lOMoARcPSD|46354221
Maternity
Maternal-Child Nursing (Chamberlain University)
, lOMoARcPSD|46354221
XIV. MATERNITY NURSING 2) Parity: # of pregnancies in If the heart rate goes over
A. First trimester (Week 1 through which the fetus reaches 20 140bpm = CARDIAC OUTPUT and
Week 13): WEEKS. uterine
1. Assessment:
3) Viability 24 weeks = Infant has perfusion will drop.
a. Presumptive Signs of Pregnancy:
the ability to live outside the e. Danger Signs:
Amenorrhea – what is the name
uterus. Sudden gush of vaginal fluid
of the hormone that causes
A 20 week baby is NOT Bleeding
this?
considered VARIABLE. Persistent vomiting
PROGESTERONE
4) TPAL: acronym that gives you Severe headache
N/V
further information on parity Abdominal pain
Frequency – can be one of the
T= term Increased temps
first signs. UTERUS STRETCHES
P= preterm Edema
IMMEDIATELY.
A= abortion – this includes No fetal movement
Breast Tenderness – excess
spontaneous and elective f. Common Discomforts:
hormones N/V
b. Probable Signs of Pregnancy: abortions
L= living children Breast Tenderness
A positive pregnancy test –
5) Nagele’s Rule: Frequency
since it is based on the
Find the first day of the LMP Tender gums
presence of hCG levels.
Add 7 days Fatigue
There are other conditions
Subtract 3 months Heartburn
that can ↑ hCG levels:
Add 1 year Increased vaginal secretions
hydatidiform mole; drugs.
2. Client Education/Teaching: Nasal stuffiness – nasal
Goodell’s sign (softening of
a. Nutrition: sprays, steams. Excess estrogen
CERVIX; second month) 4 food groups Varicose veins
Chadwick’s sign (bluish Increase calories by 300 per Ankle edema – elevate those
color of vaginal mucosa and day after the first trimester feet.
cervix; week 4.) Adolescent: ↑ calories by 500 Hemorrhoids
Hegar’s sign (softening of after first trimester Constipation- eat more fiber.
the lower uterine segment; Increase protein to 60 grams Walk a lot.
2nd/3rd month) per day Backache
Uterine enlargement b. Weight Gain: Leg cramps
Braxton Hicks contractions Expect to gain 4 pounds in g. Medications:
(throughout pregnancy; move the first trimester What are you going to tell
blood through the c. Prenatal vitamin supplements: the pregnant person about
placenta). Why don’t women like to take taking medications?
Pigmentation/changes of skin iron? It causes CONSTIPATION DON’T unless you ask the
Linea nigra – DARK LINE CENTER AND GI UPSET. doctor.
OF ABDOMEN Take iron with vitamin C to h. Smoking:
Abdominal striae – STRETCH enhance absorption. What are you going to tell
MARKS Folic acid prevents? NEURAL them? STOP
Facial chloasma (mask of TUBE/SPINAL BIFIDA defects Hurst Review Services 181
pregnancy) Daily dose? 400 mcg/day i. Physician visits:
Darkening of the areola (around 180 Hurst Review Services How often should a pregnant
the nipple) d. Exercise Rules: client visit the physician?
c. Positive Signs of Pregnancy: No high impact; WALKING and First 28 weeks: ONCE A MONTH
Fetal heartbeat: Doppler→ 10 swimming are best. 28-36 weeks: TWICE A MONTH
- 12 weeks No heavy or unaccustomed 36 weeks: weekly until
Fetoscope→ 17 - 20 weeks exercise program. delivery
Fetal movement No overheating (no hot tubs j. Ultrasounds:
Ultrasound or electric blanket either ) Before an ultrasound what
Hurst Review Services 179 Why? INCREASES TEMPERATURE = will you ask the client to do?
d. Miscellaneous Information: birth defects DRINK WATER
1) Gravidity: # of times someone Exercise Rule: Don’t let your heart To distend the bladder →
has been pregnant rate get above 140. pushes CLOSE to abdominal
surface.
Maternity
Maternal-Child Nursing (Chamberlain University)
, lOMoARcPSD|46354221
XIV. MATERNITY NURSING 2) Parity: # of pregnancies in If the heart rate goes over
A. First trimester (Week 1 through which the fetus reaches 20 140bpm = CARDIAC OUTPUT and
Week 13): WEEKS. uterine
1. Assessment:
3) Viability 24 weeks = Infant has perfusion will drop.
a. Presumptive Signs of Pregnancy:
the ability to live outside the e. Danger Signs:
Amenorrhea – what is the name
uterus. Sudden gush of vaginal fluid
of the hormone that causes
A 20 week baby is NOT Bleeding
this?
considered VARIABLE. Persistent vomiting
PROGESTERONE
4) TPAL: acronym that gives you Severe headache
N/V
further information on parity Abdominal pain
Frequency – can be one of the
T= term Increased temps
first signs. UTERUS STRETCHES
P= preterm Edema
IMMEDIATELY.
A= abortion – this includes No fetal movement
Breast Tenderness – excess
spontaneous and elective f. Common Discomforts:
hormones N/V
b. Probable Signs of Pregnancy: abortions
L= living children Breast Tenderness
A positive pregnancy test –
5) Nagele’s Rule: Frequency
since it is based on the
Find the first day of the LMP Tender gums
presence of hCG levels.
Add 7 days Fatigue
There are other conditions
Subtract 3 months Heartburn
that can ↑ hCG levels:
Add 1 year Increased vaginal secretions
hydatidiform mole; drugs.
2. Client Education/Teaching: Nasal stuffiness – nasal
Goodell’s sign (softening of
a. Nutrition: sprays, steams. Excess estrogen
CERVIX; second month) 4 food groups Varicose veins
Chadwick’s sign (bluish Increase calories by 300 per Ankle edema – elevate those
color of vaginal mucosa and day after the first trimester feet.
cervix; week 4.) Adolescent: ↑ calories by 500 Hemorrhoids
Hegar’s sign (softening of after first trimester Constipation- eat more fiber.
the lower uterine segment; Increase protein to 60 grams Walk a lot.
2nd/3rd month) per day Backache
Uterine enlargement b. Weight Gain: Leg cramps
Braxton Hicks contractions Expect to gain 4 pounds in g. Medications:
(throughout pregnancy; move the first trimester What are you going to tell
blood through the c. Prenatal vitamin supplements: the pregnant person about
placenta). Why don’t women like to take taking medications?
Pigmentation/changes of skin iron? It causes CONSTIPATION DON’T unless you ask the
Linea nigra – DARK LINE CENTER AND GI UPSET. doctor.
OF ABDOMEN Take iron with vitamin C to h. Smoking:
Abdominal striae – STRETCH enhance absorption. What are you going to tell
MARKS Folic acid prevents? NEURAL them? STOP
Facial chloasma (mask of TUBE/SPINAL BIFIDA defects Hurst Review Services 181
pregnancy) Daily dose? 400 mcg/day i. Physician visits:
Darkening of the areola (around 180 Hurst Review Services How often should a pregnant
the nipple) d. Exercise Rules: client visit the physician?
c. Positive Signs of Pregnancy: No high impact; WALKING and First 28 weeks: ONCE A MONTH
Fetal heartbeat: Doppler→ 10 swimming are best. 28-36 weeks: TWICE A MONTH
- 12 weeks No heavy or unaccustomed 36 weeks: weekly until
Fetoscope→ 17 - 20 weeks exercise program. delivery
Fetal movement No overheating (no hot tubs j. Ultrasounds:
Ultrasound or electric blanket either ) Before an ultrasound what
Hurst Review Services 179 Why? INCREASES TEMPERATURE = will you ask the client to do?
d. Miscellaneous Information: birth defects DRINK WATER
1) Gravidity: # of times someone Exercise Rule: Don’t let your heart To distend the bladder →
has been pregnant rate get above 140. pushes CLOSE to abdominal
surface.
