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How is pregnancy calculated?
Pregnancy is figured from the 1st day of the last menstrual period
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What is Nageles rule?
a method of determining the estimated date of birth; after obtaining the 1st day of LMP, subtract 3 months and add 7 days
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How long is pregnancy?
Approximately 40 weeks (38-42 is considered term)
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What is the nurses role in helping clients choose care providers?
encourage clients to investigate care providers credentials, basic & special education & training, fee schedule and availability to new clients
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What does a birth plan do?
- identify available options
- communication tool for parents & providers
- Specify options couples want to avoid
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Class conent for 1st trimester
- Early gestational changes
- self-care during pregnancy
- fetal development, environmental dangers for the fetus
- sexuality in pregnancy
- birth settings & types of care providers
- nutrition
- rest & excercise suggestions
- psychological changes during pregnancy
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Class content for 2nd & 3rd trimester (book)
- preparation for birth process
- postpartum self- care
- birth choices (episiotomy, meds, fetal monitoring, enema)
- relaxation techniques
- infant stimulation
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Childbirth education empowers women to make informed choices in health care, to assume responsibility for their health & to trust their inner wisdom
Lamaze
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Goal: Birth is normal, natural & healthy
Lamaze
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Goal: The experience of birth profoundly affects women & their families
Lamaze
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Goal: Womens inner wisdom guides them through birth
Lamaze
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Goal: Women have the right to give birth free from routine medical interventions
Lamaze
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Technique: disassociation relaxation
Lamaze
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Technique: Controlled muscular relaxation
Lamaze
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Technique: breathing pattern
Lamaze
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Class Content: nutrition
Lamaze & Bradley
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Class Content: Gestational Changes
Lamaze
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Class Content: breathing techniques
Lamaze
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Class Content: Labor & Birth techniques for easing pain
Lamaze
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Class Content: Positioning during labor
Lamaze
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To have the best, safest & most reqarding birth experience possible
Bradley
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Goal: Natural childbirth
Bradley
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Goal: active participation of husband as coach
Bradley
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Goal: Breastfeeding beginning at birth
Bradley
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Goal: Excellent Nutrition
Bradley
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Technique: Working in harmony with your body using controlled breathing & deep abdominopelvic breathing
Bradley
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Technique: Promoting general body relaxation
Bradley
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Class content: Coachs role
Bradley
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Class Content: Introduction to stages of labor
Bradley
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Class Content: Birth Planning
Bradley
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Class Conent: Variations & complications of labor
Bradley
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Class Content: Postpartum preparation
Bradley
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Class Content: Advanced 1st & 2nd Stage techniques
Bradley
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Class Content: Preparation for your new family
Bradley
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Body Conditioning Exercises
- Pelvic Tilt
- Pelvic Rock
- Keagel Excercises
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Progressive relaxation
Women leanrs how to tense and then relax one muscle group at a time
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Dissassociation Relaxation
- used in lamaze & bradley
- pattern of active relaxation in which the women learns to tighten one area of the body & then relax other areas simultaneously
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Effleurage
- A light storking movement over the abdomen in a circle
- it is used before the transitional phase of labor for mild to moderate pain
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What are other pain management techniques?
- guided imagery
- aromatherapy
- meditation
- music
- warm water show or whirlpool
- deep massage
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When should breathing techniques be taught?
during the final trimester becausethe mothers attention is focused on the birth experience
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What are the 6 goals of breathing techniques?
- provide adequate oxygenation of mother & baby
- increase physical & mental relaxation
- decrease pain & anxiety
- provide a means of focusing attention
- control inadequate ventilation patterns r/t pain & stress
- provide sense of control
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How can the nurse support the clients with their common feelings of early pregnancy?
- provide reassurance
- encourage verbalization of feelings and fears
- provide accruate information
- identify sources of support
- provide education
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What are the common symptoms that occur in the first trimester?
- amenorrhea
- urinary frequency
- breast engorgement
- nausea & vomiting
- food aversions
- Skin pigmentation changes
- weight gain or weight loss
- fatigue
- nose bleeds
- nasal congestion
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Why can external environmental threats lead to birth defects during the first trimester?
The first trimester has a lot of rapid development. By 8 weeks all body organs are formed. Birth defects, anomalies, and abortions can occur very easily during this time due to the rapid devlopment
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How can you tell true labor from braxton hicks contractions?
- True labor is marked by:
- regular contractions
- intervals between contractions shorten
- contractions increase in duration or intensity
- intensity increases with walking
- interventions do not decrease or stop contractions
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