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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NURS 388 Midterm 2Goals 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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