Podcast Beta
Questions and Answers
What is the primary goal of preconception care?
Which of the following is NOT typically included in preconception care?
What is the significance of knowing the estimated date of confinement (EDC)?
Which of the following factors is a risk for adverse pregnancy outcomes?
Signup and view all the answers
What method is considered the best for determining the estimated date of confinement (EDC)?
Signup and view all the answers
What should be included in the first prenatal visit?
Signup and view all the answers
Which of the following conditions is a significant risk factor for pregnancy complications?
Signup and view all the answers
During the initial comprehensive health history assessment, which area is NOT typically evaluated?
Signup and view all the answers
What is the first step in calculating the estimated delivery date using Nagele's rule?
Signup and view all the answers
Which term describes a woman who has never been pregnant?
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?
Signup and view all the answers
What does the term 'Para' indicate in obstetric history?
Signup and view all the answers
What is meant by the term 'Nullipara'?
Signup and view all the answers
Which statement is true regarding multiple gestation in the context of gravidity?
Signup and view all the answers
A woman who has given birth to two viable infants after 20 weeks of gestation is classified as:
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?
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.
Definitions Related to Birth
- 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.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
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.