lOMoARcPSD|44532475
Maternal-Child Nursing
Study Guide – Exam 1 Review
Describe current trends/resources influencing maternal-child healthcare
1. Women’s roles
Have changed- more women are working now and not stay at home mothers
No longer the “nuclear family”- divorce, remarriages, cohabitation, women entering
workforce and becoming primary earners. Children raised by grandparents, single
parents, stepparents, aunts, uncles, and foster parents
Single family structures- both parent and child show increased resilience
Those who would rather put their career first vs those that dream of becoming a mother
2. Trends
Community growth
Home births
o More of a say/voice, birth plan
o Parent voicing concerns
Maternal age
o Increasing
o Increased age = increased risk, genetics, Down’s syndrome,
co-morbidities/chronic disease
Infant mortality
o Racial disparity
o All mothers need care
Maternal mortality rates
o Increasing
o Gestational hypertension
Dying due to high blood pressure
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Understand lab work needed in each trimester
1. 1st trimester (1-12 weeks)
Blood type and Rh
Antibody screen
CBC
RPR
Hep B and C
HIV
GC/CT
Urine and drug screening
2. 2nd trimester (13-27 weeks)
Labs typically drawn (together) between 24 and 28 weeks:
o Repeat CBC, repeat HIV
o 1 hour glucose tolerance test
o Repeat antibody screen in Rh negative
3. 3rd trimester (28-40 weeks)
Group Beta Strep (GBS)- rectovaginal cultures at 36 weeks
Cramping/dysuria = UA
Prior positive UDS (urinary drug screen) = recollect
Symptoms or known exposure of STD = repeat STD screening
2020 health goals: nutrition
1. Healthy people 2020 (reviewed/changed every 10 years)
Focus on:
o Health promotion
o Disease prevention
LGBT- there has been an emphasis on meeting the needs for this population
Vegan diet deficiency
Vitamin B12
Function of amniotic fluid (possible select all that apply?)
Cushions the fetus and protects against mechanical injury
Helps the fetus to maintain a normal body temperature
Allows for symmetrical fetal growth
Prevents adherence of the amnion to the fetus
Aids in fetal musculoskeletal development by providing freedom of movement
Essential for normal fetal lung development
Societal changes in maternal-child health issues
Emphasis on meeting the needs for this vulnerable population.
Lack of access to non-biased healthcare, disrespectful treatment
EMR does not always match the situation as described… male vs female, transgender
Fertility concerns when biological means of fertility is affected
Fertility preservation with some transgender treatments
What about ambiguous genitalia? Gender assignment. Gender affirmative care
Downloaded by madiba South Africa stuvia ()
Maternal-Child Nursing
Study Guide – Exam 1 Review
Describe current trends/resources influencing maternal-child healthcare
1. Women’s roles
Have changed- more women are working now and not stay at home mothers
No longer the “nuclear family”- divorce, remarriages, cohabitation, women entering
workforce and becoming primary earners. Children raised by grandparents, single
parents, stepparents, aunts, uncles, and foster parents
Single family structures- both parent and child show increased resilience
Those who would rather put their career first vs those that dream of becoming a mother
2. Trends
Community growth
Home births
o More of a say/voice, birth plan
o Parent voicing concerns
Maternal age
o Increasing
o Increased age = increased risk, genetics, Down’s syndrome,
co-morbidities/chronic disease
Infant mortality
o Racial disparity
o All mothers need care
Maternal mortality rates
o Increasing
o Gestational hypertension
Dying due to high blood pressure
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
Understand lab work needed in each trimester
1. 1st trimester (1-12 weeks)
Blood type and Rh
Antibody screen
CBC
RPR
Hep B and C
HIV
GC/CT
Urine and drug screening
2. 2nd trimester (13-27 weeks)
Labs typically drawn (together) between 24 and 28 weeks:
o Repeat CBC, repeat HIV
o 1 hour glucose tolerance test
o Repeat antibody screen in Rh negative
3. 3rd trimester (28-40 weeks)
Group Beta Strep (GBS)- rectovaginal cultures at 36 weeks
Cramping/dysuria = UA
Prior positive UDS (urinary drug screen) = recollect
Symptoms or known exposure of STD = repeat STD screening
2020 health goals: nutrition
1. Healthy people 2020 (reviewed/changed every 10 years)
Focus on:
o Health promotion
o Disease prevention
LGBT- there has been an emphasis on meeting the needs for this population
Vegan diet deficiency
Vitamin B12
Function of amniotic fluid (possible select all that apply?)
Cushions the fetus and protects against mechanical injury
Helps the fetus to maintain a normal body temperature
Allows for symmetrical fetal growth
Prevents adherence of the amnion to the fetus
Aids in fetal musculoskeletal development by providing freedom of movement
Essential for normal fetal lung development
Societal changes in maternal-child health issues
Emphasis on meeting the needs for this vulnerable population.
Lack of access to non-biased healthcare, disrespectful treatment
EMR does not always match the situation as described… male vs female, transgender
Fertility concerns when biological means of fertility is affected
Fertility preservation with some transgender treatments
What about ambiguous genitalia? Gender assignment. Gender affirmative care
Downloaded by madiba South Africa stuvia ()
