Antepartum / Prenatal Assessment

32問 • 1年前

問題一覧

The National Health Program of the Philippines gives as much emphasis on the promotion of health and prevention of diseases rather than care of the sick. It needs a deeper involvement and close supervision with all members of the health team such as physicians, nurses, epidemiologist, dentists, sanitary inspector, sanitary engineers, nutritionist, health educators, social workers, community and barangay leaders.

Community Health Nursing

the branch of medicine and surgery concerned with childbirth and the care of women giving birth.

Obstetrics

- the process of carrying or being carried in the womb between conception and birth

Gestation

- a period before labor and delivery.

Antepartum

- a period before labor and delivery

Pre-natal

- the total number of pregnancies regardless of duration (includes present pregnancy)Gravida - the total number of pregnancies regardless of duration (includes present pregnancy)

Gravida

- number of past pregnancies that have gone beyond the period of viability (capability of the fetus to survive the outside of the uterus; currently considered any time after 20-wk gestation or greater), regardless of the number of fetuses or whether the infant was born alive or dead

Para

TPAL

Term, Pre-term, Abortion and Living

- delivery of pregnancy 38-42 weeks

Term

- delivery of pregnancy after 20 weeks and before the start of 38 weeks' gestation

Preterm

- termination of pregnancy (spontaneous miscarriage or induced prior to the 20th week of gestation)

Abortion

- number of living children

Living

- Last menstrual period

LMP

- a period of three months, especially as a division of the duration of pregnancy.

Trimester

EDC

Expected Date of Confinement

EDD

Expected Date of Delivery

Height of the fundus

Fundic Height -

Number of Prenatal visits

14 visits

First Trimester= ? months of pregnancy Second Trimester = ? months of pregnancy Third Trimester = ? months of pregnancy

1-3 4-6 7-9

How many visits in 1-6 mons?

Once a month

How many visits 7-8 mons?

Twice a mon

How many visits in 9 months?

Every week

COLLECTING SUBJECTIVE DATA:

THE NURSING HEALTH HISTORY -Biographical Data -History of Present Concern -Personal Health History -Family History -Lifestyle and Health Practices

COLLECTING OBJECTIVE DATA:

-Vital Signs -Height and Weight - Fundic Height -Leopold's Maneuver -Fetal Heart Rate

-client's name, -birth date, -address, -phone number -educational level, -occupation, -Significant other with phone number and contact information in case of emergency.

Biographical Data

Recommended weight gain in pregnancy is as follows: Underweight client, ? normal weight client, ? overweight client, ? twin gestation, ?

Underweight client, 28-40 lb; normal weight client, 25-35lb; overweight client, 15-25 lb; twin gestation, 35-45 lb

Have you had a fever or chills, except with a cold, since your last menstrual period? What subjective data is this?

History of Present Concern

Will you be 35 years or older at the time the baby is born? Are you and the baby's father related to each other (e.g., cousins or other relations)? What type of subj. data?

Personal Health History

: is a standard way of calculating the due date for a pregnancy. It is named after Franz Karl Naegele (1778-1851), the German obstetrician who devised the rule.

Naegele's Rule

Naegele’s Rule (jan - Mar) = (april - dec) =

Jan - Mar = +9 mons, +7 days April - Dec = -3 mons, + 7 days, + 1 yr

Mcdonald’ Rule Computation Months = Weeks =

Mons = FH cm/ 1 x 2/7 Weeks = FH cm/1 x 8/7

Computing AOG?

LMP - 31 = add the rest of the month until her date of latest visit. Then total divide 7 = e.x 27.5 (write 27 weeks and 5 days)

Latin Abbreviations

JULLIANNE DANDAN · 43問 · 2年前

Latin Abbreviations