MVU NURSE 629 EXAM II | Practice | Solved|
MVU NURSE 629 EXAM II | Practice | Solved|
MVU NURSE 629 EXAM II | Practice | Solved|
MVU NURSE 629 EXAM II | Practice | Solved|
MVU NURSE 629 EXAM II | Practice | Solved|
MVU NURSE 629 EXAM II | Practice | Solved|
MVU NURSE 629 EXAM II | Practice | ...
MVU NURSE 629 EXAM 1
Three trimesters of pregnancy
1st: week 1-13
2nd: weeks 14-27
3rd: weeks 28 to delivery
Naegeles rule of EDB
First day of LMP- subtract 3 months, add 7 days and one year
Ultrasound to determine EDB
1st trimester: accurate within 7 days
2nd trimester: accurate within 10-14 days
The sooner a woman gets an ultrasound the better estimate we can give for weeks
gestation and tracking of fetal growth and development.
Prenatal visit schedule for low-risk pregnancies
-Preconception visit: up to 1 yr before conception
-1st prenatal visit: 6-8wks after missed menses
Up to 28 weeks- every 4 weeks
28 to 36 weeks - every 2 weeks
36 weeks and on -every week or more as necessary
First prenatal visit should include
· Confirmation of pregnancy
Pregnancy test and ultrasound
, · History
· Menstrual history (LMP) and obstetric history
· Past medical history
· Nutrition and habits: tobacco, alcohol, drugs
· Genetic history: mom, father and 1st relative
· Social history including work, abuse, coping
· Current symptoms
· Physical exam and labs
· Pelvic exam and pap smear
Blood type and antibody screen
Rubella and hepatitis B titer
GC, RPR, HIV, Hep C
CBC
Urinalysis with culture
UDS (?)
Prenatal visit 18-22 weeks
Anatomy OB ultrasound
Prenatal visit 24-28 weeks
1 hour glucose test, RH neg type and screen
, Prenatal visit 28-34 weeks
RhoGam administration, STI testing if indicated, review newborn feeding discussion, administer
Tdap, preterm labor assessment and education at each visit
Prenatal visit 34-36 weeks
Group B strep swab, review s/s of labor and review labor plan
Prenatal visit 36-40+ weeks
fetal position assessment, cervical exam, review s/s of false labor vs true contractions
Quad screening
Test performed at 16-18 weeks. Tests levels of Inhibin A, MSAFP, unconjugated estriol, and HCG. Has
increased accuracy in screening for DS for women under 35.
1st trimester typical symptoms
· Breast pain, enlargement, and changes in pigmentation: wear a supportive bra, avoid
caffeine use
· Constipation: large amount of circulating progesterone cause decreased GI motility - use
bulk-forming laxatives or Colace, exercise regularly, elevate feet on a stool while defecating
to prevent straining, high fiber foods, increase fluids, drink warm fluids
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