Nursing Management During Pregnancy

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Questions and Answers

What is the primary goal of preconception care?

Optimize the health and well-being of the patient and partner before pregnancy (correct)

Provide prenatal vitamins before conception

Reduce healthcare costs during pregnancy

Increase the chances of multiple births

Which of the following is NOT typically included in preconception care?

Immunization status check

Childbirth education classes (correct)

Support system evaluation

Nutrition assessment

What is the significance of knowing the estimated date of confinement (EDC)?

It is used to schedule the delivery in the hospital

It provides guidance for timing of maternal and fetal tests and interventions (correct)

It dictates the type of prenatal vitamins to be taken

It determines the number of prenatal visits needed

Which of the following factors is a risk for adverse pregnancy outcomes?

Isotretinoins use Signup and view all the answers

What method is considered the best for determining the estimated date of confinement (EDC)?

Ultrasound Signup and view all the answers

What should be included in the first prenatal visit?

Comprehensive health history Signup and view all the answers

Which of the following conditions is a significant risk factor for pregnancy complications?

Nutritional deficiency of folic acid Signup and view all the answers

During the initial comprehensive health history assessment, which area is NOT typically evaluated?

Current employment status Signup and view all the answers

What is the first step in calculating the estimated delivery date using Nagele's rule?

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

Which term describes a woman who has never been pregnant?

Nulligravida Signup and view all the answers

If a woman has been pregnant three times, but her pregnancies did not result in viable births, how should she be classified?

Gravida Signup and view all the answers

What does the term 'Para' indicate in obstetric history?

Number of pregnancies carried to viability after 20 weeks Signup and view all the answers

What is meant by the term 'Nullipara'?

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

Which statement is true regarding multiple gestation in the context of gravidity?

It is always counted as one pregnancy Signup and view all the answers

A woman who has given birth to two viable infants after 20 weeks of gestation is classified as:

Multipara Signup and view all the answers

If a woman is pregnant for the second time but her first pregnancy ended in miscarriage before 20 weeks, which terms apply to her?

Secundigravida and Primipara 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 nursing management during pregnancy, particularly emphasizing preconception and interconception care. It aims to optimize health and well-being before pregnancy, addressing biomedical, behavioral, and social risks. Understanding these factors is crucial for improving pregnancy outcomes and preventing potential problems.