Care of Mother, Child, Adolescent, and Family PDF
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St. Luke's College of Nursing
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Summary
These notes cover health promotion during pregnancy, including objectives of antenatal care, history taking, and preparation for childbirth. They detail important considerations such as gestational age estimation, risk identification, and patient education. The document also discusses danger signs during pregnancy and initial prenatal history.
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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