Exam (elaborations)
ROUTINE PRENATAL CARE - Rachelle Nurse PhD, MSHA, RN, WHNP-BC EXAM
- Course
- Institution
ROUTINE PRENATAL CARE - Rachelle Nurse PhD, MSHA, RN, WHNP-BC EXAM...
[Show more]
Content preview
ROUTINE PRENATAL CARE - Rachelle Nurse PhD,MSHA, RN, WHNP-BC EXAM
Definition of Terms - ANSWER • Antepartum (Prenatal) -from conception to onset of
labor• Intrapartum - onset of labor until birth of placenta• Postpartum - from birth of
placenta to the return of mother's body to pre-pregnant state (6 weeks)
Prenatal Care Goal - ANSWER • To assess risk factors in hopes of predicting
complications• To assess the well-being of the mother and fetus• To prevent adverse
fetal and maternal outcomes• To assess the growth of the fetus• To educate the patient•
To establish an EDC• Complete 80% of expected prenatal visits
PROVIDER ROLE. - ANSWER • Assessment routine care, risk assessment, change in
perinatal status • Diagnosis deviations from routine • Education common discomforts,
safety, warning signs, prevention of injuries, nutrition, exercise, etc • Screening
domestic violence, depression, substance abuse • Treating common discomforts,
deviations from norm • Referral if appropriate • Advocate
Prenatal Care Barriers - ANSWER • Unrecognized pregnancy• Denied pregnancy•
Finances/insurance• Inaccessibility of health care• Lack of support (#1 reason women
do not seek early PNC)• Language barrier
Definition of Terms 2 - ANSWER • Gestation - number of weeks since LMP• Abortion
(miscarriage) - birth prior to 20weeks gestation &/or < 350 gms.- Elective vs.
Therapeutic- Threatened vs. Imminent- Incomplete vs. Complete- Missed• Term - normal
duration of pregnancy, 37to 42 weeks (average 40 weeks)• Pre-Term (Premature) - after
20 weeks, before 37 weeks• Post-Term - greater than 42 weeks
Initial Visit - ANSWER • Timing of initial visit before 10wks gestation• Establishment of
rapport/trust• Emphasis on education for wellness• Identification and prevention of
complications• Thorough health history, physical examination, and laboratory tests
, Health History Comprehensive- ANSWER • Pregnancy History currently- Suspicion of
pregnancy- Date of last menstrual period• Dating with the gestational wheel or Nagel's
Rule First day of LMP - 3 months +7 days- Signs and symptoms of pregnancy- Urine or
blood test for hCG
Comprehensive Health History 2 - ANSWER • Menstrual History-Age at menarche-Days
in cycle-Flow characteristics-Discomforts-Use of contraception-Date of last menstrual
period (LMP) and previous period
Obstetric History - ANSWER Gravida: a pregnant woman- Gravida I (primigravida): first
pregnancy- Gravida II (secundigravida):second pregnancy, etc.- Nulligravida - never
been pregnant• Para: a woman who has producedone or more viable offspring carryinga
pregnancy 20 weeks or more- Primipara: one birth after apregnancy of at least 20
weeks("primip")- Multipara: two or morepregnancies resulting in viableoffspring
("multip")- Nullipara: no viable offspring;para 0• Terminology- G (gravida): the
currentpregnancy- T (term births): the numberof pregnancies ending >37weeks'
gestation, at term- P (preterm births): thenumber of pretermpregnancies ending
>20weeks or viability but beforecompletion of 37 weeks- A (abortions): the number
ofpregnancies ending before 20weeks or viability- L (living children): number ofchildren
currently living
Comprehensive Health History 3 - ANSWER Past Pregnancies• Neonatal status of
previous pregnancies• Loss of a child• Blood type and Rh Factor• Prenatal Classes,
resources• Father of baby and family involvement
Comprehensive Health History 4 - ANSWER Gynecologic History• Last PAP Smear•
History of Abnormal Paps• Previous Infections• Previous gyn surgery• History of
infertility• Sexual history• Contraceptive history
Comprehensive Health History 5 - ANSWER Sexually Transmitted Infections• HSV
(Herpes virus type 2)• HIV• Syphilis• GBS infection• Gonorrhea• Chlamydia
INFECTIONS TORCH - ANSWER t - toxoplasmosis, treponema pallidum (syphilis)
o - gonorrhea, group beta step GBs
r - rubella
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85443 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now