NUR 2633: MATERNAL CHILD HEALTH FINAL WORK SHEET

NUR 2633: MATERNAL CHILD HEALTH
x x x x x x




FINAL WORK SHEET
x x x




NUR x2633: xMaternal xChild xHealth x x x Final xWork xSheet


1. Dysmenorrhea x– xa xcommon xcomplaint xwith xwomen x– xwhat xare xthe xnon-

pharmacological xand xpharmacological xtreatments. xNSAID’s x(Motrin, xNaproxen,

xAlive), xheating xpad, xrest, xincrease xcalcium, xincrease xfluids, xdecrease xred xmeat,

alcohol, xsmoking xdrugs, xexercise.
x

2. Obstetrical xissues x– xpregnancy xrisks x- xKnow xNaegle’s xRule x– xto xestablish xgestational

xage xovulation xoccurs xin xthe xmiddle xof xthe xcycle, xstress xcan xaffect xcycle, xas xwell xas

x high xexercise, xpregnancy, xmedications, xdrugs, xhormones, xobesity. xAdd x1 xyear,

x subtract x3 xmonths, xadd x7 xdays. xPregnancy xrisks xsmoking, xalcohol xdrinking, xobesity,

x diabetes, xdrug xuse, xhypertension, xpoor xnutrition, xeating xdisorders xALL xaffect

x pregnancy. xEDD xcan xalso

be xmeasured xby xfundal xheight x(Ex. xFundal xheight xis xmeasuring xat xumbilicus x= x20
xweeks)

3. Fetal xassessment x3 xthings xbaby xis xokay x– xfetal xheart xtones x(audible xat x10-12 xweeks),

movement x(16-18 xweeks xfor xmultiparis, x18-20 xfor xprima xgravida), xfundal xheight x(12-14

xweeks, xat xthe xsymphysis xpubis, xumbilicus xis x20 xweeks)

4. Poor xnutrition, xdrugs, xHTN, xDM xare xall xissues xof xplacental xperfusion x– xwhat xwill xthe

x fetal xresult xbe x– xIUGR xis xthe xresult, xhow xdo xwe xidentify xIUGR? xSmaller xfundus.

x Uncontrolled xdiabetes x= xlarge xbaby, xlarger xfundal xheight, xbaby xcan xhave

xhypoglycemia xafter xbirth, xbirth

injuries xand xrespiratory ximmaturity
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, 5. Does xthe xplacenta xprovide xnutrition? x– xno xit xprovides xfor xgas xexchange, xbaby xgets
xoxygen.

6. Anemia xbecomes xa xproblem xin xpregnancy x– xcan xyou xdiscuss xthe xmaternal xand xfetal

xrisks x– xlow xhemoglobin x= xlow xoxygen, xbaby xwith xlow xoxygen xmeans xless

x movement. xIron xingestion xcan xcause xGI xupset, xtarry xstools, xconstipation x(increase

x fluids, xfiber, xstool

softeners xand xexercise)
7. Hyperemesis x– xexcessive xvomiting xthat xexceeds xmore xthan x3 xmonths, xat xrisk xfor xfluid

xand xelectrolyte ximbalance, xmanage xby xIV xfluids xand xantiemetics x(Zofran), xsmall

x frequent

meals, xavoid xtrigger xfoods, xcarb xsnack
8. Hypertension x– xpreeclampsia xhas xspecific xsymptoms x– xplease xknow xthese xas

xwell xas xtreatment xmodalities xand xnursing xinterventions x– xkeep xin xmind

x Magnesium xSulfate




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, nursing xinterventions x– xheadaches, xblurry xvision, xepigastric xpain, xbloated, xedema,

x high xBP, xprotein xin xthe xurine. xManage xby xbed xrest, xdim xthe xlights, xMag xsulfate x4g

xmaintenance xover x20-30 xminutes’ xbolus, xmaintenance x2g. xSeizure xprecautions, xand

x monitor xbaby, xleft xside xlying. xFor xMag xwatch xfor xmag xtoxicity xand xrespiratory

x depression, xcheck xfor xurine xoutput, xand xdeep xtendon xreflexes, xvitals xevery xhour.

x Lungs xif xhave xto xdeliver xbaby, xuse

Betamethasone xto xhelp xwith xlung xmaturity. xNo xbolus xfluids xin xpreeclampsia.
9. Pre- xterm xlabor x– xdefine xit; xsigns xand xsymptoms, xtreatment xmodalities xand xnursing

x interventions x– xpelvic xpressure, xcramping, xcontractions, xbaby xdrop, xlower xback

x pain, xincrease xurine xoutput xand xvaginal xdischarge. xCan xbe xcaused xby xdehydration

x or xinfection. xPut xon xmonitor, xGIVE xFLUIDS x(Bolus xLactated xringers), xFFN xtest

xbefore xvaginal xexam, xLABOR xIS xNOT xLABOR xWITHOUT xCERVICAL

xCHANGE. x2CM xOR x80% xeffaced,

start xaggressively xmanaging xpre xterm xlabor xwith xterbutaline x(Causes xmaternal
xtachycardia,




watch xheart xrate), xif xunsuccessful xgo xto xmag xsulfate xand xuse xbetamethasone.
10. Diabetes xMellitus x– xType x1, xType x2 xand xGestational xDM xall xhave xissues xthat xare

xcommon xto xall xand xspecific xto xeach. x Note xthe xconcerns xspecific xto xeach,

x management xand xfetal xsurveillance x– xtype x1 xconcerned xwith xcardiac, xskeletal xand

x CNS xin xbaby, xwoman xrequires xless xinsulin x1st xtrimester xbecause xof xbasal xmetabolic

xrate xis xincreased, xthen xneeds xprogress xover x2nd/3rd xtrimester. xMonitor xclosely, xbabies

x at xrisk xfor xsudden xfetal xdemise, xhave xmom xmonitor x# xof xfetal xmovements. xType x2

xconcerned xwith xcontrolling xsugars, xcontrol xby xdiet,

and xhypoglycemic/macrosomic xbaby. xGestational xDM, xsame xinterventions xas xtype x2
xDM.

11. Define xMacrosomia x– xand xwhat xare xthe xrisks x– xlarge xbaby, xlarger xfundal xheight, xbaby
xcan




have xhypoglycemia xafter xbirth, xbirth xinjuries xand xrespiratory ximmaturity
This xstudy xsource xwas xdownloaded xby x100000823822032 xfrom xCourseHero.com xon x05-11-2021 x12:59:03
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