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NURS 306 EXAM II CH 3,5,6,9.
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NURS 306 EXAM II CH 3,5,6,9.
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NURS 306 EXAM II CH 3,5,6,9obstretical hx - ANS-includes gravid and para
gravida - ANS-number of pregnancies including present*******
para - ANS-birth after 20 weeks gestation (before 20 wks sponataneous abortion****
KNOW GTPAL EQUATION
NULL - ANS-never
PRIMI - ANS-first
MULTI - ANS-2nd or more
T - ANS-# of term infants born after 37 weeks
P - ANS-# of preterm infants between 20 to 37 wks
A - ANS-# of pregnancies ending in spontaneous or therapeutic abortions
L - ANS-# of current living children
1st trimester assessment - ANS-1st 14 weeks of pregnancy fetal heart tones******
patient education and anticipatory guidance
1st trimester weight gain - ANS-1 lb a month
2nd trimester weight gain - ANS-1/2 to 1 1lb a week
3rd trimester - ANS-1 1lb a week, last month increased fetal weight gain
25-35 lbs - ANS-normal wt (18.5-24.5)*******
30-40 lbs - ANS-underweight (<18.5)
15-20 lbs - ANS-overweight (>25-29.5)
40-45 lbs b/c of multiple gestation - ANS-1 lb a week throughout pregnancy
, how many calories are needed a day? - ANS-300 calories a day (2000 to 2500/daily)
protein - ANS-increase to 60 g/day
fats - ANS-Linoleic acid b/c need for vegetable oils
folic acid - ANS-prevents neural tube defects (0.4 to 400 mag)*****
minerals - ANS-calcium, phosphorus, iodine, iron, fluoride, sodium, zinc
2nd trimester assessment - ANS-confirms due date
initial assessment
give RhoGAM
3rd trimester assessment - ANS-focused assessment
assess fetal well being (biophysical profile BPP)
pelvic exam
Leopold's maneuver (what's the position of the baby?)
screen for Group B streptococcus
Violence - ANS-1 in 3 women are abused
how many females are. murdered in 1998 to 2002? - ANS-1 out of 3 females
how many deaths and injuries occur? - ANS-2 million injuries and 1300 deaths
universal screening of all female clients - ANS-within the last year, have you been hit,
slapped, kicked or otherwise physically hurt by someone?
within the last year, has anyone forced you to have sexual activities?
self-care teaching for women against violence - ANS-make a safety plan
pack clothes, extra set of keys, store kids at friends house
advise neighbor to call police if emergency
have money, ID, and financial records on hand
make a plan of where to go for help
have a hotline number, shelters, and police******
domestic violence effect on pregnancies - ANS-low birth weight
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