Maternal Newborn - Test 2 Chapter 16

Front 1

S/S of pregnancy (presumptive, probable, positive)

-amenorrhea

Back 1

-presumptive indicators include subjective and objective signs

Front 2

S/S of pregnancy (presumptive, probable, positive)

-breast tenderness

Back 2

-presumptive indicators include subjective and objective signs

Front 3

S/S of pregnancy (presumptive, probable,
positive)

-n/v

Back 3

-presumptive indicators include subjective and objective signs

Front 4

S/S of pregnancy (presumptive, probable, positive)

-breast tenderness

Back 4

-presumptive indicators include subjective and objective signs

Front 5

S/S of pregnancy (presumptive, probable, positive)

-urinary frequency

Back 5

-presumptive indicators include subjective and objective signs

Front 6

S/S of pregnancy (presumptive, probable, positive)

-fatigue

Back 6

-presumptive indicators include subjective and objective signs

Front 7

S/S of pregnancy (presumptive, probable, positive)

-quickening (mothers first perception of fetal movement)

Back 7

-presumptive indicators include subjective and objective signs

Front 8

S/S of pregnancy (presumptive, probable, positive)

-elevation of BBT

Back 8

-presumptive indicators include subjective and objective signs

Front 9

S/S of pregnancy (presumptive, probable, positive)

-breast and abdominal enlargement

Back 9

-presumptive indicators include subjective and objective signs

Front 10

S/S of pregnancy (presumptive, probable, positive)

-changes in the uterus and vagina

Back 10

-presumptive indicators include subjective and objective signs

Front 11

S/S of pregnancy (presumptive, probable, positive)

-striae

Back 11

-presumptive indicators include subjective and objective signs

Front 12

S/S of pregnancy (presumptive, probable, positive)

-gravidarum

Back 12

-presumptive indicators include subjective and objective signs

Front 13

S/S of pregnancy (presumptive, probable, positive)

-deeper pigmentation of the areola

Back 13

-presumptive indicators include subjective and objective signs

Front 14

S/S of pregnancy (presumptive, probable, positive)

Back 14

-presumptive indicators include subjective and objective signs

Front 15

S/S of pregnancy (presumptive, probable, positive)

-chloasma

Back 15

-presumptive indicators include subjective and objective signs

Front 16

S/S of pregnancy (presumptive, probable, positive)

-linea nigra

Back 16

-presumptive indicators include subjective and objective signs

Front 17

S/S of pregnancy (presumptive, probable, positive)


probable indicator include:

Back 17

objective signs of physical changes in the uterus

Front 18

S/S of pregnancy (presumptive, probable, positive)


-uterine enlargement

Back 18

probably indicators are related mainly to physical changes in the uterus

Front 19

S/S of pregnancy (presumptive, probable, positive)
-braxton hicks contractions

Back 19

probably indicators are related mainly to physical changes in the uterus

Front 20

S/S of pregnancy (presumptive, probable, positive)


-uterine soufflé

Back 20

probably indicators are related mainly to physical changes in the uterus

Front 21

S/S of pregnancy (presumptive, probable, positive)
-ballottement

Back 21

probably indicators are related mainly to physical changes in the uterus

Front 22

S/S of pregnancy (presumptive, probable, positive)

-positive pregnancy test

Back 22

probably indicators are related mainly to physical changes in the uterus

Front 23

S/S of pregnancy (presumptive, probable, positive)

positive indicators are directly attributed to:

Back 23

the fetus

Front 24

S/S of pregnancy (presumptive, probable, positive)

positive indicators include the persence of what 3 things:

Back 24

fetal heartbeat distinct from that of the mother,
-fetal movement felt by someone other than the mother,
-visualization of the fetus with a technique such as an ultrasound examination

Front 25

S/S of pregnancy (presumptive, probable, positive)
-can use Doppler techniques, ultrasounds

Back 25

positive

Front 26

Estimating date of birth

-Nagele’s Rule:
after determining the first day of the last menstrual period,

Back 26

add 7 days to the LMP and count forward 9 calendar months

-most women give birth 7 days before or 7 days after the EBD

Front 27

Maternal adaptation

-the growth requires mastery of certain developmental tasks

Back 27

-accepting the pregnancy
-identifying with the role of the mother
-reordering the relationships b/w herself and her mother and b/w herself and her partner
-establishing a relationship with the unborn child
-prepared for the birth experience

Front 28

Maternal adaptation-accepting the pregnancy

-first step in adapting to the maternal role is:

how can this happen?

Back 28

accepting the idea of pregnancy and assimilating the pregnant state into the woman’s way of life



(cognitive restructuring)

Front 29

Maternal adaptation-accepting the pregnancy

-during the first trimester, body shape changes little, but by the ____trimester, obvious bulging of the abdomen, thickening of the waist, and enlargement of the breasts proclaim the state of pregnancy

Back 29

2nd

Front 30

Maternal adaptation-accepting the pregnancy

-the woman’s attitude about her body is influenced by her (3)

Back 30

values,
weight before pregnancy,
ethnicity

Front 31

Maternal adaptation-accepting the pregnancy

-ambivalence:
- is considered a normal response for people preparing for a new role

Back 31

having conflicting feelings simultaneously,

Front 32

Maternal adaptation-Identifying with the mother role

-begins when?

Back 32

early in each woman’s life when she is being mothered as a child

Front 33

Maternal adaptation-Identifying with the mother role

what constitutes the feminine role?

Back 33

-her social group’s perception

-practice roles, such as playing with dolls, babysitting, taking care of siblings may increase her understand of what being a mother entails

Front 34

Maternal adaptation-Identifying with the mother role

-high motivation to become a parent promotes acceptance of

Back 34

-pregnancy and eventual prenatal and parental adaption

Front 35

Maternal adaptation-reordering personal relationships

what is significant in adaption to pregnancy and motherhood?

Back 35

-the woman’s own relationship with her mother

Front 36

Maternal adaptation-reordering personal relationships

what helps the pregnant mom to anticipate and prepare for labor and birth

Back 36

-the pregnant mom's mothers availability
-(past and present),
-her reactions to the daughters pregnancy,
-respect for her daughter’s autonomy,
- willingness to reminisce about the pregnant woman’s early childhood

Front 37

Maternal adaptation-reordering personal relationships

-most important person to the pregnant woman is

Back 37

the father of her child

Front 38

Maternal adaptation-reordering personal relationships

-woman express 2 major needs within this relationship during pregnancy:

Back 38

feeling loved and valued and having the child accepted by the partner

Front 39

Maternal adaptation-reordering personal relationships


-may be a diminish in interest in sex because of body appearance

true or false

Back 39

true

Front 40

Maternal adaptation-establishing a relationship with the fetus

-emotional attachment, feelings of being tied by affection or love, begins when:

Back 40

in the prenatal period as women use fantasizing and daydream to prepare themselves for motherhood

Front 41

Maternal adaptation-establishing a relationship with the fetus

the mother –child relationship progresses through pregnancy as a developmental process that unfolds in 3 phases :

Back 41

1)woman accepts the biologic fact of pregnancy (she needs to state “I am pregnant” and incorporate the idea of a child into her body and self image. child is viewed as part of herself
2)woman accepts the growing fetus as distinct from herself (usually by the 5th month) she can now say “im going to have the baby” – the differentiation of the child from the woman’s self permits the beginning of the mother-child relationship that involves not only caring but also responsibility
3)the woman prepares realistically for the birth and parenting of the child. she expresses the thought “I am going to be a mother” and defines the nature and characteristics of the child, she may speculate about the child’s sex

Front 42

Maternal adaptation-preparing for childbirth

how can the mom prepare for childbirth?

Back 42

-reading books, viewing films, attending parenting classes, talk to other woman

Front 43

Maternal adaptation-preparing for childbirth

-backaches, frequency, urgency of urination, constipation, and varicose veins can become troublesome

Back 43

-backaches, frequency, urgency of urination, constipation, and varicose veins can become troublesome

Front 44

Maternal adaptation-preparing for childbirth

what interferes with the woman’s ability to care for other children, do work duties, and assume a comfortable position for sleep and rest

Back 44

-bulkiness and awkwardness of her body

Front 45

Paternal Adaptation-accepting pregnancy

what is couvades syndrome

Back 45

some men experience pregnancy-like symptoms such as nausea, weight gain, and other physical symptoms

Front 46

Paternal Adaptation-accepting pregnancy

-a mans readiness for fatherhood may be reflected how?

Back 46

in the way he views the couple’s relative financial security

Front 47

Paternal Adaptation-accepting pregnancy

-3 developmental tasks of pregnancy

Back 47

-announcement phase
-moratorium phase
-focusing phase

Front 48

Paternal Adaptation-accepting pregnancy

-3 developmental tasks of pregnancy

-announcement phase -how long does it last?

Back 48

(may last a few hours to a few weeks

Front 49

Paternal Adaptation-accepting pregnancy
-3 developmental tasks of pregnancy

-announcement phase
what is the developmental task

Back 49

is to accept the biologic fact of pregnancy

Front 50

Paternal Adaptation-accepting pregnancy
-3 developmental tasks of pregnancy


-ambivalence in what stages of pregnancy is common?

Back 50

announcement

Front 51

Paternal Adaptation-accepting pregnancy
-3 developmental tasks of pregnancy

-moratorium phase
period of time when the father does what?

Back 51

- period when he adjusts to the reality of pregnancy

Front 52

Paternal Adaptation-accepting pregnancy
-3 developmental tasks of pregnancy

-moratorium phase
what is the developmental task:

Back 52

- accept the pregnancy

Front 53

Paternal Adaptation-accepting pregnancy
-3 developmental tasks of pregnancy

-what phase do men appear to put conscious thought of the pregnancy aside for a time

Back 53

-moratorium phase
2

Front 54

Paternal Adaptation-accepting pregnancy
-3 developmental tasks of pregnancy

-what phase do men become more introspective and engage in many discussions about their philosophy of life, religion, childbearing, and childrearing practices and their relationship with family members (esp. their dads)

Back 54

-moratorium phase
2

Front 55

Paternal Adaptation-accepting pregnancy
-3 developmental tasks of pregnancy

-focusing phase
when does it begin?
what is it characterized by?

Back 55

begins in the last trimester


characterized by the father’s active involvement in both the pregnancy and his relationship with his child

Front 56

Paternal Adaptation-accepting pregnancy
-3 developmental tasks of pregnancy

-focusing phase
developmental task:

Back 56

negotiate with his partner the role he is to play in labor and to prepare for parenthood

Front 57

Paternal Adaptation-accepting pregnancy
-3 developmental tasks of pregnancy

what phase does the dad concentrates on his experience of the pregnancy and begins to think of himself as a father

Back 57

focusing phase

Front 58

Paternal Adaptation-Identifying with the father role

-each man brings to what that affect the way in which he adjust to the pregnancy and the parental role

Back 58

pregnancy attitudes

Front 59

Paternal Adaptation-Identifying with the father role

how does the dad identify with the father role??
-(3 - whats he think about)

Back 59

-his memories of the fathering he received,

experience he has had with child care,

perceptions of the male and father roles within his social group

Front 60

Paternal Adaptation-Reordering personal relationships

-main role:

Back 60

nurture and respond to the pregnant woman’s feeling of vulnerability

Front 61

Paternal Adaptation-Reordering personal relationships

-couples who are told earlier in the pregnancy that ambivalence, anxiety, and increased tensions are common experiences for expectant couples then can devote energy to managing the changes

T or F

Back 61

TRUE

Front 62

Paternal Adaptation-establishing a relationship with the fetus

how might the father do this?

Back 62

-may rub or kiss the maternal abdomen, try to listen, talk, or sing to the fetus, play with the fetus as he notes movement

Front 63

Paternal Adaptation-establishing a relationship with the fetus

what helps to confirm the reality of pregnancy and promote attachment for the dad?

Back 63

-calling the unborn child by name or nickname

Front 64

Paternal Adaptation-Preparing for childbirth

during the last 2 months of pregnancy, the father may experience what?

Back 64

a surge of creative energy at home or on the job

Front 65

Paternal Adaptation-Preparing for childbirth

-they tend to act on the need to

Back 65

alter the envt (remodeling, painting)

Front 66

Paternal Adaptation-Preparing for childbirth

what is a major concern for the man

Back 66

-getting the woman to a medical facility in time for the birth and not appearing ignorant

Front 67

Paternal Adaptation-Preparing for childbirth

-many men want to be able to do what?

Back 67

recognize labor and determine when it is appropriate to leave for the hospital or call the physician or midwife

Front 68

Paternal Adaptation-Preparing for childbirth

-they may fantasize about what?

Back 68

different situations and plan what they will do in response to them

Front 69

Paternal Adaptation-Preparing for childbirth

-they may rehearse what

Back 69

taking various routes to the hospital, timing each route at a different time of the day

Front 70

Sibling adaptation

-older child often experiences what?

Back 70

a sense of loss or feels jealous at being “replaced” by the new siblings

Front 71

Sibling adaptation

1yr olds:

2 yr olds notice:

Back 71

-1 yr olds are unaware of the process

-2 yr olds notice the change in his or her moms appearance and may comment “mommy’s fat”

Front 72

Sibling adaptation

-by 3-4 what do children like to be told ?

Back 72

the story of their own beginning and accept it being compared with their present pregnancy

-they like to listen to the fetal heart beat and feel the baby moving in utero

Front 73

Sibling adaptation
-what age?

more detail

Back 73

-school age: ,

Front 74

Sibling adaptation
-what age?

take more clinical interest in moms pregnancy “how did the baby get in there” – “how will the baby get out”

Back 74

-school age: ,

Front 75

Sibling adaptation
-what age?

see themselves as mothers or fathers, look forward to the baby,

Back 75

-school age: ,

Front 76

Sibling adaptation
-what age?

enjoying buying baby supplies and readying a place for the baby

Back 76

-school age: ,

Front 77

Sibling adaptation
-what age?

preoccupied with the establishment of their own sexual identity

Back 77

-early and middle adolescents

Front 78

Sibling adaptation
-what age?

may have difficulty accepting the overwhelming evidence of the sexual activity of their parents

Back 78

-early and middle adolescents

Front 79

Sibling adaptation
-what age?

- not really disturbed

Back 79

-late adolescents

Front 80

Sibling adaptation
-what age?

busy making plans for their own lives and realize they will soon be gone from the home

Back 80

-late adolescents

Front 81

Physical Activity
-what feeling does it promote?

Back 81

well being in the pregnant woman

Front 82

Physical Activity
-what does it improve?

-whatd does it promote?

Back 82

-improves circulation,



promotes relaxation and rest


counter acts bordem

Front 83

Physical Activity
-exercises that can help relieve the low back pain arise when? why?

Back 83

second trimester




b/c of the increased weight

Front 84

Travel

low risk vs high risk woman

Back 84

-travel is not contraindicated in low risk pregnancies

-women with high risk pregnancies are advised to avoid long distance travel after fetal viability has been reached

Front 85

Travel

-women who contemplate foreign travel should be aware that

Back 85

many health insurances do not cover a birth in foreign settings or even hospitalization for preterm labor

-vaccinations for foreign travel may be contraindicated during pregnancy

Front 86

Travel

-what is the most common cause of fetal death?

Back 86

-maternal death as a result of injury

Front 87

Travel

-lap belt should be worn
T or F

Back 87

True

Front 88

Travel

-pregnant women traveling in high, altitude regions have lowered oxygen levels that may cause:

Back 88

fetal hypoxia

Front 89

Travel

-metal detectors used at airports are harmful to the fetus

true or false

Back 89

false
they are not harmful

Front 90

Travel
--sitting in the cramped seat of an airliner for prolonged periods may increase the risk of :

Back 90

superficial and deep thrombophlebitis

Front 91

Travel
-what should the mom be encouraged to do if sitting on a plane?

Back 91

a pregnant woman is encouraged to take a 15 min walk around the aircraft during each hour to minimize this risk