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Exam (elaborations)

NURS 388 Midterm 2

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Exam of 9 pages for the course 388 Midterm review at 388 Midterm review (NURS 388 Midterm 2)

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  • June 15, 2024
  • 9
  • 2023/2024
  • Exam (elaborations)
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NURS 388 Midterm 2
Goals of Prenatal Care - ANS-Determine health status of mom and fetus
Determine gestational age
Monitor fetal development
Identify risks for complications and minimize any risks
Assess level of social support
Obtain history of previous losses
Assess learning needs for pregnancy
Provide appropriate education and counselling

Cognitive Teaching Methods - ANS-Discussion
Storytelling
Lecture
Q & A Session
Role Play and Discovery
Independent Projects and Field Experience

Affective Teaching Methods - ANS-Role Play
Group and One-on-One Discussions

Psychomotor Teaching Methods - ANS-Demonstration
Practice
Independent Projects and Games

Labour - ANS-Process of moving the fetus, placenta, and membranes out of the uterus
through the birth canal

Onset of Labour - ANS-Upper uterus muscles shorten and pull cervix upwards
Connective tissue loosens to allow softening, thinning, and opening of the cervix
Decrease in progesterone levels
Increase in estrogen, prostaglandins, and contractile response of uterus
Result in strong, regular, and rhythmic contractions

Signs Preceding Labour - ANS-Possible rupture of membranes
Increased vaginal discharge; sometimes bloody show
Weight loss
GI upset
Nesting, a sudden burst of energy

, Low backache
Braxton Hicks
Lightening, fetus moving into pelvic outlet

False Labour - ANS-Irregular contractions
Walking relieves contractions
Bloody show usually not present
No change in effacement or dilation

True Labour - ANS-Regular contractions that increase in frequency, duration, and
intensity
Contractions stimulated when walking
Discomfort in lower back and abdomen
Bloody show is often present
Progressive effacement and dilation of cervix

First Stage of Labour - ANS-Starts with onset of regular contractions and goes until full
dilation of cervix

Latent Phase - First Stage of Labour - ANS-Effacement and a little descent
Mild regular contractions with increasing frequency, duration, and intensity
Cervix is 0-3 cm dilated

Active Phase - First Stage of Labour - ANS-Descent
Cervix dilated 4-5 cm and changing
Increased intensity

Assessment - First Stage of Labour - ANS-Assess fetal heart rate every 15 mins
Assess status of fetal membranes
Assess contractions at least once an hour
Vaginal examination
Assess maternal BP, pulse, respirations, temperature, change in appearance, mood,
affect, and energy level
Assess psychosocial state and ability to cope

Care Priorities - First Stage of Labour - ANS-Ensure safety of mom and baby
Pain
Anxiety
Fatigue
Knowledge deficits

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