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Exam (elaborations)

NURS 330 Obstetrics – Questions With All Correct Solutions

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NURS 330 Obstetrics – Questions With All Correct Solutions

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Terms in this set (233)


perinatal mortality is an imporant indicator of the health
whty is perinatal health of the communities and countriezs
important - impacted by many varibales like social, economic,
environmental, and a healthy system

opportunity to positvely impact the health of women
and mean and decrease risk factors impacting the
pregnancy and fetus\
- optimizing weight and nutrion
- modifiable risk factors
preconception care
- folic acid
- oral health
- immunization
- screening for communicable disease
- screening for social risk factors

normal BMI
- 25-35


nutrition during pregnancy nutrition
- 2+3 addition servings
- + 300 calories\
- promoting optimal nutrition during pregnmancy

, 1st tri
- +6lb


@nd tri
- + 12lb

Weight gain during
3rd tri
pregnancy
-+ 12lb


- monitoring weight gives us an indication if the baby is
growing
- weight gain is caused by the placenta, amniotic fluiid,
bnlood volume, breas enlargement, and fetus

- prenatal nutrition
- folic acid
- iron
- alcohol
health teaching in - phtysical activity
pregnancy - travelling risk
- smoking
- oral health
- emotional health
- birth preparation

- bleeding
- lower back pain
- continous nausea and vomitting
signs of concerns in - weight loss
pregnancy - amniotic fluid leak
- severe headache
- edema
- decreased fetal movement

- blood group and Rh type
- infectious disease
screening for pregnant
- gestational diseases ()diabetes)
patient
- prenatal serum screening 15-20 weeks
- group B strep 35-37 weeks

- fetal movecment
screening for fetus - fetal heart rate
- ultrasound (looks at movements and amniotic fluid

, A technique for examining a fetus in the uterus. High-
frequency sound waves echoing off the fetus are used
to produce an image of the fetus.
- reconmmended that all women be offered an
ultrasound at 8-12 and 18-22 weeks\
ultrasound imaging
- it is a window into how the fetus is doing, how its
devekloping, placenta placement and if its moving
- confirms pregnancy
- how the babys organs are growing
- womans uiterus, fallopian tube and ovaries

screening done in 3rd trimester
- GBS are common bacteria which are oftne found in
Group B strep the vagina, rectum or urinary bladder of 15-40% of
women
- if found, it is treated with antibiotics during labour

- Preterm labor before 37 weeks gestation (with or
without ruptured membranes).
- Term rupture of membranes >18 hrs.
risk factors for GBS
- Unexplained, mild fever during labour.
infections
- Previous baby with a GBS infection.
- Previous or present GBS bacteruria caused by the GBS
bacteria.

- previous history of early fetal loss
- bleeding or other complications
when else might ultrasound - measuring fetal growth and identify intrauterine
be beneficial? growth restriction
- measureing amniotic fluid
- confirm positioning of fetus

measured by an ultrasond
- increases in volume as the pregnancy progresses
amniotic fluid measurement
- around a litre of volume at birth
- sources of fluid from maternal blood and fetus

- protection of fetus
-temperature control
- infection control
amniotic fluid function
- lung and GI dfevelopment
- muscle and bone development
- umbilical cord support

, Using maternal serum is an effective, noninvasive
method for identifying fetal risk for aneuploidy
(trisomies 13, 18, and 21) and neural tube defects
- A low maternal serum PAPP-A, at 11 to 13 weeks of
gestation, is associated with stillbirth, infant death,
marker screening test preterm birth, preeclampsia, and chromosomal
abnormalities
- Most screening tests are performed between 15 and
22 weeks of gestation (16 to 18 weeks is ideal), except
for the cffDNA test which can be performed around 9
to 10 weeks gestation

done for genetics
amniocentesis during 2nd
- generally done 15-16 weeks and takes 2-3 weeks for
trimesters
results

done for fetal maturity
- LS ration - 2:1
aminocentesis in third
- 2 components of surfactant which lines alveoli of
trimester
lungs and reduces surface tension when the infant
exhales

the steps that a pregnant female can take to provide for
her own health and the health of her baby
- values pregnancy as a state of health
prenatal care
- diversity of needs recognized, a variety of personal
and cultural meaning are brought by families to
pregnancy

1. amenorrhea
2. N/V
Subjective changes in
3. Urinary freq
pregnancy
4. Breast tender
5. Quickening

signs perceivbed by examiners but could be caused by
conditions other than pregnancy
- enlarged abdomen
- braxton hicks contractions
objectibe changes
uterine souffle
- fetal outline palpabvle
- changes in pelvic organs
- positive changes in pregnancy

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