ATIReview PNMaternal Newborn

SafetyPrecautionstoTakeWhen Driving SECONDTRIMESTERTEACHING ● Benefitsofbreastfeding ● Commondiscomfortsandreliefmeasures ● Lifestyle:sexandpregnancy,restandrelaxation,posture,bodymechanics,clothing,seat beltsafetyandtravel ● Fetalmovement ● Complications(preterm labor,gestationalhypertension,gestationaldiabetesmelitus, prematureruptureofmembranes) ● Preparationforchildbirthandchildbirtheducationclases ● Reviewofbirthingmethods ● Developmentofabirthplan(verbalorwritenagrementaboutwhattheclientwishes duringlaboranddelivery) Nonstres Test • ReactiveiftheFHR ac eleratesatleast15/min(10/minprior to32we ks)abovebaselineforatleast15seconds(10 secondspriorto32we ks)andoc urstwoormoretimes duringa20-minperiod. • NonreactiveNSTisatestthatdoesnotdemonstrateatleasttwoqualifying acelerationsina20-minwindow.  Ifthisisso,afurtherevaluation,suchasacontractionstres test(CST)orBPP,is indicated. MaternalSerum Alpha-Fetoprotein Screning • Maternalserum alpha-fetoprotein(MSAFP): • Scre ningoccursbetwe n15to20we ksofgestation. • UsedtoruleoutDownsyndrome(lowlevel)andneuraltubedefects(high level). • Theprovidermightdecidetouseamorereliableindicatorandoptforthe QuadscreninsteadoftheMSAFPat16to18weksofgestation.  ThisincludesAFP,inhibin-A,acombinationanalysisofhumanchorionic gonadotropinandestriol. • Folicacidiscrucialfor neurologicdevelopmentandthe preventionofetalneuraltube defects. • Fo dshighinfolate:  leafyvegetables,  driedpeasandbeans,  se ds,andorangejuice.  Breads,  cereals,andothergrains TheMarchofDimesrecommends thatclientswhowishtobecome pregnantandclientsof childbearingagetake400mcgof folicacidandclientswhobecome pregnanttake600mcgofolicacid. FolicAcid CalculatingEDD • Nägele’srule:  Takethefirstdayoftheclient'slastm