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1. What appropriate health teachings should a nurse provide a pregnant women infected with HIV about caring for her baby? Give atleast two. (2 points) * Reinforce regularly and clearly the notion that, when the mother cares for herself, she is caring for her infant. Talk with the patient about stress, the importance of adequate mild-to-moderate exercise, and sufficient rest. * Emphasize that regular prenatal care is extremely important to prevent complications of pregnancy. * Use of a prenatal vitamin supplement is important, but cannot replace healthy food intake. Develop a plan with the patient for attaining the desired weight gain during pregnancy, while maintaining a healthy nutritional intake. * Cigarette, alcohol, and drug use contribute to poor maternal nutrition and can harm the developing fetus. Illicit drug use increases the risk of transmitting HIV to the infant. Injection drug use can transmit HBV, HCV, and CMV to the mother and to the baby. Encourage cessation of cigarette, alcohol, and drug use, and offer referrals for treatment, as needed. * Be sure the woman understands all planned procedures and treatments and understands their potential risks and benefits both to herself and to the fetus. * Discuss the risks and benefits (to the woman and fetus) of each medication to be taken during pregnancy, including those for which there are limited data on teratogenicity. * Discuss ART as part of the strategy to reduce the risk of perinatal HIV transmission to the fetus or newborn. For women at risk, diligent use of "safer sex" during pregnancy is important for preventing transmission of STIs and CMV, which can cause more complications when HIV is present. STIs can harm fetal development and may increase the risk of HIV transmission to the baby. New genital herpes infections during pregnancy can cause severe complications and even death in neonates. * For women with negative Toxoplasmatiters, explain the need to avoid undercooked meat, soil, and cat feces. * Teach the pregnant woman how to obtain medical attention quickly at the first signs of OI or other complication. Discuss what to watch for and how to get help when emergencies arise in the evenings or on weekends or holidays. * Help the patient clarify her child care options and encourage her to begin putting in place long-term child care and guardianship plans in case she becomes too sick to care for her child or children.
Monitor lung function carefully throughout your pregnancy to ensure that your growing fetus gets enough oxygen. What health teachings must a nurse give to a pregnant woman with asthma? Give atleast three.1 Your doctor will use either spirometry or a peak flow meter to measure your lung function. low blood platelet count. 5. it usually goes away on its own. Polyhydraminos is a condition that happens when a woman has too much amniotic fluid surrounding the baby. . 4. liver or bone marrow problems (some of which may disappear shortly after birth) mental retardation small head size (microcephaly) eye defects low birth weight thrombocytopenic purpura (presents as a characteristic "blueberry muffin" rash) hepatomegaly micrognathia 3. protein in the urine and mental changes) and heart failure.(58% of patients) Eye abnormalities . In most of the cases where this condition occurs. What are the possible complications of a pregnant woman with hyperthyroidism? ( 3 points) Pregnancies complicated by uncontrolled hyperthyroidism may result in higher incidences of: Spontaneous abortion Preterm labor Low birth-weight babies Stillbirths Complications of pregnancy.especially cataract and microphthalmia (43% of patients) Congenital heart disease . Because asthma severity changes for about 2 out of 3 women during pregnancy. It is most common in the last trimester. (3points) If more than one health professional is involved in the pregnancy and asthma care. but it can occur during anytime of the pregnancy.especially patent ductus arteriosus (50% of patients) Other manifestations of CRS may include: spleen. The obstetrician must be involved with asthma care. What is the difference between oligohydramnios and polyhydramnious? ( 2 points) Oligohydramnios is a condition where there is too little amniotic fluid. What problems can the baby develop from a pregnant woman infected with rubella? (2 points) The baby can have something called Rubella Syndrome if the mother has rubella in her first trimester.2. Quote from the Related Link below: The classic triad for congenital rubella syndrome is: Sensorineural deafness . they must communicate with each other about treatment. Monitor fetal movements daily after 28 weeks. including pre-eclampsia (a condition associated with hypertension. you should have monthly checkups with your doctor to monitor your symptoms and lung function.
the importance of adequate mild-to-moderate exercise. * Discuss the risks and benefits (to the woman and fetus) of each medication to be taken during pregnancy. (3 points). while maintaining a healthy nutritional intake. * Teach the pregnant woman how to obtain medical attention quickly at the first signs of OI or other complication. Try to do more to avoid and control asthma triggers (such as tobacco smoke or dust mites). * Discuss ART as part of the strategy to reduce the risk of perinatal HIV transmission to the fetus or newborn. Injection drug use can transmit HBV. and offer referrals for treatment. so that you can take less medicine if possible. * Use of a prenatal vitamin supplement is important. Get the flu vaccine as soon as it's available. For women at risk. * Reinforce regularly and clearly the notion that. * For women with negative Toxoplasmatiters. * Be sure the woman understands all planned procedures and treatments and understands their potential risks and benefits both to herself and to the fetus. What health teachings must a nurse provide to a pregnant woman infected with syphilis? Give atleast three. think about having ultrasounds after 32 weeks to monitor fetal growth.The flu vaccine is effective for one season. * Emphasize that regular prenatal care is extremely important to prevent complications of pregnancy. Discuss what to watch for and how to get help when emergencies arise in the evenings or on weekends or holidays. Talk with the patient about stress. whether you are in your first. explain the need to avoid undercooked meat. including those for which there are limited data on teratogenicity. HCV. soil. and there may be a link between increased nasal symptoms and asthma attacks. but cannot replace healthy food intake. Encourage cessation of cigarette. alcohol. alcohol. and CMV to the mother and to the baby. as needed. Gastroesophageal reflux disease (GERD). and drug use. It is important that you have extra protection against the flu (influenza). when the mother cares for herself. and drug use contribute to poor maternal nutrition and can harm the developing fetus. which can cause more complications when HIV is present. * Help the patient clarify her child care options and encourage her to begin putting in place long-term child care and guardianship plans in case she becomes too sick to care for her child or children. Develop a plan with the patient for attaining the desired weight gain during pregnancy. . second. which is common in pregnancy. and sufficient rest. or third trimester at the time. Many women have nasal symptoms. STIs can harm fetal development and may increase the risk of HIV transmission to the baby. she is caring for her infant. may also cause symptoms. and cat feces.1 Ultrasound exams can also help your doctor check on the fetus after an asthma attack. If your asthma is not well controlled or if you have moderate or severe asthma. The flu vaccine is safe in pregnancy and is recommended for all pregnant women. New genital herpes infections during pregnancy can cause severe complications and even death in neonates. Illicit drug use increases the risk of transmitting HIV to the infant. * Cigarette. diligent use of "safer sex" during pregnancy is important for preventing transmission of STIs and CMV. 6.
abortions. Category Past Medical History Items 1. gynecological conditions/surgery. nausea/vomiting. tell the physician to change the treatment 8. Examples are given for you. aorta or umbilical cord to improve maternal and fetal circulation) 2. This is the baseline fetal heart rate. Sexual activity. 3. 4. Acute medical condition. infertility treatment. . Obstetrical complications ( prenatal. urinary symptoms. STD. Cancer. Infertility. what will you do? Please give a step by step answer and give the reasons to support them. what items will you include in the following categories: (9 points). Mental Health. immunization status. Number of live births. smoking. medications. STD History.7. (4 points) 1. left side preferred to relieve pressure on the vena cava. vaginal bleeding. intrapartal. Change the client’s position (lateral. Identify and describe the following fetal heart rate patterns. Chronic medical condition. If the fetal heart rate is still abnormal.Specifically. Acute medical conditions. Domestic Abuse. postpartum) 1. Deceased children. substance use. Number of term pregnancies. Mental Health 1. chronic medical conditions. Nutrition history. If you were the nurse in the delivery room and you found out that a pregnant woman has an abnormal fetal heart rate. Anemia. Genetic conditions. Breast Health. a normal fetal heart rate in between 110 and 150 bpm. Fetal monitoring every 15-30 minutes and record findings on the flow chart. Past Obstetrical History Current Health Status 9. ( 2 points each.Number of pregnancies. mental health. In assessing a pregnant woman. 4 points) A. allergies. Administer O2 to the client with tight face mask at 6-10 L /min per physician order to improve oxygenation of the client and fetus.
maternal hypotension and prolapsed umbilical cord.(5 points) A. What are the three primary mechanisms by which uterine contractions can cause a decrease in fetal heart rate? (3 points) Compression of the fetal head Compression of the umbilical cord Compression of uterine myometrial vessels 11. B.B. 4. medications. C. 10. 3. Fill in the blanks with the letter of the correct answer from the choices given below. E. D. epidurals. Type 2 DM Gestational Diabetes Mellitus Infection (vaginitis. it may result to______. . ___C___Effect of diabetes in pregnancy. 2. UTI) Generalized edema CHF ___A___ Insulin resistance. 1. This shows fetal bradychardia which may result from fetal hypoxia. ____E__If a pregnant woman's heart cannot handle increase workload. 5. ___D__One manifestation of congestive heart failure during pregnancy. ___B__Glucose intolerance with the onset of pregnancy.
15 percent of identical twins develop the syndrome. Babies with low birth weights are likely to have health problems even if they weren't born prematurely. almost all low-birthweight babies have to spend time in a neonatal intensive care unit before going home.5 pounds. a disorder characterized by high blood pressure and protein in the urine. The survival rate after this treatment is about 60 percent — two to three times higher than without treatment. The condition is usually treated by draining amniotic fluid from the sac of the baby receiving the extra blood. when the placenta detaches from the uterine wall before delivery. For these reasons. or put on weight. Once abruption has occurred. According to the March of Dimes. Latin Proverb . The condition tends to develop earlier as well. control their body temperature. and by getting insulin shots if you need them. or stillbirth. Preeclampsia. preterm delivery. When preeclampsia is severe. Twin pregnancy complications Aside from preterm labor. In multiple pregnancies. it can be especially severe. the average twin weighs 5. twice the rate of women carrying one baby. there are several possible problems: Twins and triplets often don't have a chance to reach a healthy weight before they're born. by teaching you will learn. By learning you will teach.5 pounds are considered to have a low birth weight. Low-birthweight babies often have trouble breathing on their own. You'll most likely be able to keep your blood sugar levels under control with diet and exercise. It can happen any time in the second half of pregnancy and can lead to growth problems. is also more likely when you're carrying more than one baby. Twin-to-twin transfusion syndrome is a rare but serious complication that occurs in identical twins when blood flows from one baby to the other through their shared placenta. Poorly controlled diabetes can have serious consequences for you and your babies. Placental abruption. Babies born at under 5. While the average single baby weighs 7 pounds at birth. Triplets typically weigh 4 pounds each.12. They may not be fully prepared to fight infections. And once it starts. If you develop gestational diabetes. it can affect many of your organs and cause serious or even life-threatening problems. Gestational diabetes seems to be more common in women carrying more than one baby. and quads weigh 3 pounds each. abruption is especially common just after the first baby has been delivered vaginally. develops in roughly 10 to 15 percent of women carrying twins. the other baby or babies may have to be delivered by cesarean section. your practitioner will monitor you closely.
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