Ch 4 Prenatal Care and Adaptations to Pregnancy Exam Guide with Complete Solutions

What are the 3 phases of pregnancy? - Answer-- Antepartum (prenatal) - Intrapartum (during birth) - Postpartum (after birth) What are the major goals of prenatal care? - Answer-- Promote health of mother, fetus/newborn, and family - Ensure safe birth for mother and child by promoting good habits and reducing risk factors - Teach health habits that may be continued after pregnancy - Educate in self care for pregnancy - Develop partnership w/ parents and family to provide continuous and coordinated health care - Provide physical care - Prepare parents for responsibility of parenthood What are the major roles of the nurse during prenatal care? - Answer-- Collecting data from mother - Identifying & reevaluating risk factors, educating self care - Providing nutritional counseling - Promoting family's adoption to pregnancy Documentation of high BP must be followed up with ___? - Answer-Documentation of intervention or referral for follow up care What kind of history info should be collected from the mother? - Answer-- OB history; #of pregnancy outcomes - Menstrual; LNMP, 'spotting' - Contraceptive; type used, if it was taken before she realized she was pregnant - Med/Surg; Infections (hep), pelvis involved trauma, surgical procedures - Family of woman and partner; genetic risk factors - Health history of woman and partner; blood incompatibility - Psychological of woman and partner; ID stability/lifestyle ability to parent, cultural Why does the woman have a complete physical exam? - Answer-- General health/ Nutritional status - Determine baseline weight & VS - ID current/past physical or social problems - Determine size/adequacy/condition of pelvis