Antepartum Nursing Care Question and answer 100% correct 2023

Antepartum Nursing Care Question and answer 100% correct 2023Maternal psychosocial responses First trimester - ambivalence, financial worries, career concerns Second trimester - quickening occurs and pregnancy becomes real - accepts pregnancy Third trimester - introverted and self-absorbed - ignores partner and concentrates more on baby placing a strain in relationship *look for signs of maternal-fetal bonding ie talking to fetus, massaging abdomen, nicknaming fetus Paternal responses Announcement phase - joy or dismay, ambivalence - couvage syndrome: may experience pregnancy like symptoms Moratorium phase (adjustment period) - accepts pregnancy - introspective Focusing phase - more involved in pregnancy and relationship with his child - last trimester usually First Prenatal Visit; Obtain history - medical history - obstetrical history a. G/P: gravida is number of times one has been pregnant, para number of pregnancies reached 20 weeks or greater of gestation and before birth (less than 20 counts as abortion) b GTPAL: gravidity, term, preterm (birth before 37 weeks), abortions/miscarriages, living children c. history and status of current pregnancy Physical examination - estimated date of birth with Nagele rule: LMP - 3 months + 7 days - vital signs: a. BP should rise no more than 30 points systolic, 15 points diastolic from previous baseline normal...avg BP: 90 to 140 mmhg / 60 to 90 mmhg b. HR 60 to 90 bpm c. RR 16 to 24 rpm d. temp 97 to 100 F Future visits Low risk - every 4 weeks until 28 weeks - every 2 weeks until 36 weeks - every week from 36 to delivery High risk patient's schedule determined by individual needs