MATERNAL CHILD HEALTH NUR2513 STUDY GUIDE EXAM 1 1
Maternal Child Health
1. GENERAL
2. Know the 2020 National Health Goals for Pregnancy
3. Smoking and pregnancy.
a. Restricts growth of fetus
b. Hypoxia
c. Small baby
4. Nutrition counseling/health counseling:
a. Four months before pregnancy
b. Folate 400mcg or 0.4mg to prevent spinal bifida
c. 1st 300, 2nd 340, 3rd 450
5. What vitamins/minerals are encouraged? What dose? What indication?
a. 400 mcg folate
b. Iron-black tarry stool, constipation, with vitamin C, no calcium or protein
6. CONTRACEPTION/BIRTH CONTROL: Types, contraindications, considerations, populations,
patient education, etc.
a. Don’t have to tell parent
b. If life begins at conception that Copper IUD and plan B is abortion
7. IUD:
a. Hormonal and copper
b. 99.9% effective
8. DIAPHRAM:
a. Use with spermicide
b. Low effectiveness (88% or 92%)
c. Must be refitted
d. New one every 2 years
e. Keep in for 6 hours
f. Contraindications
i. weird uterus
UTI
herpes
HPV
TSS
on period
9. VAGINAL ESTROGEN/PROGESTIN RINGS:
a. ¾ weeks
b. Replace if taken out for 4 hours
10. ORAL:
a. Need to take every day at same time each day
b. 98% or 95% effective
11. Medically induced abortion
a. Nasal prostule to ripen cervix
b. similar to delivery of a full-term baby
c. Make sure no bleeding
d. Rub on fundus?
e. RH negative (72 hours after)
, MATERNAL CHILD HEALTH NUR2513 STUDY GUIDE EXAM 1 2
f. Emotional care
12. Emotional tasks/adaptation of family - Developmental tasks of pregnancy and psychological
adjustment:
PREGNANCY
13. Hyperemesis gravidarum
14. Gestational Diabetes –
a. Testing, normal diabetes signs, hypertension,
15. Chronic hypertension/Pre-eclampsia/Pregnancy Induced Hypertension:
16. Physical changes in pregnancy:
17. Know how to measure fundal height:
a. Lay her back, assess for hypotension
b. Fundus to symphysis pubis
18. Quickening: first fetal movement (often described as flutter)
a. 16 to 20 weeks of gestation
19. Why is the urine checked routinely for glucose? What do the results mean?
a. Gestational diabetes
b. 24-28 weeks
c. 70-100 is normal
d. <140 if sugar
e. Above 40 for baby
20. FHR Strips:
a. Acceleration-abrupt increase in HR that occurs during any time
b. Variant deceleration-abrupt decrease in HR where onset varies from contraction
i. Change positions
c. Late deceleration is a gradual decrease where HR returns to baseline after contraction
ends. Onset occurs during peak contraction
i. Left side
ii. Oxygen
iii. Have fluid
iv. Stop meds
d. Early deceleration
i. Have the baby
e. Fetal HR
i. On top (110-160)
i. Ten beat variability
f. Contraction
i. On bottom
ii. Baseline is 0-10
21. Variability definitions:
a. Absent: No peak-to-trough range is detectable.
b. • Minimal: An amplitude range is detectable but the rate is 5 beats/min or fewer.
c. • Moderate or normal: An amplitude range is detectable; rate is 6 to 25 beats/min.
d. • Marked: An amplitude range is detectable; rate is greater than 25 beats/min
Maternal Child Health
1. GENERAL
2. Know the 2020 National Health Goals for Pregnancy
3. Smoking and pregnancy.
a. Restricts growth of fetus
b. Hypoxia
c. Small baby
4. Nutrition counseling/health counseling:
a. Four months before pregnancy
b. Folate 400mcg or 0.4mg to prevent spinal bifida
c. 1st 300, 2nd 340, 3rd 450
5. What vitamins/minerals are encouraged? What dose? What indication?
a. 400 mcg folate
b. Iron-black tarry stool, constipation, with vitamin C, no calcium or protein
6. CONTRACEPTION/BIRTH CONTROL: Types, contraindications, considerations, populations,
patient education, etc.
a. Don’t have to tell parent
b. If life begins at conception that Copper IUD and plan B is abortion
7. IUD:
a. Hormonal and copper
b. 99.9% effective
8. DIAPHRAM:
a. Use with spermicide
b. Low effectiveness (88% or 92%)
c. Must be refitted
d. New one every 2 years
e. Keep in for 6 hours
f. Contraindications
i. weird uterus
UTI
herpes
HPV
TSS
on period
9. VAGINAL ESTROGEN/PROGESTIN RINGS:
a. ¾ weeks
b. Replace if taken out for 4 hours
10. ORAL:
a. Need to take every day at same time each day
b. 98% or 95% effective
11. Medically induced abortion
a. Nasal prostule to ripen cervix
b. similar to delivery of a full-term baby
c. Make sure no bleeding
d. Rub on fundus?
e. RH negative (72 hours after)
, MATERNAL CHILD HEALTH NUR2513 STUDY GUIDE EXAM 1 2
f. Emotional care
12. Emotional tasks/adaptation of family - Developmental tasks of pregnancy and psychological
adjustment:
PREGNANCY
13. Hyperemesis gravidarum
14. Gestational Diabetes –
a. Testing, normal diabetes signs, hypertension,
15. Chronic hypertension/Pre-eclampsia/Pregnancy Induced Hypertension:
16. Physical changes in pregnancy:
17. Know how to measure fundal height:
a. Lay her back, assess for hypotension
b. Fundus to symphysis pubis
18. Quickening: first fetal movement (often described as flutter)
a. 16 to 20 weeks of gestation
19. Why is the urine checked routinely for glucose? What do the results mean?
a. Gestational diabetes
b. 24-28 weeks
c. 70-100 is normal
d. <140 if sugar
e. Above 40 for baby
20. FHR Strips:
a. Acceleration-abrupt increase in HR that occurs during any time
b. Variant deceleration-abrupt decrease in HR where onset varies from contraction
i. Change positions
c. Late deceleration is a gradual decrease where HR returns to baseline after contraction
ends. Onset occurs during peak contraction
i. Left side
ii. Oxygen
iii. Have fluid
iv. Stop meds
d. Early deceleration
i. Have the baby
e. Fetal HR
i. On top (110-160)
i. Ten beat variability
f. Contraction
i. On bottom
ii. Baseline is 0-10
21. Variability definitions:
a. Absent: No peak-to-trough range is detectable.
b. • Minimal: An amplitude range is detectable but the rate is 5 beats/min or fewer.
c. • Moderate or normal: An amplitude range is detectable; rate is 6 to 25 beats/min.
d. • Marked: An amplitude range is detectable; rate is greater than 25 beats/min
