Questions and Answers
How early might fetal heart tones be detected with an electronic Doppler device?
What will the nurse advise a woman with an average prepregnant weight regarding recommended weight gain during pregnancy?
What dietary adjustments could the nurse recommend if a woman doesn’t like milk but needs 1200 mg of calcium daily during pregnancy?
What is the nurse's initial action when a patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago?
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What food can the nurse recommend that is high in docosahexaenoic acid (DHA) for enhancing fetal brain development?
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What is folic acid thought to decrease the incidence of in fetal development?
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Which of the following is recognized as a positive sign of pregnancy?
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At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope?
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What should the nurse include when educating a pregnant woman about exercising during pregnancy?
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How does the need for prenatal care and counseling for adolescents differ from other age populations?
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At what age is a woman who becomes pregnant for the first time described as an elderly primip?
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What is the appropriate term for the softening of the cervix and vagina as a probable sign of pregnancy?
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What lab test can the nurse anticipate will be ordered for a pregnant patient with a family history of sickle cell disease?
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What is the most appropriate nursing intervention for a woman not immune to the rubella virus during her postpartum visit?
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What does the nurse explain as the most likely cause of dizziness when a woman who is 37 weeks pregnant lies on her back?
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What should the nurse recommend for a pregnant woman during a 12-hour flight to Hawaii? (Select all that apply)
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What results from hormonal changes in late pregnancy that cause pelvic joints to relax? (Select all that apply)
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What actions by the father indicate the progress from the announcement stage of fatherhood to the acceptance stage? (Select all that apply)
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What nursing interventions are appropriate for prenatal care? (Select all that apply)
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What behavior characteristic(s) are recognized in women during their first trimester of pregnancy? (Select all that apply)
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The number of years between menarche and the date of conception is known as __________ age.
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The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as ________.
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The nurse is aware that __________ maneuver can assess the position and presentation of the fetus.
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Place the following phases of fatherhood in order from first to last: a. Focus phase, b. Announcement phase, c. Adjustment phase.
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Study Notes
Fetal Development and Heartbeat Detection
- Fetal heart tones detectable as early as 10 weeks with an electronic Doppler device.
- Auscultation of fetal heartbeat possible between 18-20 weeks using a fetoscope.
Weight Gain Recommendations
- Normal weight women should gain 25 to 35 pounds during pregnancy.
- Significant weight gain, such as 10 pounds in 2 weeks, could indicate gestational hypertension; blood pressure should be assessed.
Nutritional Needs in Pregnancy
- Daily calcium requirement during pregnancy is 1200 mg; alternatives to milk include green leafy vegetables.
- Foods high in docosahexaenoic acid (DHA) like red meat support fetal brain development.
- Folic acid intake is crucial to reduce the risk of neural tube defects.
Pregnancy Signs and Symptoms
- Positive signs of pregnancy include fetal heartbeat, while probable signs may involve softening of the cervix (Goodell's sign).
- Supine hypotension syndrome may cause dizziness when lying on back; advised to avoid this position.
Preconception and Adolescent Health
- Women over 35 having their first pregnancy are termed elderly primipara.
- Adolescent pregnant women experience dual life transitions; prenatal care is essential for this demographic.
Prenatal Testing and Immunizations
- Hemoglobin electrophoresis is used to test for sickle cell disease; important for women with related family history.
- Rubella vaccine should be administered postpartum, as it is contraindicated during pregnancy.
Behavioral Changes in Pregnancy
- Women in their first trimester often exhibit ambivalence, emotional fluctuations, and fatigue.
- Fathers progress through phases: announcement, adjustment, and focus, reflecting involvement in pregnancy and parenthood.
Health Recommendations for Pregnant Women
- Current dietary recommendations include an additional 300 kcal daily for fetal nourishment.
- Pica is identified as the craving of non-food substances, such as ice; important to monitor for potential nutritional deficiencies.
Assessment Techniques
- Leopold's maneuver is utilized to assess the position and presentation of the fetus, aiding in prenatal care management.
- Encouragement of moderate exercise during pregnancy is beneficial for overall maternal and fetal health.
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Description
Test your knowledge on prenatal care and adaptations to pregnancy with these flashcards. This quiz focuses on important details, such as the detection of fetal heart tones using a Doppler device. Strengthen your understanding of early pregnancy care topics through this informative activity.
