwatch ifor imag itoxicity iand irespiratory idepression, icheck ifor iurine
i output, iand ideep itendon ireflexes, ivitals ievery ihour. iLungs iif ihave ito ideliver ibaby, iuse
Betamethasone ito ihelp iwith ilung imaturity. iNo ibolus ifluids iin ipreeclampsia.
9. Pre- iterm ilabor i– idefine iit; isigns iand isymptoms, itreatment imodalities iand inursing
i interventions i– ipelvic ipressure, icramping, icontractions, ibaby idrop, ilower iback ipain,
i increase iurine ioutput iand ivaginal idischarge. iCan ibe icaused iby idehydration ior iinfection.
i Put ion imonitor, iGIVE iFLUIDS i(Bolus iLactated iringers), iFFN itest ibefore ivaginal iexam,
i LABOR iIS iNOT iLABOR iWITHOUT iCERVICAL iCHANGE. i2CM iOR i80% ieffaced,
i start iaggressively imanaging ipre iterm ilabor iwith iterbutaline i(Causes imaternal itachycardia,
watch iheart irate), iif iunsuccessful igo ito imag isulfate iand iuse ibetamethasone.
10. Diabetes iMellitus i– iType i1, iType i2 iand iGestational iDM iall ihave iissues ithat iare icommonito
i all iand ispecific ito ieach. iNote ithe iconcerns ispecific ito ieach, imanagement iand ifetal
i surveillance i– itype i1 iconcerned iwith icardiac, iskeletal iand iCNS iin ibaby, iwoman irequires
less iinsulin i1st itrimester ibecause iof ibasal imetabolic irate iis iincreased, ithen ineeds iprogress
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over i2nd/3rd itrimester. iMonitor iclosely, ibabies iat irisk ifor isudden ifetal idemise, ihave imom
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monitor i# iof ifetal imovements. iType i2 iconcerned iwith icontrolling isugars, icontrol iby idiet,
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and ihypoglycemic/macrosomic ibaby. iGestational iDM, isame iinterventions ias itype i2 iDM.
11. Define iMacrosomia i– iand iwhat iare ithe irisks i– ilarge ibaby, ilarger ifundal iheight, ibaby ican
have ihypoglycemia iafter ibirth, ibirth iinjuries iand irespiratory iimmaturity
12. What iis ian iNST, iand ia iBPP ifor iwhom iwould iyou irecommend ithese itests? i– iNon istress
i test, ito iensure ifetal iwell ibeing, iif inon ireactive imove ito iBPP, iif iBPP iscores ifrom i6-8 ikeep
monitoring, iif iless ithat i6 istart ito ithink iabout idelivering, ihostile iuterine ienvironment.
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