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term pregnancy is between
38 - 40 weeks
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post date pregnancy is between
41 and above
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preterm labor is
37 weeks and below
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preterm babies complications
low birth weight
underdeveloped organs
increase risk of poor breastfeeding, SIDS (males 4x more likely), jaundice (immature RBC), and infection
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jaundice can lead to ______ if not treated
mental retardation and seizures
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post date babies can have complications such as:
increased birth weight
could have a bowel movement
could suffer placental insufficiency
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post term babies with green, brown, thick or sludgy discharge should be suspected to have had a _____ and is at risk for _________-
bowel movement
risk for meconium aspiration that can lead to pneumonia
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test that tests fetal well being without fancy equipment
fetal kick count
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when is fetal kick counts done
greater than 28 weeks
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procedure for fetal kick counts
eat
wait 15 mins
count 10 movements for an hour (if baby moves 10 times before an hour procedure is done)
if no movement drink cold water
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what should be asked if mom is in labor
ask how long she was in labor, and did water break
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sagua managu does not take clients:
before 37 weeks or after 42 weeks
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prenatal checkups should be done how often throughout pregnancy?
- before 8 months = every month
- at 8 months = every other week
- at 9 months = every week
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at _____ week of pregnancy is the fetus pretty complete and just needs growth and development
12th week
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blood tests done
H&H
CBC
glucose
MMR
qualatative and quantatative blood tests HCG level
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body should be _____ health before pregancy
optimal
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when is the (optional) quad screen test done
16 - 20 weeks
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quad screen test's for _______
spina bifida and neural tube defects
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if mom is GBS (group B strep) positive what does mom need before delivery
antibiotics
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glucose tolerance test is done at ____ weeks
24
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if contractions occur less than 37 weeks mother should be put on a _________
transducer
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2 main reasons for preterm contractions
dehydration
UTI
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3 things a nurse does prior to mom seeing a doctor
Obtain BP
Urinalysis (glucose: protein used to keep pressure balanced)
Weight
***other procedres or tests done if mom is talking about other physical signs
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what can mom have if they have hypertension
seizure or stroke
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s/s of PIH
HA
blurred vision
dizziness
swelling
edema in face, hand , and feet
weight gain
crankiness
nose bleeds
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lamaze classes possible outcomes
shorter delivery with fewer medications
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_____ levels rise if mom stresses or takes drugs
cortisol
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if mom takes drugs she belongs to the nurse, but if she doesnt her body releases _______ to helpout with pregnancy
natural hormones and enzymes
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with lamaze it is important to incorporate a ______
focal point
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organization that incorporated the highest standards of practice for womens healthcare
*Gold Bar
American Congress of Obstetricians and Gynecologists (ACOG)
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