Care of the Mother and Child During Prenatal Period
CARE OF THE MOTHER/ FETUS during the PERINATAL period
Prenatal care • A. ASSESSMENT • HISTORY • 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
Prenatal care • A. ASSESSMENT • HISTORY • 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