Test Bank for Prenatal Care- Questions with Verified Solutions Graded A+

Test Bank for Prenatal Care- Questions with Verified Solutions Graded A+ preconception - Answers Best time to effect life style changes Eating and exercise habits Substance use/abuse Considerations of family history Genetics screening Best time to consider pregnancy and parenting issues Review risk-taking behavior Use of seat belt consistently Use of helmet (bike/motorcycle/skiing) Review desire for parenthood vs. society/family/biological pressures to have children Review plans for future and how child/ren fit into plan Partner Considerations Is partner on the same page? Willing to take 50% of responsibility for child/ren's upbringing? Adventure together vs. too much strain on the relationship Psychological health Physical health Update vaccine history Hep A and B status/risk assessment Hep C screening MMR (Measles, Mumps, Rubella) Varicella status (Chicken pox) Tetanus Folic acid 0.4 mg qd 6 months prior to conception Thyroid screening (TSH) Financial Considerations Food, shelter, and clothing Child/ren more expensive as years go by Most help is offered at very beginning of parenthood, but not usually for the long haul Medical insurance Life insurance policy Initial considerations - Answers Confirmation of pregnancy 20% (1/5th) of all pregnancies end in miscarriage (Spontaneous abortion) Most common reason is chromosomal error Loss usually occurs between 5 and 8 weeks Commonly called blighted ovum More accurate = blighted embryo Usually no need for D&C (ERS) if loss occurs before 8 weeks gestation Majority of pregnancies are unplanned Clearly unwanted Result of rape Poor timing Financially disastrous Unplanned, but acceptable Unplanned, but a happy surprise Planned and cause for celebration Fortunate to have excellent resources Good public health information 95% of women seek prenatal care in the first trimester (before 12 weeks) More providers of prenatal care than needed Good for consumers unplanned pregnancy - Answers 3 Basic Options Continue pregnancy and plan to raise child Continue pregnancy, but make plans for adoption Agency adoption (e.g. MAPS) Private adoption Family Adoption (Grandparents, aunt, cousin, sister, etc) Voluntary abortion prenatal care trends - Answers Group Prenatal Care Centering Pregnancy model by Sharon Rising, CNM Public Health Model Patient Autonomy Individual attention as needed Peer support Sense of belonging Prenatal Yoga Belly Dancing Water aerobics Group walks Expectant mother groups (book clubs, outdoor activities) Prenatal Classes Infant CPR Baby Basics (cord care, bathing, changing diapers, infant development) Breastfeeding Labor and Delivery Sibling adjustment/participation Refresher courses for multiparous women initial prenatal visit - Answers Welcome to the practice Explanation of prenatal program/introduction to care provider(s) Provide reading material/trusted resources Review risk factors Family history Personal past medical and surgical history Past ob history if this is not her first pregnancy Review of allergies Medications Environmental Seasonal Asthma Use of meds/inhalers Review of current medications Risks and benefits, especially Class C meds Antidepressants (SSRIs—zoloft most extensively studied) Anti-seizure meds Insulin needs if diabetic Almost universal recommendation for prenatal vitamin with omega-3 fish oils and 1.0 mg of folic acid Obtain history of present pregnancy Fatigue Nausea with or without vomiting Breast tenderness Ascertain adjustment to pregnancy Inquire about support network Answer initial questions initial labs - Answers Complete Blood Count WBC, RBC, Hgb, Hct, Platelet count Blood Type and Rh Factor Rhogam at 28 weeks if Rh Negative