-Caffeine- is a stimulant causes excitability)
-Smoking- may impede milk production
-Alcohol- affects psychomotor development and impedes the let
down reflex; interferes with Oxytocin Correct Answers
THINGS TO AVOID DURING LACTATION:
-H&H
-Triple Screen Test
-RPR / VDRL: syphilis screening
-CBC
-Antibody Screen
-glucose challenge test
-cervical and vag smears
-GBS Correct Answers Labs during Pregnancy:
-low hemoglobin (think pulmonary or cardiac problem)
-dyspnea at rest (think heart failure) Correct Answers
DISEASE STATES THAT CAUSE CHANGE DURING
PREGNANCY:
-Pruritis on palms and soles but can occur on any part of the
body. May be with or without jaundice. (#1 symptoms)
-Slightly elevated labs: AST (SGOT) and Alkaline Phosphatase
Mild hyperbilirubinemia. Correct Answers signs of intrahepatic
cholestasis:
(1+) or 300 mg/ 24 hrs Correct Answers ___ protein is
acceptable in pregnancy
,** 3 types
-Presumptive- felt by mom (N/V, morning sickness,
amenorrhea, fatigue, frequent urination, breast tenderness,
occurs before 12 weeks)
-Probable- observed by examiner (enlargement of the abdomen,
softening of the cervix, changes in the size, shape, and
consistency of the uterus)
-Positive- those signs attributed only to the presence of the fetus
(fetal heart tones, fetal movement, visualization of the fetus)
Correct Answers signs and symptoms of pregnancy:
*** due to baby pressing down on their bladder
oBladder irritability
oNocturia
oUrinary frequency
oUrinary urgency without dysuria Correct Answers common
renal symp during pregnancy:
< 3 Correct Answers if mom goes to ___ prenatal visits it is
considered no care for baby
1-13 weeks; 0-3 months Correct Answers 1st trimester:
1.5 Correct Answers during pregnancy you want ___ grams of
sodium daily
10.5 or less (below 11); 35% or less Correct Answers when the
Hgb level drops to ___ or when the hct drops to ___ the women
is considered anemic
, 11; 10.5 Correct Answers hemoglobin- ___ during the first and
third trimester and ___ during the second trimester
110-160 or 100-160/180 Correct Answers fetal heart rate=
12-14 weeks Correct Answers at ___ you begin to try to
measure the uterus and fundus
14-26 weeks; 3.5-6.5 months Correct Answers 2nd trimester:
16 to 18 weeks gestation: HCG, AFP, serum unconjugated
estradiol; detects down syndrome Correct Answers triple
screen test: ____ weeks gestation:
175 g/day; 45 to 64% Correct Answers Carbohydrate needs
increase to __ and should constitute no more than ___ of the
daily caloric intake
1st Correct Answers ___ trimester should accept pregnancy
1st trimester visit- 12 weeks
Monthly- 16-28 weeks
Every 2 weeks - 29-36 weeks
weekly- until birth Correct Answers prenatal care visits:
2 to 3 grams Correct Answers ___ sodium per day
2 to 4 weeks Correct Answers intrahepatic cholestasis
disappears shortly after delivery within ___