What is preconception? - ANS before pregnancy
How does family & culture influence preconception care? - ANS -because culture is learned and can be different for everyone, each person can have different beliefs and ideals about how they want their care to go.
-family support a...
How does family & culture influence preconception care? - ANS -because culture is
learned and can be different for everyone, each person can have different beliefs and ideals
about how they want their care to go.
-family support and structure can also influence preconception care because they may not want
children, or their family may want something specific and that can play a huge role
How do we assess support system in preconception? - ANS -family
-friends
-woman herself and her readiness to be pregnant and have a baby
-financials, housing
Why/how do we assess lifestyle in preconception? - ANS Why: we want to see all the risk
factors that a pregnancy from this mom would include.
How: mainly by asking questions and looking into chart
-personal behaviors and exposures
-workplace/home conditions
-reproductive history
-nutrition
-exercise
-chronic diseases
-infectious diseases
-genetic disorders
In preconception, what do we teach? - ANS -how to avoid pregnancy if they don't want a
baby
-identify risk factors
-nutrition
-exercise and rest
-avoidance of substance abuse
-use of risk-reducing sex practices
-attending to family and social needs
What are modifiable risk factors for reproductive health? - ANS -weight
-substance use (drugs and alcohol)
-smoking
What is the role of hormones in reproductive health? - ANS Ovaries produce hormones:
estrogen (regulates) and progesterone (prepares)
What are conditions that impact fertility? - ANS -STI's
-perimenopause
-stress
-endometriosis
-pelvic inflammatory disease
-vaginal infections
-uterine fibroids
-uterine deformities
-ovarian cysts
-interstitial cystitis
-urinary incontinence
-gynecologic cancers
What is significant about age in reproductive health? - ANS -menopause
-menarche and puberty
-menstrual cycle is influenced by age
-climacteric: transitional phase where ovarian function and hormone production decline (age)
-increased age and younger age are both at an increased risk for preeclampsia/eclampsia
What is the function of the placenta? - ANS Endocrine:
-endocrine gland secretion
-progesterone decreases uterine contractility, stimulates maternal metabolism
-estrogen stimulates uterine growth and placental function
Metabolic:
-o2 and CO diffusion (fetal lungs)
-increased glucose demand
-excretion of metabolic waste by kidney
-nutrient storage
How do the partners adapt to pregnancy? - ANS -Accepting
-Identifying rolechange
-Relationships with others- support
-relationship with fetus
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