NUR 128 Final exam blueprint Week 13: Sexuality

NUR 128 Final exam blueprint Week 13: Sexuality 19.2 Family Planning o 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. o 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. o 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. o 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. o Immunizations ▪ DO THIS!! ▪ All immunizations should be complete 3 months prior to conception, especially rubella. ▪ flu at anytime during pregnancy o Infertility possible causes and common medications ▪ Infertility- lack of conception despite unprotected sex for 12 months