Prenatal Care and Maternal Adaptation Quiz

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Questions and Answers

Which of the following factors significantly influences prenatal care?

  • Access to transportation (correct)
  • Previous pregnancy complications (correct)
  • Income level of the parents (correct)
  • Mother's age at conception

What is a common discomfort experienced during pregnancy?

  • Frequent headaches
  • Increased appetite
  • Leg cramps (correct)
  • Skin dryness

What is an essential aspect for paternal adaptation to pregnancy?

  • Attending prenatal classes with the partner (correct)
  • Planning for personal time off work
  • Learning about labor pain management techniques
  • Understanding fetal development milestones

Which of the following is NOT a recommended sign for a pregnant client to discuss with their healthcare provider?

<p>Mild mood swings (C)</p> Signup and view all the answers

What is a key component of maternal adaptation during pregnancy?

<p>Understanding the need for increased nutritional intake (A)</p> Signup and view all the answers

What is a key factor that influences the successful adaptation of fathers to pregnancy?

<p>Participation in prenatal care activities (A)</p> Signup and view all the answers

Which of the following factors is most likely to create barriers to obtaining adequate prenatal care?

<p>Inadequate financial resources (D)</p> Signup and view all the answers

What assessment tool is used to screen for depression and anxiety during pregnancy?

<p>Edinburgh Postnatal Depression Scale (B)</p> Signup and view all the answers

What dietary behavior should be assessed during an initial nutritional history evaluation?

<p>The practice of pica (A)</p> Signup and view all the answers

During pregnancy, what is typically not a sign of maternal adaptation?

<p>Heightened energy levels (C)</p> Signup and view all the answers

Which factor could lead to complications in multifetal pregnancies?

<p>Increased risk of anemia (A)</p> Signup and view all the answers

What is a critical goal of prenatal nursing during the care of pregnant women?

<p>To promote the health &amp; well-being of the pregnant woman and fetus (D)</p> Signup and view all the answers

Which of the following should not be a primary concern during the initial physical examination of a pregnant woman?

<p>Quality of the supportive care environment (B)</p> Signup and view all the answers

What is the primary impact of having a low socioeconomic status on prenatal care?

<p>Greater likelihood of fragmented services (C)</p> Signup and view all the answers

What is an important aspect of sibling adaptation to a new baby in the family?

<p>Involving the sibling in baby care activities (C)</p> Signup and view all the answers

Which of the following best describes the steps to calculate the Estimated Date of Birth (EDB) using Nägele’s rule?

<p>Determine the first day of LMP, subtract 3 months, add 7 days plus 1 year. (A)</p> Signup and view all the answers

What is an important aspect of maternal adaptation to pregnancy during the third trimester?

<p>Feelings of pride and anxiety regarding the safety of the child. (A)</p> Signup and view all the answers

Which of the following describes paternal adaptation to pregnancy?

<p>Fathers need to reorder personal relationships and accept their role. (C)</p> Signup and view all the answers

What emotional response might a child experience with the arrival of a new sibling?

<p>Feelings of jealousy or a sense of loss regarding parental attention. (C)</p> Signup and view all the answers

Which factor can significantly influence prenatal care for expecting mothers?

<p>Cultural views on pregnancy and the perception of medical care. (C)</p> Signup and view all the answers

What role does 'quickening' play in the maternal psychological response to pregnancy?

<p>It marks the recognition of the fetus as a separate person. (B)</p> Signup and view all the answers

What is a primary concern for adolescents during pregnancy regarding prenatal care?

<p>Higher risks of poor outcomes due to inadequate prenatal care. (A)</p> Signup and view all the answers

Which sign indicates softening of the cervix around 6 to 8 weeks gestation?

<p>Goodell sign (D)</p> Signup and view all the answers

During which stage of pregnancy might a mother primarily fantasize about the baby and focus on self?

<p>First trimester (B)</p> Signup and view all the answers

What is a common timing for routine prenatal visits after the first trimester?

<p>Monthly until week 28, then biweekly from week 28 to 36. (B)</p> Signup and view all the answers

What is the leading cause of death in adolescents?

<p>Suicide (A)</p> Signup and view all the answers

Which of the following health risks is associated with early detection to mitigate issues?

<p>Eating disorders (D)</p> Signup and view all the answers

What approach is essential for effectively educating adolescents about health?

<p>Building trust and ensuring confidentiality (A)</p> Signup and view all the answers

Which factor is NOT typically considered a warning sign for potential suicide risk in adolescents?

<p>Increased social engagement (D)</p> Signup and view all the answers

What is recommended for preventing health issues related to substance use in adolescents?

<p>Running educational programs about risks (D)</p> Signup and view all the answers

Which component is essential for understanding a pediatric client’s presenting health issue?

<p>History of present illness using OPQRSTU (B)</p> Signup and view all the answers

What aspect of a pediatric health history provides insight into genetic predispositions?

<p>Family medical history (B)</p> Signup and view all the answers

Which of the following is NOT typically included in a pediatric health history?

<p>Work history of caregivers (D)</p> Signup and view all the answers

Which method is used to evaluate the quality and severity of a child's health issue?

<p>OPQRSTU model (B)</p> Signup and view all the answers

In the context of pediatric nursing, what is a primary goal related to health promotion?

<p>To ensure compliance with immunization schedules (C)</p> Signup and view all the answers

What is the primary purpose of growth charts in pediatric assessments?

<p>To compare a child's development against national standards (B)</p> Signup and view all the answers

At what age does the posterior fontanelle typically close?

<p>By 2 months (D)</p> Signup and view all the answers

Which nutrient is essential for infants during their first six months?

<p>Breastmilk or formula (A)</p> Signup and view all the answers

What key aspect is crucial to identifying developmental delays in children?

<p>Understanding average milestones (A)</p> Signup and view all the answers

What health risk is NOT typically associated with early childhood?

<p>Obesity (D)</p> Signup and view all the answers

Which nutrients are recommended for infants during the introduction of solid foods?

<p>Vitamin D and iron (D)</p> Signup and view all the answers

What age range defines toddlers, according to developmental milestones?

<p>12 months to 36 months (B)</p> Signup and view all the answers

What is a critical method used for assessing a child's physical development during health visits?

<p>Vital signs assessment (C)</p> Signup and view all the answers

What is the primary focus of interventions for drowning and lead poisoning?

<p>Education on injury prevention (A)</p> Signup and view all the answers

What is an important developmental milestone related to toilet training?

<p>Sphincter control development (A)</p> Signup and view all the answers

How does growth and socialization change during the preschool years (ages 3-5)?

<p>Increased socialization and interactive play (C)</p> Signup and view all the answers

Which of the following is a health tip for school-age children (6-12 years)?

<p>Encourage group activities like sports (C)</p> Signup and view all the answers

What is a vital focus for health education during the school years?

<p>Promoting health through education on nutrition and safety (A)</p> Signup and view all the answers

What cognitive development change occurs in adolescents aged 12-19 years?

<p>Increased abstract thinking (A)</p> Signup and view all the answers

Which aspect is critical in forming identity during adolescence?

<p>Identity formation across personal, gender, and vocational lines (C)</p> Signup and view all the answers

During what age range do primary and secondary sexual characteristics develop significantly?

<p>12-19 years (C)</p> Signup and view all the answers

Flashcards

Vaginal/Rectal Smears

Tests used to detect gonorrhea, chlamydia, and HPV.

Urinalysis

A urine test assessing for kidney problems, pregnancy-related high blood pressure, infections, and blood in the urine.

Follow-up Prenatal Visit

A visit to update health history, assess emotional & physical well-being, and discuss warning signs.

EPDS (Edinburgh Postnatal Depression Scale)

A tool used to screen mental health during prenatal visits.

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Prenatal Education

Teaching about maternal and fetal changes and recognizing potential pregnancy complications.

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Presumptive signs of pregnancy

Subjective changes reported by the pregnant person, suggesting pregnancy, but not definitive proof.

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Probable signs of pregnancy

Objective changes assessed by a healthcare professional, suggesting pregnancy, but not definitive proof.

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Positive signs of pregnancy

Objective signs assessed by a healthcare professional that definitively indicate a fetus is present.

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Nägele's rule

A method for calculating the estimated date of birth (EDB) based on the last menstrual period (LMP).

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Estimated Date of Birth (EDB)

The predicted date a baby will be born.

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Hegar sign

Softening and compressibility of the lower uterine segment (cervix)

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Chadwick sign

Bluish-purple discoloration of the vagina/cervix.

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Goodell sign

Softening of the cervix.

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Prenatal care visit schedule

A regular schedule of check-ups during pregnancy to monitor the health of both mother and baby.

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Factors influencing prenatal care

Cultural beliefs, age, and other individual circumstances can affect a person's use of prenatal care services.

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Risk Factors in Pregnancy (35+)

Increased chances of complications like chromosomal issues, preterm birth, and maternal health problems in pregnancies beyond 35 weeks.

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Multifetal Pregnancy Risks

Higher risk of complications like anemia, premature birth, issues with the placenta, and twin-to-twin transfusion syndrome in pregnancies with multiple fetuses.

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Inadequate Prenatal Care

Lack of proper prenatal care linked to low birth weight babies and infant mortality.

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Prenatal Care Goals

To improve health and well-being of the pregnant person, fetus, and family through prevention and optimal self-care, identifying risk factors.

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Socioeconomic Prenatal Care

Prenatal care routinely sought by women with middle or higher socioeconomic status.

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Initial Visit - Health History

Reviewing past medical, surgical, and nutritional history including physical surgeries, allergies, diet, and any food avoidance.

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Initial Visit - Drug History

Detailed review of drug use including past and current use of medical and recreational drugs for early intervention and assessment.

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Initial Visit - Mental Health Screening

Checking for depression and anxiety using the EPDS (Edinburgh Postnatal Depression Scale).

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Initial Visit - Physical Examination

Complete physical assessment, including vital signs (like blood pressure), height, weight, urine tests, and pelvic exams (as needed).

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Pediatric Health History

A comprehensive record of a child's health information, including presenting issue, past medical history, family history, and social history

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OPQRSTU

A mnemonic for gathering information about a child's current health issue: Onset, Provocation/Palliation, Quality, Region/Radiation, Severity, Timing, Understanding (Patient’s perception)

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Immunizations

Vaccines given to children to protect them from serious diseases

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Developmental Stages

Different stages of physical, cognitive, and social growth in childhood, such as infancy, toddlerhood, preschool, school age, and adolescence

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Erik Erikson

A psychologist who proposed a theory of psychosocial development, which describes a series of stages where individuals face unique challenges

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Adolescent Health Risks

Common health risks for adolescents include injuries, substance use, mental health issues, eating disorders, and sexual health concerns.

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Mental Health in Adolescence

Anxiety and depression are prevalent mental health issues in adolescents, requiring early detection and intervention.

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Substance Use in Adolescence

Alcohol, cannabis, and opioids are substances adolescents may use, highlighting the need for prevention and intervention.

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Eating Disorders in Adolescence

Anorexia, bulimia, and obesity are eating disorders that affect adolescents, emphasizing the importance of early intervention.

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Sexual Health in Adolescence

Adolescents face sexual health challenges like STIs and pregnancy, requiring education and prevention efforts.

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Toddler Safety

Protecting toddlers from potential hazards like poisoning, drowning, and lead poisoning.

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Toilet Training Readiness

A child's physical and psychological development necessary for successful toilet training. This includes sphincter control, ability to retain urine for a period, and bladder capacity.

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Preschooler Growth

Preschoolers (3-5 years old) exhibit slower growth but show increased socialization and interactive play. They are also great imitators.

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Preschooler Safety

Preschoolers require constant supervision, especially when participating in activities like bike riding. Helmets are crucial for their safety.

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School-Age Health Promotion

Promoting healthy habits for school-age children (6-12 years) through education about nutrition, physical activity, injury prevention, and substance use.

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School-Age Social Development

This stage is marked by a shift from family-centered life to peer and school influences. Children form close friendships, start puberty, and develop self-confidence.

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Adolescence's Key Developments

Adolescence (12-19 years) is characterized by physical changes like puberty, cognitive development like abstract thinking, and social development like increased independence and identity formation.

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Psychosocial Changes in Adolescence

Adolescents form personal, gender, and vocational identities.

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Infant Milestones

Developmental markers that reflect neurological growth, like raising the head, sitting, and walking. Observing milestones helps identify potential delays.

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Infant Nutrition

Breast milk or formula is the exclusive food source for the first 6 months, followed by the introduction of solids like cereals, vegetables, fruits, and meats. Vitamins like D and iron are important.

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Fontanelles

Soft spots on an infant's skull that gradually close over time. The posterior fontanelle closes by 2 months, and the anterior fontanelle closes between 12 and 18 months.

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Infant Growth Charts

Standardized charts used to track a child's height, weight, and head circumference against their age. This helps determine if a child is growing appropriately.

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Infant Health Risks

Common concerns for infants include SIDS, unintentional injuries like falls and poisoning, and child maltreatment.

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Toddler Development Overview

Toddlers (12-36 months) continue to physically grow and develop, their nutritional needs become more sophisticated, and their language and social skills expand. Parallel play is common during this stage.

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Toddler Health Risks

Supervised play and safe environments are essential. Watch out for potential hazards to prevent unintentional injuries.

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Reporting Suspected Maltreatment

Nurses are obligated to report any suspected child maltreatment to Child Protective Services (CPS).

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Study Notes

Course Information

  • Course name: NURS 2543
  • Course topic: Health of Families & Social Groups
  • Week: 9
  • Topic: Nursing Care of the Family During Pregnancy, Labour, and Birth
  • Instructor: Krissy Jordan, RN, MSCN, PhD Candidate
  • University: York University (YORKU)

Objectives

  • Describe the processes of confirming pregnancy and estimating the date of birth.
  • Assess a client's psychosocial response to pregnancy.
  • Relate normal growth and development to the assessment of the maternal/fetal client and family.
  • Outline routine assessments of maternal and fetal health status at initial and follow-up visits during pregnancy.
  • Identify common health challenges encountered when caring for maternal/fetal clients.
  • Review prenatal care and education.

Process of Pregnancy

  • Spans 9 months (10 lunar months of 28 days = 280 days total)
  • Divided into 3 trimesters
    • 1st trimester: weeks 1 through 13
    • 2nd trimester: weeks 14 through 26
    • 3rd trimester: weeks 27 through 40

Essential Terms for Maternity Care

  • Gravida: A woman who is pregnant
  • Gravidity: Pregnancy
  • Nulligravida: A woman who has never been pregnant or is not currently pregnant
  • Primigravida: A woman pregnant for the first time
  • Multigravida: A woman who has had two or more pregnancies
  • Parity: The number of pregnancies in which the fetus or fetuses have reached 20 weeks, not the number of fetuses (e.g., twins) born. Not affected by whether the fetus is born alive or stillbirth.
  • Nullipara: Not completed a pregnancy with a fetus or fetuses beyond 20 weeks of gestation.
  • Primipara: Completed one pregnancy with a fetus or fetuses who have reached 20 weeks of gestation.
  • Multipara: Completed two or more pregnancies to 20 weeks of gestation

Gestational Age Terms

  • Preterm (premature): A pregnancy that has reached 20 weeks and 36 weeks 6 days (36+6) gestation.
  • Term: A pregnancy from 37 to 40 +6 days gestation.
  • Late Term: A pregnancy in the 41st week.
  • Postterm (postdate): A pregnancy after 42 weeks.
  • Viability: The ability of the baby to live outside of the uterus, usually at 22-25 weeks

GTPAL: Assessing Past Pregnancies

  • G: Gravidity (total pregnancies, including current)
  • T: Term births (37 to 40 +6 days)
  • P: Preterm births (20 to 36+6 weeks)
  • A: Aborted pregnancies (before 20 weeks)
  • L: Living children

Examples of GTPAL Use

  • Example 1: A woman pregnant for the third time, with two previous term pregnancies, no preterm or aborted pregnancies, and two living children. GTPAL = 3-2-0-0-2
  • Example 2: A patient who is 30 weeks pregnant, has had one previous abortion, one miscarriage, and two live children born by Cesarean section at 38 weeks. GTPAL = 3-0-2-1-2

Confirmation of Pregnancy

  • Based on signs and symptoms reported during history or physical examination
  • Classified as presumptive, probable, or positive
    • Presumptive: subjective changes reported by the client
    • Probable: objective changes assessed by a healthcare professional
    • Positive: objective signs assessed by a healthcare professional that can only be attributed to the presence of the fetus

Signs & Symptoms of Pregnancy (Presumptive, Probable, Positive)

  • Presumptive signs: Amenorrhea, fatigue, breast changes, nausea & vomiting, urinary frequency
  • Probable signs: Hegar sign, Chadwick sign, Goodell sign, positive pregnancy test, Braxton Hicks or prelabour contractions, ballottement
  • Positive signs: Visualizing the fetus by ultrasound, fetal heart tones by ultrasound, visualization of the fetus by Doppler or fetal stethoscope, fetal movements palpated, fetal movements visible

Hegar, Chadwick & Goodell Signs

  • Hegar sign: Compressibility and softening of the cervical isthmus (portion of cervix between uterus and vaginal portion) around 6 to 12 weeks.
  • Chadwick sign: Violet/bluish colour of vaginal mucosa and cervix as early as the sixth week due to increased vascularity.
  • Goodell sign: Softening of the cervix around 6 to 8 weeks of gestation.

Estimating Date of Birth (EDB)

  • Accurate dating is important for healthy outcomes
  • Ultrasound in the first trimester is the gold standard for dating
  • Nägele's Rule: Determine the first day of the last menstrual period (LMP), subtract 3 months, add 7 days, and add 1 year.

... (Rest of the existing notes) ...

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