Maternal Child Health Final Exam
Exam 1
o Maternal awareness of fetal movement
▪ 17-20 weeks
• Toxoplasmosis:
o Associated with the
... [Show More] consumption of infested undercooked meat and poor hand washing after handling cat litter
▪ Educate on having someone else change the cat’s litter pan and to avoid
consuming uncooked meat
• Blood Volume:
o Because of the increase in plasma the hematocrit will appear low, especially at 32-34 weeks gestation. A hemoglobin of 11.2 and hematocrit of 38% would be considered normal
• Natural Family Planning:
o Identifying the fertile time during the cycle and using abstinence or other contraceptive methods during the fertile period requires motivation and considerable counseling
• IPV (Intimate Partner Violence)
o Nurse should routinely screen all of their patients. Using words such as, “do you feel safe in your current environment and relationships?”
• Recreational Drugs
o The use of these drugs can harm the fetus, causing miscarriage/spontaneous abortion and low birth weight
• First Prenatal Visit (3)
o The patient has appropriate questions for her potential provider that include:
▪ The opportunity to use complementary and alternative methods during labor and birth
▪ And opportunity to meet other providers in the practice
▪ The health care provider’s beliefs and practices concerning epidural anesthesia the routine use of episiotomy
• Quadruple Screen:
o Screening test to determine birth defects
▪ Screens for 4 pregnancy hormones
▪ Normal Results
o Usually done between the 15th and 22nd week
▪ Most accurate between the 16th and 18th week
o Abnormal result does NOT mean baby has a birth defect
▪ Most testing should be done
▪ If the test is abnormal, you may want to talk or have a referral fo a genetic counselor
• Vegetarian Diet:
o Recommend vitamin B12 and iron supplements
• Emergency Contraceptive:
o Nausea and vomiting is a common side effect, an over the counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea
• Primary Dysmenorrhea (cramps):
o The use of non-steroidal anti-inflammatory drugs (NSAIDS) as an optimal pharmacological therapy
• Gestational Diabetes Mellitus:
o Recommend that all pregnant women be screened during the 24th and 28th weeks of gestation
• Mother’s Blood Sugar:
o Infants who are producing more insulin because of the high maternal glucose develop MACROSOMIA (meaning big body)
• Side-Lying Position:
o Side-lying in the lateral position decreases pressure on the vena cava and is common instruction given to increase venous return and increases fetal circulation, circulatory volume and placental and
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