CAREOFCHILDBEARINGFAMILY-NACE c c c
ALREADY PASSED c c
Subjective Changes ✔✔Amenorrhea, nausea and vomiting, fatigue, urinary frequency, breast
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changes, quickening, abdominal enlargement.
c c c
Objective Changes ✔✔Pregnancy test, fetal heart sounds, fundal height.
c c c c c c c c
Developmental task of becoming a parent ✔✔Love and protect the child, parents identify
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changing roles and are willing to make the lifestyle changes, parents identify with parents roles,
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parents discuss what roles mean, couple incorporates child into relationship, couples support
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each other.
c
Preparation of Siblings/Grandparents ✔✔Grandparents- Delighted with newborn. May feel
c c c c c c c c
negativity towards growing older. Provides long term help. Demands of helping raise the
c c c c c c c c c c c c
grandchild can be stressful. c c c
Siblings- Often experience jealousy towards the newborn. Let the sibling help with care of the infant.
c c c c c c c c c c c c c c c
c Continue you to show affection to all children.
c c c c c c c
,Iron and Folic Acid Supplements ✔✔Folic acid- Decreases risk of neural tube defects.
c c c c c c c c c c c c
Iron supplements- A woman is anticipating a short time period between pregnancies is atrium for
c c c c c c c c c c c c c c
iron-deficiency anemia. Encourage iron rich foods. c c c c c
Parent Classes ✔✔Educate on how to hold, suction, bath, and dress the newborn.
c c c c c c c c c c c c
True/False Labor ✔✔Braxton Hicks contractions are irregular contractions that begin during
c c c c c c c c c c
early pregnancy and are perceived by the pregnant woman. If cervix is not dilated and
c c c c c c c c c c c c c c
contractions remain irregular or stop, it is known as false labor (prodromal labor). True labor has
c c c c c c c c c c c c c c c
cervical change, regular contractions, and pink mucous.
c c c c c c
Common Discomforts of Pregnancy ✔✔Nausea, vomiting, heartburn, constipation, leg cramps,
c c c c c c c c c
backache, urinary frequency. c c
Alpho-feto Protein ✔✔Determines the level of this protein in the pregnant women's blood serum
c c c c c c c c c c c c c
or in a sample of amniotic fluid. Correct interpretation requires accurate gestational age. Test
c c c c c c c c c c c c c
usually preformed at 16-18 weeks gestation. High levels may cause spina bifida. Low levels may
c c c c c c c c c c c c c c
cause chromosomal anomalies or hydatidiform mole.
c c c c c
, Amniocentesis ✔✔Performed to obtain amniotic fluid containing fetal cells. Under direct
c c c c c c c c c c
visualization of ultrasound a thin needle is inserted through the abdominal and uterine walls to
c c c c c c c c c c c c c c
withdraw amniotic fluid into a syringe. Sufficient fluid must be present for the test to be done,
c c c c c c c c c c c c c c c c
usually 15 to 17 weeks gestation. Check for genetic disorder, levels of AFP, neural tube defects,
c c c c c c c c c c c c c c c
and chromosomal defects. Minimal risk of abortion in late pregnancy. Check Rh compatibility.
c c c c c c c c c c c c
Fetal Biophysical Profile ✔✔Monitors the fetal breathing, gross fetal movements, FHR
c c c c c c c c c c
variability and reactivity to NST, and volume of amniotic fluid. Used after 26 weeks gestation.
c c c c c c c c c c c c c c
Assesses hypoxia and loss of muscle tone.c c c c c c
Ultrasound ✔✔Used to visualize internal organs and tissues. Bladder must be full, so woman
c c c c c c c c c c c c c
should drink 1-2 quarts of water before procedure. Confirms pregnancy and gestational age,
c c c c c c c c c c c c
verifies death, rules out abnormalities, observes fetal movement.
c c c c c c c
High Risk Pregnancies ✔✔Diabetes mellitus, cardiac disease, AIDS, HIV.
c c c c c c c c
Adolescent Pregnancy ✔✔There may be financial problems, shame, guilt, relationship problems
c c c c c c c c c c
with the infants father, and feelings of low self-esteem. Alcoholism and substance abuse may be
c c c c c c c c c c c c c c
a part of the complex picture. Advise patient to eat foods rich in calcium and vitamin D, regular
c c c c c c c c c c c c c c c c c
exercise and muscle activity is necessary for bone health.
c c c c c c c c
ALREADY PASSED c c
Subjective Changes ✔✔Amenorrhea, nausea and vomiting, fatigue, urinary frequency, breast
c c c c c c c c c
changes, quickening, abdominal enlargement.
c c c
Objective Changes ✔✔Pregnancy test, fetal heart sounds, fundal height.
c c c c c c c c
Developmental task of becoming a parent ✔✔Love and protect the child, parents identify
c c c c c c c c c c c c
changing roles and are willing to make the lifestyle changes, parents identify with parents roles,
c c c c c c c c c c c c c c
parents discuss what roles mean, couple incorporates child into relationship, couples support
c c c c c c c c c c c
each other.
c
Preparation of Siblings/Grandparents ✔✔Grandparents- Delighted with newborn. May feel
c c c c c c c c
negativity towards growing older. Provides long term help. Demands of helping raise the
c c c c c c c c c c c c
grandchild can be stressful. c c c
Siblings- Often experience jealousy towards the newborn. Let the sibling help with care of the infant.
c c c c c c c c c c c c c c c
c Continue you to show affection to all children.
c c c c c c c
,Iron and Folic Acid Supplements ✔✔Folic acid- Decreases risk of neural tube defects.
c c c c c c c c c c c c
Iron supplements- A woman is anticipating a short time period between pregnancies is atrium for
c c c c c c c c c c c c c c
iron-deficiency anemia. Encourage iron rich foods. c c c c c
Parent Classes ✔✔Educate on how to hold, suction, bath, and dress the newborn.
c c c c c c c c c c c c
True/False Labor ✔✔Braxton Hicks contractions are irregular contractions that begin during
c c c c c c c c c c
early pregnancy and are perceived by the pregnant woman. If cervix is not dilated and
c c c c c c c c c c c c c c
contractions remain irregular or stop, it is known as false labor (prodromal labor). True labor has
c c c c c c c c c c c c c c c
cervical change, regular contractions, and pink mucous.
c c c c c c
Common Discomforts of Pregnancy ✔✔Nausea, vomiting, heartburn, constipation, leg cramps,
c c c c c c c c c
backache, urinary frequency. c c
Alpho-feto Protein ✔✔Determines the level of this protein in the pregnant women's blood serum
c c c c c c c c c c c c c
or in a sample of amniotic fluid. Correct interpretation requires accurate gestational age. Test
c c c c c c c c c c c c c
usually preformed at 16-18 weeks gestation. High levels may cause spina bifida. Low levels may
c c c c c c c c c c c c c c
cause chromosomal anomalies or hydatidiform mole.
c c c c c
, Amniocentesis ✔✔Performed to obtain amniotic fluid containing fetal cells. Under direct
c c c c c c c c c c
visualization of ultrasound a thin needle is inserted through the abdominal and uterine walls to
c c c c c c c c c c c c c c
withdraw amniotic fluid into a syringe. Sufficient fluid must be present for the test to be done,
c c c c c c c c c c c c c c c c
usually 15 to 17 weeks gestation. Check for genetic disorder, levels of AFP, neural tube defects,
c c c c c c c c c c c c c c c
and chromosomal defects. Minimal risk of abortion in late pregnancy. Check Rh compatibility.
c c c c c c c c c c c c
Fetal Biophysical Profile ✔✔Monitors the fetal breathing, gross fetal movements, FHR
c c c c c c c c c c
variability and reactivity to NST, and volume of amniotic fluid. Used after 26 weeks gestation.
c c c c c c c c c c c c c c
Assesses hypoxia and loss of muscle tone.c c c c c c
Ultrasound ✔✔Used to visualize internal organs and tissues. Bladder must be full, so woman
c c c c c c c c c c c c c
should drink 1-2 quarts of water before procedure. Confirms pregnancy and gestational age,
c c c c c c c c c c c c
verifies death, rules out abnormalities, observes fetal movement.
c c c c c c c
High Risk Pregnancies ✔✔Diabetes mellitus, cardiac disease, AIDS, HIV.
c c c c c c c c
Adolescent Pregnancy ✔✔There may be financial problems, shame, guilt, relationship problems
c c c c c c c c c c
with the infants father, and feelings of low self-esteem. Alcoholism and substance abuse may be
c c c c c c c c c c c c c c
a part of the complex picture. Advise patient to eat foods rich in calcium and vitamin D, regular
c c c c c c c c c c c c c c c c c
exercise and muscle activity is necessary for bone health.
c c c c c c c c
