Nursing Management During Pregnancy

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Questions and Answers

What is the primary goal of preconception care?

To ensure timely prenatal visits

To diagnose genetic disorders in prospective parents

To optimize the health & well-being of the patient and partner before pregnancy (correct)

To provide nutritional guidance during pregnancy

Which of the following factors is NOT considered a risk factor for adverse pregnancy outcomes?

Folic acid deficiency

Hypothyroidism

Obesity

Regular physical activity (correct)

What is the best method to determine the estimated due date (EDD)?

LMP calculation

Physical examination

Ultrasound (correct)

Nagele’s Rule

Which of the following elements is NOT typically included in the initial comprehensive health history?

Family history of mental illness Signup and view all the answers

In identifying biomedical risks in preconception care, which drug category poses significant risks to pregnancy outcomes?

Anticoagulants Signup and view all the answers

What is the significance of knowing the estimated due date (EDD) during pregnancy?

It provides guidance for the timing of maternal and fetal tests throughout pregnancy Signup and view all the answers

Which factor is explicitly listed as a part of preconception care aimed at optimizing health outcomes?

Immunization status Signup and view all the answers

Which of the following does NOT fall under the category of lifestyle practices in preconception care?

Prenatal vitamin intake Signup and view all the answers

What is the first step in calculating the estimated date of confinement (EDC) using Nagele’s rule?

Subtract 3 months from the LMP Signup and view all the answers

Which term refers to a woman who has never been pregnant?

Nulligravida Signup and view all the answers

What does the term 'Primipara' indicate?

A woman who has given birth once after at least 20 weeks gestation Signup and view all the answers

If a woman has had two pregnancies resulting in live births and one miscarriage before 20 weeks, she is classified as which of the following?

Multipara Signup and view all the answers

What specifically does the term 'Para' represent in obstetric terms?

Number of viable pregnancies (20 weeks or longer) Signup and view all the answers

A woman who has been pregnant three times, with all pregnancies resulting in live births after 20 weeks, is classified as what?

Multipara Signup and view all the answers

According to obstetric terminology, what does 'Nullipara' refer to?

A woman who has not produced a viable offspring Signup and view all the answers

What is the final step in Nagele’s rule for calculating the EDC?

Add 1 year Signup and view all the answers

Study Notes

Preconception and Interconception Care

Aim of preconception care: Enhance health and wellbeing prior to pregnancy to improve outcomes and prevent complications.
Important components include evaluating immunization status, existing medical conditions, reproductive health practices, nutrition, and lifestyle behaviors.
Identify and address biomedical, behavioral, and social risks impacting women's health and pregnancy outcomes.

Risk Factors for Adverse Pregnancy Outcomes

Teratogenic risks include isotretinoins, alcohol, illicit drugs, and smoking.
Certain medications (anticoagulants, diabetic drugs, cancer treatments, antiepileptics) may pose risks.
Medical conditions such as diabetes, hypothyroidism, STIs (particularly rubella), obesity, and maternal phenylketonuria increase adverse outcomes.
Folic acid deficiency is a critical nutritional risk.

The First Prenatal Visit

Involves a comprehensive health history, physical examination, and laboratory tests.

Comprehensive Health History

Key areas of inquiry:
- Reason for seeking care: include suspicion of pregnancy, last menstrual period (LMP) date, and pregnancy signs.
- Full medical, surgical, and family history.
- Reproductive history: menstrual, obstetric, and gynecological details.

Determining Estimated Due Date (EDD)

EDD calculation is crucial for guiding tests and interventions throughout pregnancy.
Nagele’s Rule:
- Subtract 3 months from LMP
- Add 7 days
- Add 1 year
Example: LMP of 1/1/23 → EDD of 10/8/24.

Pregnancy Terms

Gravid: The state of being pregnant.
Gravida/Gravidity: Total number of pregnancies regardless of outcome; multiple gestations count as one.
Nulligravida: Never been pregnant.
Primigravida: First-time pregnancy.
Secundigravida: Second pregnancy.
Multigravida: Third or more pregnancies.

Para: Number of births at or beyond 20 weeks gestation (viable pregnancies).
Parity: Total pregnancies reaching viability, regardless of outcomes; multiple births count as one.
Nullipara: No viable offspring birthed.
Primipara: One birth after a pregnancy of at least 20 weeks.
Multipara: Two or more births after pregnancies of at least 20 weeks.

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Description

This quiz focuses on the essential aspects of preconception and interconception care within nursing management during pregnancy. It aims to educate on optimizing health and minimizing risks before conception, as well as implementing effective management interventions. Explore key strategies to ensure positive pregnancy outcomes.