Care of the Mother and Child During Prenatal Period

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Prenatal care
• P.E.
• S/S of pregnancy
• Diagnostic procedures and lab exams
• Vital signs
• Common discomforts
• Danger signs
• Local and systemic changes of pregnancy

• B. Nursing diagnosis
• C. Planning/ intervention
• Health promotion./management Nutrition metabolic • Elimination Activity/exercise • Sleep/rest Cognitive/perceptual • Self-perception/self concept Role-relationship • Sexuality Coping-stress tolerance • Value/ belief

• D. Evaluation
• E. Documentation

§ IMPORTANT FACTS A. 9 calendar months/ 10 lunar months/ 3 trimesters ( 1 lunar month is = 28 days • 1st tri- the period of organogenesis,the most critical stage because this is the time when the fetus is most susceptible to teratogens ( non genetic FXS/ conditions that can cause malformations to the fetus in utero. • 2nd tri- stage when rapid increase in length occurs

• 3rd tri- stage of most rapid growth & development due to fat deposition • B. 38-42 weeks
• C. 280 days from LMP using menstrual age/gestational age • 267 days from conception using ovulation age
• PRENATAL VISITS-1st tri-every 4 wks (monthly)
2nd tri-every 2 wks (2x/mo)
3rd tri-every week (4x/ mo)
PHIL DOH guidelines- 80% of pregnant woman should have at least 5 prenatal visits

Definitions of terms:
• Prenatal care/antenatal-refers to health care given to a woman & her family during pregnancy • Antenatal nursing- starts from conception and fetal development to the beginning of labor • It encompasses all aspects of health care delivery of a childbearing individual

• GOAL: to provide maximum health to expectant mothers and their babies • GRAVIDA-a pregnant woman. This refers to any pregnancy regardless of duration • NULLIGRAVIDA - A woman who has never been pregnant.

• PRIMIGRAVIDA - A woman pregnant for the first time
• MULTIGRAVIDA-a woman who has had 2 or more pregnancies/ fetuses past age of viability. It does not matter whether they were born dead or alive. • Grandmultipara - A woman who has had six or more births past the age of viability. • PARA- the no. of pregnancies that reached the age of viability • a woman who has delivered a viable young (not necessarily living at birth). • is used with numerals to designate the number of pregnancies that have resulted in the birth of a viable offspring. • PRIMIPARA - A woman who has delivered one child after the age of viability. • NULLIPARA- a woman who has NEVER delivered a viable infant. This woman may have been pregnant for several times before But her pregnancies terminated in abortion or before 20 weeks • MULTIPARA- a woman who has completed 2 0r more pregnancies that reached the age of viability • Preterm infant- an infant born before 37-38 weeks gestation • Term infant- an infant born full term, reached 37-38 weeks till 40 wks • Post term- born after 42 weeks gestation

• Parturient- a woman in labor
• Puerpara- a woman who has just delivered.

Maternal assessment

• GATHER- (greet, ask, tell, help, explain, refer)
• 1. ASK ( interview about PX data, menstrual HX, breast health, contraceptive use, medical & OB history). • A. personal data-
❖ Age- below 17 & above 35 y/o ( anemia, preeclampsia, prematurity/ HPN ❖ WEIGHT- low prepregnancy weight= prematurity, LBW, stillbirth, congenital defect, OBESE=DM, hypertensive disorders, thrombophlebitis ❖ Height- less than 5ft=CPD

❖ OCCUPATION- handling of toxic substances & strenous labor places the woman at risk ❖ Civil status-...
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