Summary Ob nurs 306 study guide 2

Ob nurs 306 study guide 2Chapter 5  Overview of the transition the woman goes through into her new maternal role (Page 88-89) Rubin’s “Maternal Tasks of Pregnancy”  Ensuring a safe passage for herself and her child  Ensuring a social acceptance of the child by significant others  Attaching or “binding-in” to the child  Giving of oneself to the demands of being a mother – makes sacrifices for the child Lederman’s “7 Dimensions of Maternal Role Development” 1. Accepting the pregnancy 2. Identification with the motherhood role 3. Relationship to her mother 4. Re-ordering relationships with her partner 5. Preparation for labor 6. Prenatal fear of loss of control in labor 7. Prenatal fear of loss of self-esteem in labor  Common psycho-social changes that accompany pregnancy o Decrease ability to deal with stress o Ambivalent feelings  Special needs regarding specific patient populations o Teenagers  Specific concerns regarding teenage parents:  Coping with the role/tasks of pregnancy and adolescence at the same time  Erickson’s: Ego Identity vs Role Confusion  Abandonment  increased adverse pregnancy outcomes,  and inability to complete school education, which may ultimately limit their future social and economic opportunities  no prenatal care or delayed entry into prenatal care  body image changes  acceptance of pregnancy  higher rates of abuse  Intimate partner violence (1 in 12 pregnancies) o Risk factors: o pregnancy and unintended pregnancy o Screening tools and possible barriers to screening ■ Common questions asked in an IPV screening tool are: ■ Has your partner ever hit you? ■ Do arguments with your partner result in you feeling bad about yourself? ■ Do you ever feel frightened by what your partner says or does? ■ Do you feel safe in your current relationship? o Assessment findings / conflicting emotions A+  Recommended weight gain in pregnancy: BMI 1 st trimester: 1lb/month 2 nd trimester: ½ lb to 1 lb per week 3 rd trimester: 1 lb per week Underweight: 30-40 lbs Normal weight: 25-35 lbs Overweight: 15-20 lbs Morbidly obese: 11-20 lbs 18.5 18.5 – 24.9 25.0 – 29.0 30.0 o Basic nutritional requirements (calories needed and what extra vitamins and minerals are needed) an additional  300 calories / day  cal/day  Increase protein to 60 g/day  Fat: linoleic acid (not manufactured in the body (vegetable oils)  Folic acid  Minerals: calcium, phosphorous, iodine, iron, fluoride, sodium, zinc Chapter 6  Indications for first trimester ultrasound o Pregnancy is intrauterine / within the uterus (not ectopic) o Confirm cardiac activity o Number of fetuses o Size and correlation to EDC (determining gestational age) o Evaluate pelvic anatomy o Explore cause of vaginal bleeding o Detect other potential abnormalities in early pregnancy o Position LITHOTOMY as Transvaginal Ultrasound with EMTY bladder o Abdominal Ultrasound with FULL bladder