Chapter 4 - Prenatal Care Flashcards
25 Questions
100 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

How early might fetal heart tones be detected with an electronic Doppler device?

  • 14 weeks
  • 10 weeks (correct)
  • 8 weeks
  • 4 weeks
  • What will the nurse advise a woman with an average prepregnant weight regarding recommended weight gain during pregnancy?

  • 25 to 35 pounds (correct)
  • 15 to 25 pounds
  • 10 to 20 pounds
  • 28 to 40 pounds
  • What dietary adjustments could the nurse recommend if a woman doesn’t like milk but needs 1200 mg of calcium daily during pregnancy?

  • Include molasses and whole-grain breads in the diet
  • Choose more fresh fruits, particularly citrus fruits
  • Increase intake of organ meats
  • Eat more green leafy vegetables (correct)
  • 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?

    <p>Take the blood pressure</p> Signup and view all the answers

    What food can the nurse recommend that is high in docosahexaenoic acid (DHA) for enhancing fetal brain development?

    <p>Red meat</p> Signup and view all the answers

    What is folic acid thought to decrease the incidence of in fetal development?

    <p>Neural tube defects</p> Signup and view all the answers

    Which of the following is recognized as a positive sign of pregnancy?

    <p>Fetal heartbeat</p> Signup and view all the answers

    At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope?

    <p>18 weeks</p> Signup and view all the answers

    What should the nurse include when educating a pregnant woman about exercising during pregnancy?

    <p>A regular schedule of moderate exercise during pregnancy is beneficial</p> Signup and view all the answers

    How does the need for prenatal care and counseling for adolescents differ from other age populations?

    <p>A pregnant adolescent is experiencing two major life transitions at the same time</p> Signup and view all the answers

    At what age is a woman who becomes pregnant for the first time described as an elderly primip?

    <p>After 35 years old</p> Signup and view all the answers

    What is the appropriate term for the softening of the cervix and vagina as a probable sign of pregnancy?

    <p>Goodell's</p> Signup and view all the answers

    What lab test can the nurse anticipate will be ordered for a pregnant patient with a family history of sickle cell disease?

    <p>Hemoglobin electrophoresis</p> Signup and view all the answers

    What is the most appropriate nursing intervention for a woman not immune to the rubella virus during her postpartum visit?

    <p>Inform the woman she should receive the vaccine in the hospital after delivery</p> Signup and view all the answers

    What does the nurse explain as the most likely cause of dizziness when a woman who is 37 weeks pregnant lies on her back?

    <p>Supine hypotension syndrome</p> Signup and view all the answers

    What should the nurse recommend for a pregnant woman during a 12-hour flight to Hawaii? (Select all that apply)

    <p>Drink at least 4 ounces of water every hour</p> Signup and view all the answers

    What results from hormonal changes in late pregnancy that cause pelvic joints to relax? (Select all that apply)

    <p>Joint instability</p> Signup and view all the answers

    What actions by the father indicate the progress from the announcement stage of fatherhood to the acceptance stage? (Select all that apply)

    <p>Traded his sports car for a sedan</p> Signup and view all the answers

    What nursing interventions are appropriate for prenatal care? (Select all that apply)

    <p>Improve health practices</p> Signup and view all the answers

    What behavior characteristic(s) are recognized in women during their first trimester of pregnancy? (Select all that apply)

    <p>Emotional and labile mood</p> Signup and view all the answers

    The number of years between menarche and the date of conception is known as __________ age.

    <p>gynecological</p> Signup and view all the answers

    The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.

    <p>300</p> Signup and view all the answers

    The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as ________.

    <p>pica</p> Signup and view all the answers

    The nurse is aware that __________ maneuver can assess the position and presentation of the fetus.

    <p>Leopold's</p> Signup and view all the answers

    Place the following phases of fatherhood in order from first to last: a. Focus phase, b. Announcement phase, c. Adjustment phase.

    <p>B = C</p> Signup and view all the answers

    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.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    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.

    More Like This

    Use Quizgecko on...
    Browser
    Browser