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8 Cards in this Set
- Front
- Back
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What are the psychological responses for the pregnant patient during the first trimester (1-13 wks)?
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Focus on physical changes and feelings
Ambivalence Adjustment |
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What is the prenatal anticipatory guidance for the 1st trimester (1-13 wks)?
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Normal changes of pregnancy: breast fullness, urinary frequency, N/V, and fatigue
Calculated and explain EDB and comparison with uterine size. Client's and healthcare providers expectations for visits Importance of ongoing care in pregnancy to promote well-being and prevent problems Rationale for vitamins and iron supplements Resources available for education, emergency care, etc. Discuss review danger signs & symptoms |
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What is the prenatal anticipatory guidance for the 2nd trimester (14-26 wks)?
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Fetal growth, movement and heart tones
Personal hygiene, brassieres, vaginal discharge Infant feeding bottle or breast? Avoidance/Alleviation of backache/constipation/hemorrhoids/leg aches/ varicosities, edema and round ligament pain. Nutritional needs, diet and weight gain Discuss/review danger signs & symptoms. |
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What are the psychological responses for the pregnant patient during the 2nd trimester (14-26 wks)?
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More aware of fetus as a person
Acceptance & Period of radiant health |
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What are the psychological responses for the pregnant patient during the 1st part of the 3rd trimester (27-36 wks)?
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Concerned with baby's needs
Introversion & Period of watchful waiting |
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What is the parental anticipatory guidance fore the 1st part of the 3rd trimester (27-36 wks)?
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1. Fetal growth & well-being
2. Review of hygiene, clothing, proper body mechanics and posture, positions of comfort. 3. Physical and emotional changes 4. Sexual needs/intercourse 5. Alleviation of bachache, Braxton Hicks, dyspnea, round ligament pain, leg aches or edema 6. Confirm infant feeding plans and discuss preparation for breastfeeding 7. Preparation for baby supplies and help at home 8. Prenatal classes/approach 9. Involvement of significant other 10. Review danger signs at each visit 11. If planning tubal ligation, prepare papers if required. |
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Anticipatory guidance for birth and infant care:
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1. Discuss fetal movement
2. Personal hygiene needs/concerns, alleviation of discomforts of pregnancy 3. Discuss recognition of Braxton Hicks and prodromal contractions and differentiation from true labor. 4. Discuss labor, contractions, and labor progress and expectations of labor 5. Breathing and relaxation techniques; labor support options 6. Provision for needs of other children, sibling issues, and care of children during hospital stay. 7. Review signs of labor 8. Continue discussion of relaxation and breathing techniques; latent labor coping skills 9. Final home preparation 10. Discuss procedures particular to home/birthing center, hospital-Analgesia, IVs, examinations, labor care, birthing plans, postpartum care, and supplies needed. 11. confirm plans for transport to the hospital, who to call, and where to go; hospitalization and process of admission 12. Consider birth control/family planning needs 13. Discuss emergency arrangements in the event of danger signs, premature rupture of membranes (PROM), bleeding, severe headaches, pain, etc. |
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What are the risks to the pregnant patients well-being?
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1. Limited support network
2. High levels of stress 3. Psych/mental health issues 4. Problem pregnancies. |
