07 HEALTH PROMOTION DURING PREGNANCY (1).pdf

CARE‌‌OF‌‌MOTHER,‌‌CHILD,‌‌ ‌ ADOLESCENT,‌‌AND‌‌FAMILY‌‌ ‌ IDIANALE‌‌BATCH‌‌2024‌ ‌ ST.‌‌LUKE’S‌‌COLLEGE‌‌OF‌‌NURSING‌ ‌ ‌ TOPIC‌‌7:‌‌HEALTH‌‌PROMOTION‌‌DURING‌‌PREGNANCY‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ OBJECTIVES‌‌OF‌‌ANTENATAL...

CARE‌‌OF‌‌MOTHER,‌‌CHILD,‌‌ ‌ ADOLESCENT,‌‌AND‌‌FAMILY‌‌ ‌ IDIANALE‌‌BATCH‌‌2024‌ ‌ ST.‌‌LUKE’S‌‌COLLEGE‌‌OF‌‌NURSING‌ ‌ ‌ TOPIC‌‌7:‌‌HEALTH‌‌PROMOTION‌‌DURING‌‌PREGNANCY‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ OBJECTIVES‌‌OF‌‌ANTENATAL‌‌CARE‌ ‌ early,‌ ‌accurate‌ ‌estimation‌ ‌of‌ ‌gestational‌‌ age‌ ‌ Identification‌ ‌of‌ ‌the‌ ‌patient‌ ‌at‌ ‌risk‌ ‌for‌‌ complications‌ ‌ Ongoing‌‌evaluation‌‌of‌‌the‌‌health‌‌status‌‌of‌‌ both‌‌mother‌‌and‌‌fetus‌ ‌ anticipation‌ ‌of‌ ‌problems‌‌and‌‌intervention,‌‌ if‌‌possible,‌‌to‌‌prevent‌‌or‌‌minimize‌ ‌ Patient‌‌education‌ ‌ ‌ Adequate‌‌no.‌‌of‌‌Visit‌ ‌ Nulliparous‌ ‌with‌ ‌an‌ ‌uncomplicated‌‌ ‌ pregnancy‌ ‌ ○ 10‌‌appointments‌ ‌ Multiparous‌ ‌with‌ ‌an‌ ‌uncomplicated‌‌ pregnancy‌ ‌ ○ 7‌‌appointments‌ ‌ ‌ In‌‌the‌‌United‌‌States‌ ‌ every‌ ‌4-5‌ ‌weeks‌ ‌f rom‌ ‌1st‌ ‌visit‌ ‌until‌ ‌28‌‌ weeks‌ ‌ every‌‌2-3‌‌weeks‌‌f rom‌‌28-36‌‌weeks‌ ‌ Weekly‌‌until‌‌delivery‌ ‌ ‌ ‌ ‌ HISTORY‌‌TAKING‌ Name‌ ‌of‌ ‌patient,‌ ‌partner,‌ ‌emergency‌‌ contact‌ ‌ Marital‌‌status‌ ‌ Age‌ ‌ ‌ PROPERTY‌‌OF‌‌ODLID‌ ‌ 32‌ ‌ ‌ CARE‌‌OF‌‌MOTHER,‌‌CHILD,‌‌ ‌ ADOLESCENT,‌‌AND‌‌FAMILY‌‌ ‌ IDIANALE‌‌BATCH‌‌2024‌ ‌ ST.‌‌LUKE’S‌‌COLLEGE‌‌OF‌‌NURSING‌ ‌ ‌ Home‌‌Address‌ ‌ Infections‌ ‌ Telephone‌ ‌numbers‌ ‌for‌ ‌day,‌ ‌night,‌‌ Exposure‌‌to‌‌toxic‌‌substances‌ ‌ emergency‌ ‌ Restricted‌‌diet‌ ‌ Education‌ ‌ PREPARE‌‌THE‌‌WOMAN‌‌AND‌‌HER‌‌FAMILY‌‌FOR‌‌ Occupation‌ ‌ CHILDBIRTH‌ ‌ Partner’s‌‌name‌‌and‌‌occupation‌ ‌ Counsel‌‌on:‌ ‌ Pediatrician‌ ‌ ○ Proper‌ ‌nutrition‌ ‌and‌ ‌self-care‌‌ Primary‌‌care‌‌physician‌ ‌ during‌‌pregnancy‌ ‌ Hospital‌‌for‌‌delivery‌ ‌ ○ Breastfeeding‌‌and‌‌family‌‌planning‌ ‌ Religion‌‌(Jehovah’s‌‌witness)‌ ‌ Birth‌‌plan‌ ‌ Date‌‌of‌‌delivery‌ ‌ ○ Where‌ ‌she‌ ‌will‌ ‌deliver,‌‌ Gestational‌‌age‌‌at‌‌delivery‌ ‌ transportation‌ ‌ Location‌‌of‌‌delivery‌ ‌ ○ who‌‌will‌‌assist‌‌her‌‌delivery‌ ‌ Sex‌‌of‌‌child‌ ‌ ○ what‌ ‌to‌ ‌expect‌ ‌during‌ ‌labor‌ ‌and‌‌ Birth‌‌weight‌ ‌ delivery‌ ‌ Mode‌‌of‌‌delivery‌ ‌ ○ what‌ ‌to‌ ‌prepare,‌ ‌estimated‌ ‌cost‌ ‌of‌‌ Type‌‌of‌‌anesthesia‌ ‌ delivery‌ ‌ Length‌‌of‌‌labor‌ ‌ ○ possible‌ ‌blood‌ ‌donors;‌ ‌where‌ ‌will‌‌ Outcome‌ ‌(miscarriage,‌ ‌stillbirth,‌ ‌ectopic,‌‌ she‌ ‌be‌ ‌referred‌ ‌in‌ ‌case‌ ‌of‌‌ etc.)‌ ‌ emergency‌ ‌ Details‌ ‌(type‌ ‌of‌ ‌cesarean‌ ‌section‌ ‌scar,‌‌ DANGER‌‌SIGNS‌‌DURING‌‌PREGNANCY‌ ‌ forceps,‌‌etc.)‌ ‌ Visual‌ ‌disturbances‌ ‌-‌ ‌blurring,‌ ‌double‌‌ Complications‌‌(maternal,‌‌fetal,‌‌child)‌ ‌ vision,‌‌or‌‌spots‌ ‌ Initial‌‌Prenatal‌‌Menstrual‌‌History‌ ‌ Swelling‌‌of‌‌the‌‌face,‌‌fingers‌‌or‌‌over‌‌sacrum‌ ‌ Last‌ ‌menstrual‌ ‌period‌ ‌(definite‌ ‌or‌‌ Headaches‌ ‌-‌ ‌severe,‌ ‌f requent,‌ ‌or‌‌ uncertain?)‌ ‌ continuous‌ ‌ Last‌‌normal‌‌menstrual‌‌period‌ ‌ Muscular‌‌irritability‌‌or‌‌convulsions‌ ‌ Previous‌‌menstrual‌‌period‌ ‌ Persistent‌ ‌vomiting‌‌-‌‌beyond‌‌1st‌‌trimester,‌‌ severe‌‌vomiting‌‌at‌‌anytime‌ ‌ cycle‌‌length‌ ‌ Fluid‌‌discharge‌‌f rom‌‌the‌‌vagina‌‌-‌‌bleeding‌‌ Recent‌‌use‌‌of‌‌hormonal‌‌contraception‌ ‌ or‌‌amniotic‌‌fluid‌ ‌ Menarche‌ ‌ Signs‌‌of‌‌infection‌‌-‌‌chills,‌‌fever,‌‌burning‌‌on‌‌ History‌‌of‌‌IUD‌‌use?‌‌ ‌ urination,‌‌and‌‌diarrhea‌ ‌ ○ Date‌‌removed‌ ‌ Pain‌‌in‌‌abdomen‌‌-‌‌severe‌‌or‌‌unusual‌ ‌ Current‌‌pregnancy‌‌history‌ ‌ Change‌ ‌in‌ ‌fetal‌ ‌movement‌ ‌-‌ ‌absence‌ ‌of‌‌ Medications‌‌taken‌ ‌ fetal‌ ‌movements‌ ‌after‌ ‌quickening,‌ ‌any‌‌ Alcohol‌‌use‌ ‌ unusual‌‌pattern‌‌or‌‌amount.‌ ‌ Cigarette‌‌use‌ ‌ IMPORTANT‌‌ESTIMATES‌ ‌ Naegele’s‌‌Rule‌ ‌ Recreational‌‌drug‌‌use‌ ‌ average‌ ‌duration‌ ‌of‌ ‌pregnancy‌ ‌calculated‌‌ Exposure‌‌to‌‌radiation‌ ‌ from‌ ‌the‌ ‌1st‌ ‌day‌ ‌of‌ ‌LMP.‌ ‌Average‌ ‌close‌‌to‌‌ Vaginal‌‌bleeding‌ ‌ 280‌‌days,‌‌10‌‌lunar‌‌months,‌‌or‌‌40‌‌weeks‌ ‌ Nausea,‌‌vomiting,‌‌weight‌‌loss‌ ‌ Formula:‌‌LMP‌‌-‌‌3‌‌months‌‌+‌‌7‌‌days‌‌+‌‌1‌‌year‌ ‌ ‌ PROPERTY‌‌OF‌‌ODLID‌ ‌ 33‌ ‌ ‌ CARE‌‌OF‌‌MOTHER,‌‌CHILD,‌‌ ‌ ADOLESCENT,‌‌AND‌‌FAMILY‌‌ ‌ IDIANALE‌‌BATCH‌‌2024‌ ‌ ST.‌‌LUKE’S‌‌COLLEGE‌‌OF‌‌NURSING‌ ‌ ‌ Acc‌‌to‌‌OPD‌‌rotation:‌‌ ‌ ○ Jan‌ ‌-‌ ‌March:‌ ‌LMP‌ ‌+‌ ‌7‌ ‌days‌ ‌+‌ ‌9‌‌ months‌ ‌ ○ April‌‌-‌‌Dec:‌‌LMP‌‌-‌‌3‌‌months‌‌+‌‌7‌‌days‌‌ +‌‌1‌‌year‌ ‌ Age‌‌of‌‌Gestation‌ McDonald’s‌‌rule‌ ‌ Formula:‌‌age‌‌of‌‌gestation‌‌in‌‌weeks‌‌=‌‌Dx8/7‌ ‌ D‌‌ =‌‌distance‌‌in‌‌centimetres‌‌(symphysis‌‌pubis‌‌ to‌‌the‌‌fundus)‌ ‌ K‌‌ =‌‌constant‌‌(8/7)‌ ‌ ‌ Estimated‌‌Fetal‌‌Weight‌ ‌ Johnson’s‌‌Rule‌ ‌ ○used‌ ‌clinically‌ ‌to‌ ‌correlate‌ ‌fundic‌‌ height‌‌with‌‌fetal‌‌weight‌ ‌ Formula:‌‌estimated‌‌fetal‌‌weight‌‌in‌‌grams‌‌=‌‌K(x-n)‌ ‌ X‌‌ =‌‌fundic‌‌height‌‌(cm)‌ ‌ N‌‌ =‌‌11‌‌if‌‌the‌‌station‌‌of‌‌the‌‌fetal‌‌head‌‌is‌‌below‌‌ the‌‌ischial‌‌spine‌‌(engaged)‌ ‌ =‌ ‌12‌ ‌if‌ ‌the‌ ‌presenting‌ ‌part‌ ‌is‌ ‌above‌ ‌the‌‌ ischial‌‌spine‌ ‌ K‌‌ =‌‌155‌‌constant‌ ‌ Note:‌‌for‌‌patient‌‌>‌‌200lbs‌‌N‌‌is‌‌raised‌‌by‌‌1‌ ‌ ‌ ‌ ‌ PROPERTY‌‌OF‌‌ODLID‌ ‌ 34‌ ‌ ‌