NUR 128 Final exam blueprint

NUR 128 Final exam blueprint Week 13: Sexuality 19.2 Family Planning ▪ Preconception health promotion • Helping the couple be in the best possible health state so they don’t enter pregnancy with unnecessary health risks. • Stop smoking and limit secondhand smoke. • Avoid or limit caffeine. • No alcohol or drugs • Discuss the use of RX drugs with HCP. This includes prescription & non- prescription drugs. Accutane (acne medication) was mentioned. • If woman has thyroid disorders, seizures, HTN, DM, she should see appropriate specialist to be sure pregnancy is advised and to change meds if needed. • Determine possible environmental hazards such as radiation or chemical expose in their community or at work. ▪ Physical exam • Both parents should have a physical to identify health problems so they can be corrected if possible. • Genetic counseling if woman is over 35 and has a family history of genetic disorders. • Dental exam before pregnancy to avoid x-rays, local anesthetic, and infection during pregnancy • Age less than 16 is also a problem. ▪ Nutrition • Woman should be average weight for build and height. BMI= 18-24 • Underweight women should gain. • Overweight women should lose • Follow nutritious diet rich in essential nutrients: calcium, protein, iron, B- complex, vitamin C, magnesium and folic acid. • Avoid vitamins in excess. They can cause severe fetal problems. • Cultural norms that affect nutritional intake should also be assessed. • Normal weight gain is 25-35lbs. • PICA - eating weird things because you crave them. Example dirt, ass, clay, just weird things in general. ▪ Exercise • Continue present pattern of exercise or begin regular exercise 3 months before pregnancy. • Aerobic exercise and general muscle toning will improve circulation and general health. • 30 min of mod exercise daily. • Don’t start anything during pregnancy that you were not doing before pregnancy. ▪ Immunizations • DO THIS!! • All immunizations should be complete 3 months prior to conception, especially rubella. • flu at anytime during pregnancy ▪ Infertility possible causes and common medications • Infertility- lack of conception despite unprotected sex for 12 months.