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Nle Review Class - Prenatal Care
Nle Review Class - Prenatal Care
Prepared by:
ROSELYN S. PACARDO, MAN, MM,RN, RM
Preconception Care
Immunization status
Underlying medical conditions
Reproductive health care
practices
Sexuality and sexual practices
Nutrition
Lifestyle practices
Psychosocial issues
Medication and drug use
Support system
1st Prenatal Visit
Done at 14 –
16 weeks
Chorionic Villus Sampling (CVS)
Percutaneous Umbilical Blood Sampling
(PUBS)
Nonstress test;
Test results of the NST:
Normal:
Normal test results are called negative.
Your baby's heart rate does not get lower (decelerate) and stay
low after the contraction (late decelerations). Note: There may
be a few times during the test when your baby's heart rate
decelerates, but it doesn't stay low so it is not a problem.
If three contractions occur during a 10-minute period of nipple
stimulation or oxytocin infusion and there are no late
decelerations in your baby's heart rate, your baby is expected
to be able to tolerate the stress of labor.
Scoring System
Score of 2 for each item; 10 – highest score
First-Trimester Discomforts
Urinary frequency or incontinence
Kegel’s Exercise
Empty bladder when feeling a full
Increased blood supply and
pressure on the bladder sensation
Avoid caffeinated drinks
Reduce fluid intake after dinner
* Leg Cramps
Instruct on importance of a
Increased hormone
levels healthy and balanced diet
* Pica
Second-Trimester Discomforts
Proper posture with head up and
Backache shoulders back
Shift in the center of gravity; high Apply body mechanics
level of progesterone softens joints When sitting, use foot supports
and cartilage; upper back pain and pillows behind the back
Pelvic tilt or rocking exercises to
due to increased breast size
strengthen the back
Personal hygiene
Avoidance of saunas and hot tubs
Perineal care
Dental care
Breast care
Clothing
Exercise
Sleep and rest
Sexual activity and sexuality
Employment
Travel
Immunizations and medications
Preparation for Labor, Birth, and Parenthood
Perinatal education
Childbirth education
Lamaze (psychoprophylactic) method: focus on
breathing and relaxation techniques
Second Trimester
Accepting the Baby
A. Amenorrhea
B. Nausea and vomiting in early AM
C. Breast changes
D. Hegar’s sign
16. Presumptive signs are known to be caused
by conditions other than pregnancy. Subjective
and presumptive manifestations
reported by a woman will include all of the
following, except:
A. Amenorrhea
B. Nausea and vomiting in early AM
C. Breast changes
D. Hegar’s sign (– increased vascularity and
softening of the uterine isthmus)
Ricci p. 259
18. This is the third pregnancy of KC. She had a
miscarriage at 12 weeks and gave birth to a
son, now 3 years old, at 32 weeks.
She had no multiple gestation multiple
gestation. Using the GTPALM system, the
nurse would document this woman’s
obstetric history as:
A. 310211
B. 301110
C. 212120
D. 201111
18. This is the third pregnancy of KC. She had a miscarriage at 12
weeks and gave birth to a son, now 3 years old, at 32 weeks.
She had no multiple gestation multiple gestation. Using the
GTPALM system, the nurse would document this woman’s
obstetric history as:
A. 310211
B. 301110
C. 212120
D. 201111
The woman’s obstetric history would be documented as 301110:
G (gravida) = 3 (current pregnancy), T (term pregnancies) = 0,
P (number of preterm pregnancies) = 1, A (number of
pregnancies ending before 20 weeks viability) = 1,
L (number of living children) = 1, M (multiple gestation) = 0.
A. 4 weeks
B. 3 weeks
C. 2 weeks
D.Week
20. The nurse instructs KC that if she is already on
her second trimester of pregnancy, she should
return for
a follow-up visit every:
A. 4 weeks
B. 3 weeks
C. 2 weeks
D. Week
Ricci p. 265
SITUATION E: Nena is a primigravid woman who
experiences the common discomforts of
pregnancy. She went to the health center and
asks some recommendations on how to relieve
the discomforts.
A. Three pounds for the first trimester, 12 pounds for the 2nd
trimester, and 12 pounds for the last trimester of pregnancy
B. One pound for the first trimester, 10 pounds for the 2nd
trimester, 15 pounds for the last trimester of pregnancy
C. Two pounds for the first trimester, 11 pounds for the 2nd
trimester, and 13 pounds for the last trimester of pregnancy
D. Four pounds for the first trimester, 13 pounds for the 2nd
trimester, and 14 pounds for the last trimester of pregnancy
24.Which of the following is the recommended weight gain per
trimester of pregnancy that Nena should attain?
A. Three pounds for the first trimester, 12 pounds for the 2nd
trimester, and 12 pounds for the last trimester of pregnancy
(3-12-12)
B. One pound for the first trimester, 10 pounds for the 2nd trimester,
15 pounds for the last trimester of pregnancy
C. Two pounds for the first trimester, 11 pounds for the 2nd trimester,
and 13 pounds for the last trimester of pregnancy
D. Four pounds for the first trimester, 13 pounds for the 2nd
trimester, and 14 pounds for the last trimester of pregnancy