Prenatal Care I

Fundamentals of Nursing

Contraindication
We must educate pregnant mothers on a variety of information.
N S

AVOID Medications During Pregnancy

Naproxen Salyslic acid
H
O O

NAPROXEN
O

NSAIDS
H

N - Naproxen
S - Salyslic acid
A I K
A - Aspirin Aspirin
Indomethacin
& Iburofen
Ketorolac

I - Ibuprofen & Indomethacin

K - Ketorolac
INDOMETHACIN

ASPIRIN

ACEs & ARBs = Avoid during pregnancy

- “-pril” Lisinopril (NO Prils during Pregnancy)
- “-sartan” Losartan (Sartans = Satan to pregnancy)

Doxycycline & Tetracycline ! ! !

- Cycling on a bike is dangerous during pregnancy Rx
Carbamazepine

! TETRACYCLINE

Carbamazepine: seizures drug ! !

! ! !
LOSARTAN

Vaccine Safety
Pregnant clients have a suppressed immune system & are at increased risk for illness.
In general, no live virus vaccines are given during & up to 1 to 3 month before pregnancy,
as live vaccines cause serious birth defects to a developing fetus in utero.

ATI Questions
Safe NOT Safe Q1: 30 weeks’ gestation…. vaccines are considered safe?
during pregnancy NO Live Vaccines! Tetanus, diphtheria, and pertussis (Tdap)
(Safe after pregnancy)
Q2: routine education … for a pregnant client?
- Inactivated Influenza (flu shot) - Varicella-zoster (chickenpox) Get a flu vaccine to protect against influenza infection
Tdap vaccine 27 - 36 weeks - Rotavirus
T - Tetanus - Live or Activated Influenza
D - Diphtheria - MMR: measles, mumps, rubella HESI Question
P - Pertussis ... postpartum client before administering the varicella vaccine?
You must return for a second dose in 4 to 8 weeks
Use contraception for 1 month to avoid pregnancy

27 - 36 weeks
Rotavirus
! Newborn
MMR
Vaccine
Rhogam: 72 hrs after birth to
Varicella Influenza
! Rh negative mom with Rh positive baby
Tetanus Diphtheria Pertussis Vaccine

!
VACCINE
Vaccine Vaccine Vaccine
Hepatitis B vaccine: to newborns with
infected moms

Notes
Prenatal Care II
Fundamentals of Nursing

Education For Pregnancy NCLEX TIPS Kaplan Question

By the fifth month of pregnancy ...gained 14 pounds:
Avoid alcohol & tobacco products
Inform the client the weight gain is appropriate
Obtain testing for rubella immunity
Schedule dental wellness appointment
Second Trimester:
- Gestational diabetes & preeclampsia screening
- Anticipate quickening “light fetal movements”
- Abdominal ultrasound evaluation
Weight Gain:
- Expected weight gain: 25 - 35 pounds during pregnancy
- Maintain BMI of 18.5 - 24.9 kg
- Gain of 1lb per week if pre-pregnancy BMI was normal
(2nd & 3rd trimester)

25 - 35 pounds

ATI Questions
Education For Pregnancy NCLEX TIPS
Q1: …. folic acid deficiency. Which of the following complications.. ?
Diet & Vitamins Fetal neural tube defects
- Folic Acid 400 mcg / day → prevents neural tube defects Q2: ... ferrous sulfate…. which of the following beverages… increase
- Calcium 500 mg daily the absorption of the medication?
Orange juice
- Iron rich foods meat and dried fruit
- Iron supplements (ferrous sulfate) → prevent anemia HESI Questions
Take on an empty stomach
Q1: … pre-pregnancy instructions?
Risk for constipation 400 mcg of folic acid daily
Increase Vitamin C to aid absorption (Orange juice) Q2: ... risk is associated with iron supplementation for the pregnant
client?
Constipation
Fe

Iron Fe
Fe

Education For Pregnancy NCLEX TIPS HESI Question

Which examples of protein-containing foods …
Protein foods rich with calcium, iron, & B vitamins vegetarian client? Select all that apply.
Dried beans
Example: Grilled chicken, turnip greens,
Seeds
peanut butter, & juice NCLEX TIP Peanut butter
Food to Avoid Peas
Unhealthy: excess salt, butter, fat, margarine ATI Question
Unsafe dairy: unpasteurized or suspicious 8 weeks of gestation…. good source of calcium?
Brie cheese, Raw milk, Dark green, leafy vegetables
Deli-made egg salad / sandwich
HESI Question
Which foods … avoid during pregnancy?
Brie cheese

RAW
! RAW
Unpasteurized milk
Deli made egg salad
MILK MILK

Peanut
! RAW RAW
MILK
Butter MILK