Week 1 PPT (5601 Summer)- Preconception
Care And Nursing Management During
Pregnancy Exam Latest Update
What is the primary goal of maternal and child health nursing? - ANSWER -
Promotion and maintenance of optimal family health
- Identification and modification of biological, social, behavioral, and
environmental risk factors to women's health and pregnancy outcomes through
prevention and management interventions
Health Promotion in Pregnancy: - ANSWER - *Healthy mom and healthy baby*
- Safe Delivery
- Optimum postpartum and newborn health
Why is Health promotion in pregnancy important? - ANSWER - Rising maternal
mortality rates (*U.S., higher than most European countries*)
- *Women of color 3-4x higher maternal mortality rates than Caucasians*
Preconception: - ANSWER - Begins prior to conception
- Assessment should occur any time a health care provider sees a woman of
childbearing age
Focus of Preconception: - ANSWER - Identify risk factors
- Protection
- Avoid harmful exposure
- `Management of chronic conditions
Organogenesis: - ANSWER - occurs prior to first prenatal visit
- *All organ systems complete (rudimentary) at 8 weeks*
- *Critical organ damage can occur before a woman knows she is pregnany*
Risk Factors for Adverse Pregnancy Outcomes: - ANSWER - Health related
- Chronic or pre-existing medical conditions
- STI's
- Obesity
- Extremes in age
Preconception Care Nursing Assessment: - ANSWER - Health history
- Physical exam
- Immunization status
- Identify chronic medical and/or genetic disorders
, -Reproductive history
-STI's, contraception
-Nutrition
- Lifestyle
-Occupation, recreational activities
-Psychosocial
-Exposure to stress, abuse, violence
-Medication and drug use
-Support systems
Health Promotion Preconception Care: - ANSWER - Management of chronic
conditions
- Avoidance of harmful exposures
- Immunizations
- Weight management & optimal nutrition
- Exercise
- Personal safety measures
You are interviewing a new client for a preconception assessment. The client
has a history of seizures and is on antiepileptics. She asks you if it is safe to
continue her antiepileptic medication while trying to become pregnant. How do
you best respond?
A "Stop taking your medication immediately. You do not want to risk exposing
the baby to a possible teratogen."
B. "Some types of medications may be harmful to a growing fetus. Please inform
your doctor of the medications you are taking".
C. "I am not sure. Let's Google it".
D. "There is a low risk of this medication harming your baby. You can continue
taking it during pregnancy". - ANSWER B. "Some types of medications may be
harmful to a growing fetus. Please inform your doctor of the medications you are
taking".
Presumptive signs and symptoms of Pregnancy: - ANSWER •Fatigue
•Breast Tenderness
•Nausea and Vomiting
•Amenorrhea
•Urinary Frequency
•Skin hyperpigmentation
•Fetal movements/quickening
•Uterine enlargement
•Breast enlargement
Probable Signs and Symptoms of Pregnancy: - ANSWER •*Braxton Hicks
contractions*
•Positive pregnancy test
Care And Nursing Management During
Pregnancy Exam Latest Update
What is the primary goal of maternal and child health nursing? - ANSWER -
Promotion and maintenance of optimal family health
- Identification and modification of biological, social, behavioral, and
environmental risk factors to women's health and pregnancy outcomes through
prevention and management interventions
Health Promotion in Pregnancy: - ANSWER - *Healthy mom and healthy baby*
- Safe Delivery
- Optimum postpartum and newborn health
Why is Health promotion in pregnancy important? - ANSWER - Rising maternal
mortality rates (*U.S., higher than most European countries*)
- *Women of color 3-4x higher maternal mortality rates than Caucasians*
Preconception: - ANSWER - Begins prior to conception
- Assessment should occur any time a health care provider sees a woman of
childbearing age
Focus of Preconception: - ANSWER - Identify risk factors
- Protection
- Avoid harmful exposure
- `Management of chronic conditions
Organogenesis: - ANSWER - occurs prior to first prenatal visit
- *All organ systems complete (rudimentary) at 8 weeks*
- *Critical organ damage can occur before a woman knows she is pregnany*
Risk Factors for Adverse Pregnancy Outcomes: - ANSWER - Health related
- Chronic or pre-existing medical conditions
- STI's
- Obesity
- Extremes in age
Preconception Care Nursing Assessment: - ANSWER - Health history
- Physical exam
- Immunization status
- Identify chronic medical and/or genetic disorders
, -Reproductive history
-STI's, contraception
-Nutrition
- Lifestyle
-Occupation, recreational activities
-Psychosocial
-Exposure to stress, abuse, violence
-Medication and drug use
-Support systems
Health Promotion Preconception Care: - ANSWER - Management of chronic
conditions
- Avoidance of harmful exposures
- Immunizations
- Weight management & optimal nutrition
- Exercise
- Personal safety measures
You are interviewing a new client for a preconception assessment. The client
has a history of seizures and is on antiepileptics. She asks you if it is safe to
continue her antiepileptic medication while trying to become pregnant. How do
you best respond?
A "Stop taking your medication immediately. You do not want to risk exposing
the baby to a possible teratogen."
B. "Some types of medications may be harmful to a growing fetus. Please inform
your doctor of the medications you are taking".
C. "I am not sure. Let's Google it".
D. "There is a low risk of this medication harming your baby. You can continue
taking it during pregnancy". - ANSWER B. "Some types of medications may be
harmful to a growing fetus. Please inform your doctor of the medications you are
taking".
Presumptive signs and symptoms of Pregnancy: - ANSWER •Fatigue
•Breast Tenderness
•Nausea and Vomiting
•Amenorrhea
•Urinary Frequency
•Skin hyperpigmentation
•Fetal movements/quickening
•Uterine enlargement
•Breast enlargement
Probable Signs and Symptoms of Pregnancy: - ANSWER •*Braxton Hicks
contractions*
•Positive pregnancy test
