Prenatal Care Nursing Roles

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Questions and Answers

What is one of the primary reasons nurses monitor blood pressure during prenatal care?

  • To detect hypertension and preeclampsia (correct)
  • To ensure proper fetal position
  • To assess the mother's nutrition
  • To monitor exercise levels

At what point during pregnancy is the glucose tolerance test usually performed?

  • 32 to 36 weeks
  • 24 to 28 weeks (correct)
  • 12 to 16 weeks
  • 20 to 24 weeks

What is a common sign that nurses check for, which may indicate preeclampsia?

  • Increased appetite
  • Nausea and vomiting
  • Fatigue
  • Swelling in hands and feet (correct)

Which blood test is routinely performed to identify anemia during pregnancy?

<p>Hemoglobin level test (A)</p> Signup and view all the answers

What does a result higher than 140 mg/dL indicate after the 50 g glucose test?

<p>Need for further testing (C)</p> Signup and view all the answers

How long is the mother required to fast before the glucose tolerance test begins?

<p>8-12 hours (B)</p> Signup and view all the answers

Which of the following is NOT a role of nurses in prenatal care?

<p>Time management in labor (C)</p> Signup and view all the answers

Which procedure helps monitor fetal growth and positioning?

<p>Ultrasound scans (C)</p> Signup and view all the answers

What can unmanaged gestational diabetes lead to?

<p>Health complications for mother and baby (A)</p> Signup and view all the answers

What is the purpose of monitoring weight gain during pregnancy?

<p>To avoid excessive weight gain (D)</p> Signup and view all the answers

Flashcards

Prenatal Blood Pressure Monitoring

Nurses regularly check a pregnant woman's blood pressure to identify potential issues like hypertension or preeclampsia.

Weight Gain Tracking in Pregnancy

Monitoring a pregnant woman's weight gain helps ensure a healthy pregnancy and prevent excessive weight gain.

Swelling Checks in Pregnancy

Nurses check for swelling in hands, feet, and face to detect potential preeclampsia.

Blood Tests During Pregnancy

Routine blood tests during pregnancy screen for conditions like gestational diabetes (glucose) and anemia (hemoglobin).

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Ultrasound Scans in Prenatal Care

Nurses assist with ultrasounds to monitor fetal growth, position, and heartbeat during pregnancy.

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Early Detection of Pregnancy Complications

Regular prenatal check-ups are crucial for the early identification of potential pregnancy problems.

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Gestational Diabetes Screening

A condition that can develop during pregnancy, often detected through glucose tolerance tests.

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Glucose Tolerance Test (GTT)

A test to identify gestational diabetes by measuring blood sugar levels after a glucose drink.

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Timing of 50g Glucose Test

Usually performed between 24 and 28 weeks of pregnancy, but earlier in high-risk pregnancies.

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50g Glucose Test Procedure

First, fasting blood sugar is measured. Then, the woman drinks a 50 gram glucose drink, and blood sugar is tested 1 hour later.

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100g Glucose Tolerance Test (OGTT)

A more detailed test for gestational diabetes, involving a 100g glucose drink and blood sugar measurements hourly for 3 hours.

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Study Notes

Prenatal Care Roles of Nurses

  • Blood Pressure Monitoring: Nurses regularly check maternal blood pressure to identify potential hypertension and preeclampsia.
  • Weight Gain Tracking: Nurses monitor weight gain to ensure healthy pregnancy progression and prevent excessive weight.
  • Swelling Checks: Nurses assess for swelling (especially in hands, feet, and face) as a potential sign of preeclampsia.
  • Blood Tests: Nurses conduct routine blood tests for glucose (gestational diabetes) and hemoglobin (anemia).
  • Ultrasound Scans: Nurses assist with ultrasound procedures to monitor fetal growth, position, and heartbeat.
  • Early Detection: Regular prenatal check-ups enable early identification of potential pregnancy complications, improving outcomes for both mother and baby.

Glucose Tolerance Test (Gestational Diabetes)

  • When Performed: Typically between 24 and 28 weeks of pregnancy, but earlier in high-risk cases.
  • Procedure:
    • Fasting Blood Sugar: An initial fasting blood sugar measurement is taken after 8-12 hours of fasting.
    • 50g Glucose Test: The patient drinks a 50g glucose drink. One hour later, blood sugar is measured. A result above 140mg/dL warrants further testing.
    • 100g Glucose Tolerance Test (OGTT): If the initial test is elevated, a more comprehensive 100g glucose tolerance test is performed. Blood sugar is measured hourly for three hours.
  • Reason: Detects gestational diabetes, a pregnancy-related condition, which if untreated, can lead to complications for both mother and baby.

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