logging in or signing up Chapter 09 narrated jenna07 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 208 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: March 01, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Chapter 9 : Chapter 9 The Prenatal Assessment Prenatal Period : Prenatal Period Maternal reactions Ambivalence Maternal self-preservation World Health Report “Make Every Woman and Every Child Count” Prenatal care Societal support of pregnant women CAREing for the Patient : CAREing for the Patient Nurse’s role Communicate Advocate Empower women Help woman become informed recipient of care Facilitate shared decision-making Stress and Pregnancy : Stress and Pregnancy Nurse’s role Focus on communication, personalized care, education Provide support Offer stress management techniques Gain woman’s confidence Healthy People 2010 : Healthy People 2010 Access to care Barriers to service Health insurance Health provider barriers System barriers Social disparities The First Prenatal Visit : The First Prenatal Visit Nurse’s Role—First Prenatal Visit : Nurse’s Role—First Prenatal Visit Build positive, nonthreatening relationship Therapeutic communication Avoid medical/technical jargon Provide user-friendly service Goal: to explain purpose of prenatal care; to establish specific goals Comprehensive Health History : Comprehensive Health History Biographical data Social history—intimate partner violence and drug use Psychological assessment Obstetric history Current pregnancy Signs and Symptoms of Pregnancy : Signs and Symptoms of Pregnancy Presumptive Amenorrhea Nausea/vomiting Urinary frequency Breast tenderness Probable Piskacek sign Hegar sign Chadwick sign Pregnancy Tests : Pregnancy Tests Positive Signs of Pregnancy : Positive Signs of Pregnancy Fetal heartbeat Fetal movements Visualization of fetus Estimated date of birth (EDB) : Estimated date of birth (EDB) Naegele’s rule History Intercourse/signs and symptoms Date of last normal menstrual period Date of positive home pregnancy test Pregnancy Classification System : Pregnancy Classification System Gravid/gravida/gravidity Nulligravida Primigravida Multigravida Parity GTPAL classification system Medical History : Medical History Medical conditions Dental health Eye health Immunizations Hepatitis B infection Environmental hazards Gynecological History : Gynecological History DES exposure Breast surgery/cancer/lumps/biopsies History of rape, abuse Gynecological History : Gynecological History Infertility Surgeries Therapeutic/elective pregnancy terminations History of STIs Cervical pathology Screening and Diagnostic Tests : Screening and Diagnostic Tests Screening Rh factor, antibody screen Sexually transmitted infections HIV Cervical cancer Diagnostic To confirm presence of disease Prenatal Physical Examination : Prenatal Physical Examination Prepare patient and environment Obtain consent to be examined Ongoing interaction General assessment Nutritional assessment Abdominal palpation Focused Obstetrical Examination : Focused Obstetrical Examination Head, neck, lungs Skin Breasts Abdomen Uterine size, fetal position, fundal height Vagina and pelvis Leopold Maneuvers : Leopold Maneuvers First: determine fetal body part that occupies uterine fundus Second: determine location of fetal spine Third: compare fundus with lower uterine segment Fourth: determine ballottement; engagement Fetal Heart Auscultation : Fetal Heart Auscultation 120 to 160 beats per minute Fetoscope Doppler ultrasound stethoscope Electronic fetal monitoring for high-risk pregnancies Non-stress test Subsequent Prenatal Examinations : Subsequent Prenatal Examinations Maternal weight gain/edema Blood pressure Urine Uterine growth Fetal heart tones Fetal movements and presentation Assessing Special Populations : Assessing Special Populations Teenage Pregnancy : Teenage Pregnancy Nurse’s role Heighten public awareness Empower women/families to reduce unwanted pregnancies Advocate for responsible sexual behavior Impact on society Teenage Pregnancy : Teenage Pregnancy Cultural influences Identifying adolescents at risk Impact on developmental tasks Delayed entry into care Nursing Care of Pregnant Adolescent : Nursing Care of Pregnant Adolescent Assessment Closely monitor for iron deficiency anemia, STIs, preeclampsia High-risk behaviors Knowledge regarding personal care and care of infant Promote optimal nutrition The Older Gravida: Considerations in Pregnancy : The Older Gravida: Considerations in Pregnancy Identify chronic medical conditions Identify detrimental lifestyle habits Physical examination: focus on breasts and circulatory problems Offer screening for fetal chromosomal abnormalities You do not have the permission to view this presentation. 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Chapter 09 narrated jenna07 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 208 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: March 01, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Chapter 9 : Chapter 9 The Prenatal Assessment Prenatal Period : Prenatal Period Maternal reactions Ambivalence Maternal self-preservation World Health Report “Make Every Woman and Every Child Count” Prenatal care Societal support of pregnant women CAREing for the Patient : CAREing for the Patient Nurse’s role Communicate Advocate Empower women Help woman become informed recipient of care Facilitate shared decision-making Stress and Pregnancy : Stress and Pregnancy Nurse’s role Focus on communication, personalized care, education Provide support Offer stress management techniques Gain woman’s confidence Healthy People 2010 : Healthy People 2010 Access to care Barriers to service Health insurance Health provider barriers System barriers Social disparities The First Prenatal Visit : The First Prenatal Visit Nurse’s Role—First Prenatal Visit : Nurse’s Role—First Prenatal Visit Build positive, nonthreatening relationship Therapeutic communication Avoid medical/technical jargon Provide user-friendly service Goal: to explain purpose of prenatal care; to establish specific goals Comprehensive Health History : Comprehensive Health History Biographical data Social history—intimate partner violence and drug use Psychological assessment Obstetric history Current pregnancy Signs and Symptoms of Pregnancy : Signs and Symptoms of Pregnancy Presumptive Amenorrhea Nausea/vomiting Urinary frequency Breast tenderness Probable Piskacek sign Hegar sign Chadwick sign Pregnancy Tests : Pregnancy Tests Positive Signs of Pregnancy : Positive Signs of Pregnancy Fetal heartbeat Fetal movements Visualization of fetus Estimated date of birth (EDB) : Estimated date of birth (EDB) Naegele’s rule History Intercourse/signs and symptoms Date of last normal menstrual period Date of positive home pregnancy test Pregnancy Classification System : Pregnancy Classification System Gravid/gravida/gravidity Nulligravida Primigravida Multigravida Parity GTPAL classification system Medical History : Medical History Medical conditions Dental health Eye health Immunizations Hepatitis B infection Environmental hazards Gynecological History : Gynecological History DES exposure Breast surgery/cancer/lumps/biopsies History of rape, abuse Gynecological History : Gynecological History Infertility Surgeries Therapeutic/elective pregnancy terminations History of STIs Cervical pathology Screening and Diagnostic Tests : Screening and Diagnostic Tests Screening Rh factor, antibody screen Sexually transmitted infections HIV Cervical cancer Diagnostic To confirm presence of disease Prenatal Physical Examination : Prenatal Physical Examination Prepare patient and environment Obtain consent to be examined Ongoing interaction General assessment Nutritional assessment Abdominal palpation Focused Obstetrical Examination : Focused Obstetrical Examination Head, neck, lungs Skin Breasts Abdomen Uterine size, fetal position, fundal height Vagina and pelvis Leopold Maneuvers : Leopold Maneuvers First: determine fetal body part that occupies uterine fundus Second: determine location of fetal spine Third: compare fundus with lower uterine segment Fourth: determine ballottement; engagement Fetal Heart Auscultation : Fetal Heart Auscultation 120 to 160 beats per minute Fetoscope Doppler ultrasound stethoscope Electronic fetal monitoring for high-risk pregnancies Non-stress test Subsequent Prenatal Examinations : Subsequent Prenatal Examinations Maternal weight gain/edema Blood pressure Urine Uterine growth Fetal heart tones Fetal movements and presentation Assessing Special Populations : Assessing Special Populations Teenage Pregnancy : Teenage Pregnancy Nurse’s role Heighten public awareness Empower women/families to reduce unwanted pregnancies Advocate for responsible sexual behavior Impact on society Teenage Pregnancy : Teenage Pregnancy Cultural influences Identifying adolescents at risk Impact on developmental tasks Delayed entry into care Nursing Care of Pregnant Adolescent : Nursing Care of Pregnant Adolescent Assessment Closely monitor for iron deficiency anemia, STIs, preeclampsia High-risk behaviors Knowledge regarding personal care and care of infant Promote optimal nutrition The Older Gravida: Considerations in Pregnancy : The Older Gravida: Considerations in Pregnancy Identify chronic medical conditions Identify detrimental lifestyle habits Physical examination: focus on breasts and circulatory problems Offer screening for fetal chromosomal abnormalities