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Nursing Management AT1 MATERNAL NEWBORN

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Nursing Management AT1 MATERNAL NEWBORN In the United States, rates of maternal mortality, unintended pregnancies, low birth weight and preterm infants continue to rise, making the need for preconception care a priority for all nurses. Traditionally, women have thought that preconception care is a single visit made before getting pregnant; however, the maximum benefits are obtained when the woman and her partner receive care throughout her reproductive years. The nurse’s role is vital in identifying risk factors and encouraging healthier behaviors that potentially improve maternal and perinatal outcomes. Preconception care involves obtaining a complete health history and physical examination of the woman and her partner. Key areas include: • Immunization status of the woman • Underlying medical conditions, such as cardiovascular and respiratory problems or genetic disorders • Reproductive health data, such as pelvic examinations, use of contraceptives, and sexually transmitted infections (STIs) • Sexuality and sexual practices, such as safer-sex practices and body image issues • Nutrition history and present status • Lifestyle practices, including occupation and recreational activities • Psychosocial issues such as levels of stress and exposure to abuse and violence • Medication and drug use, including use of tobacco, alcohol, over-the-counter and prescription medications, and illicit drugs • Support system, including family, friends, and community


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