Smoking cessation (during 1st prenatal visit), caffeine (anything that would put risk to baby)
GTPAL = Term 37-42 weeks
Cardiovascular adaptations = increased blood volume 30-50%, increased HR by 10 bpm by 10
weeks and 20 bpm by 20 weeks, decreased BP, hypercoagulability
Know the 3 P’s
When do the signs start: Know Hegar’s sign 8-12 weeks, Goodell's sign, Chadwick’s sign and
when do they start, at what gestation can you feel them
Hegars sign = 8-12 weeks
Family preparation: show siblings how to care for a baby
Food counseling: no raw shellfish, no processed foods,
Multiple Marker Screening: triple screening done by 16-18 weeks
- Blood test
Alpha-fetoprotein (AFP) = neural tube development
Chorionic = chromosomal anomalies
Trisomy 18 - Edwards
Trisomy 13- Patau (know what these are)
Trisomy 21 - Down syndrome
Know S/S for supine hypertension + interventions for this
Left side - wedge
Know vertical lie representation - the most optimal is LOA
LOA = if it's facing anterior
Know the amount of insulin (3rd is the highest need for insulin)
a. 1st trimester reduced insulin
b. The 2nd begins to rise
c. 3rd trimester - highest need for insulin
Gestational diabetes begins around 20 weeks | 1 hr glucose test fail if >130
Then we move to a 3 hr test
Blood testing for gestational diabetes (look over notebook chart)
Know medical history (if you’re immune or nonimmune to rubella)
GTPAL = Term 37-42 weeks
Cardiovascular adaptations = increased blood volume 30-50%, increased HR by 10 bpm by 10
weeks and 20 bpm by 20 weeks, decreased BP, hypercoagulability
Know the 3 P’s
When do the signs start: Know Hegar’s sign 8-12 weeks, Goodell's sign, Chadwick’s sign and
when do they start, at what gestation can you feel them
Hegars sign = 8-12 weeks
Family preparation: show siblings how to care for a baby
Food counseling: no raw shellfish, no processed foods,
Multiple Marker Screening: triple screening done by 16-18 weeks
- Blood test
Alpha-fetoprotein (AFP) = neural tube development
Chorionic = chromosomal anomalies
Trisomy 18 - Edwards
Trisomy 13- Patau (know what these are)
Trisomy 21 - Down syndrome
Know S/S for supine hypertension + interventions for this
Left side - wedge
Know vertical lie representation - the most optimal is LOA
LOA = if it's facing anterior
Know the amount of insulin (3rd is the highest need for insulin)
a. 1st trimester reduced insulin
b. The 2nd begins to rise
c. 3rd trimester - highest need for insulin
Gestational diabetes begins around 20 weeks | 1 hr glucose test fail if >130
Then we move to a 3 hr test
Blood testing for gestational diabetes (look over notebook chart)
Know medical history (if you’re immune or nonimmune to rubella)
