NUR 2633 Maternal Child Health Final Work Sheet Questions and Answers.

NUR 2633 Maternal Child Health Final Work Sheet Questions and Answers. 1. Dysmenorrhea – a common complaint with women – what are the non-pharmacological and pharmacological treatments. NSAID’s (Motrin, Naproxen, Alive), heating pad, rest, increase calcium, increase fluids, decrease red meat, alcohol, smoking drugs, exercise. 2. Obstetrical issues – pregnancy risks - Know Naegle’s Rule – to establish gestational age ovulation occurs in the middle of the cycle, stress can affect cycle, as well as high exercise, pregnancy, medications, drugs, hormones, obesity. Add 1 year, subtract 3 months, add 7 days. Pregnancy risks smoking, alcohol drinking, obesity, diabetes, drug use, hypertension, poor nutrition, eating disorders ALL affect pregnancy. EDD can also be measured by fundal height (Ex. Fundal height is measuring at umbilicus = 20 weeks) 3. Fetal assessment 3 things baby is okay – fetal heart tones (audible at 10-12 weeks), movement (16-18 weeks for multiparis, 18-20 for prima gravida), fundal height (12-14 weeks, at the symphysis pubis, umbilicus is 20 weeks) 4. Poor nutrition, drugs, HTN, DM are all issues of placental perfusion – what will the fetal result be – IUGR is the result, how do we identify IUGR? Smaller fundus. Uncontrolled diabetes = large baby, larger fundal height, baby can have hypoglycemia after birth, birth injuries and respiratory immaturity 5. Does the placenta provide nutrition? – no it provides for gas exchange, baby gets oxygen. 6. Anemia becomes a problem in pregnancy – can you discuss the maternal and fetal risks – low hemoglobin = low oxygen, baby with low oxygen means less movement. Iron ingestion can cause GI upset, tarry stools, constipation (increase fluids, fiber, stool softeners and exercise) 7. Hyperemesis – excessive vomiting that exceeds more than 3 months, at risk for fluid and electrolyte imbalance, manage by IV fluids and antiemetics (Zofran), small frequent meals, avoid trigger foods, carb snack.