front 1 Before birth (prenatal) | back 1 Antepartum |
front 2 During birth | back 2 Intrapartum |
front 3 After birth | back 3 Postpartum |
front 4 Obstetricians Family practice physicians certified nurse midwives Nurse practitioners | back 4 Prenatal Care Providers |
front 5 Ensure adequate intake of folic acid to prevent neural tube defects in developing fetus | back 5 Preconception care |
front 6 Obstetric Menstrual contraceptive medical and surgical womans family partners family both womans and partners history to identify risk factors psychosocial | back 6 Components of prenatal health history |
front 7 evaluate the womans general health determine baseline weight and vital signs evaluate nutritional status identify current physical/social problems determines the estimated date of delivery (EDD) | back 7 Physical Examination |
front 8 Evaluate the size adequacy, and condition of the pelvis and reproductive organs. assess for signs of pregnancy. | back 8 Pelvic examination objectives |
front 9 Conception to 28 weeks - every 4 weeks 29 to 36 weeks - every 2-3 weeks 37 weeks to birth - weekly certain laboratory and/or diagnostic tests are performed at various times throughout the pregnancy | back 9 Recommended schedule of prenatal visits. Uncomplicated pregnancy |
front 10 Risk factors: review known and assess for new Vital signs and weight: determine if gain is normal Urinalysis: protein, glucose, and ketone levels Blood glucose screening Fundal height: fetal growth/amniotic fluid volume Leopolds maneuvers: assess presentation/ position fetal heart rate nutrition intake any discomforts or problems since last visit | back 10 Routine assessments at each prenatal visit |
front 11 Bacterial vaginosis is most common caused by decrease in lactobacilli. increase in bacteroid and other anaerobic microorganisms. may be milk-white discharge. | back 11 Vaginal discharge during pregnancy |
front 12 collecting data from the pregnant woman identifying and reevaluating risk factors educating in self-care providing nutrition counseling promoting family adaptation to pregnancy | back 12 Role of the nurse during prenatal care |
front 13 Average pregnancy is 40 weeks (280 days) after first day of LNMP, plus or minus 2 weeks. Nageles Rule -identify first day of LNMP -Count backward 3 months -add 7 days -update year, if applicable | back 13 Determining the estimated date of delivery |
front 14 Pregnancy divided into 3 13 week parts important to know what occurs during each trimester to both woman and fetus helps provide anticipatory guidance identify deviations from the expected pattern of development | back 14 Trimesters |
front 15 Amenorrhea nausea breast tenderness deepening pigmentation urinary frequency fatigue and drowsiness quickening | back 15 Presumptive signs of pregnancy |