Maternal Child Final Exam Concept Guide

NUTRITION: What nutrient prevents neural tube defects? FOLIC ACID child bearing women: 400mcg/day pregnant women: 800mcg/day TOBACCO USE DURING PREGNANCY Children will have lower birth weights, perceptual problems, and attention deficits, birth defects TRUE LABOR VS. FALSE LABOR: True: regular, rhythmic contractions that intensify with ambulation, pain in abdomen sweeping around from back, cervical changes. False: Irregular rhythm, abdominal pain (not in back) that decreases with ambulation SUPINE HYPOTENSIVE SYNDROME: The lowering of blood pressure while in a supine position; occurs as a result of pressure or the weight of the pregnant uterus on the inferior vena cava. INTERVENTION: lateral left side, and IV fluidsFETAL MOVEMENT: When 16-25 weeks KICK COUNTS: How to monitor during pregnancy Most babies move at least ten (10) times within two hours. Count your baby's movements once a day, at the same time each day NEAGLE'S RULE: ADD 9 MONTHS AND 7 DAYS PREECLAMPSIA: symptoms -high BP -proteinuria -vision changes -edema -Headache PREECLAMPSIA: Treatment antihypertensivesIV magnesium sulfate (to prevent seizure) definitive is delivery of fetus MAGNESIUM SULFATE TOXICITY: C- cardiac dysrhythmia's O- Output less than 30mL R- Respirations less than 12/min A-Absent deep tendon reflexes (hyporeflexia*) L-LOC is decreased TREATMENT: 10 mL calcium gluconate GTPAL:1. Gravidity number of pregnancies including present one 2. Term births (longer than 37 weeks) 3. Preterm births (before 37 weeks) 4. Abortions or miscarriages 5. Living children