#2 Powerpoint 231
- 1. Psychologic Response to Pregnancy - Maternal Ambivalence Acceptance Sense of pride
- 2. Paternal Responses Initial excitement Reaction to physical change Preparation for birth Couvade Syndrome
- 3. First Trimester Common Problems Nausea and vomiting Urinary frequency Fatigue Breast tenderness Nasal stuffiness & epistaxis Ptyalism
- 4. Second and Third Trimesters Pyrosis Ankle edema Varicose veins Flatulence Hemorrhoids Constipation Backache Leg cramps
- 5. Second and Third Trimesters Faintness SOB Difficulty sleeping Ligament pain Carpel tunnel syndrome
- 6. Initial Prenatal Visit History current pregnancy past pregnancies GYN history medical history family history religion / culture occupation partner history personal information Physical Examination vital signs height / weight head to toe exam pelvic exam / cultures Blood work urinalysis
- 7. Patient Teaching Danger signals Clothing Bathing Employment Travel Activity & Rest Exercise Sexual activity
- 8. Nutrition Prepregnancy weight Maternal weight gain Nutritional requirements calories carbohydrates protein fats minerals vitamins
- 9. Factors Influencing Nutrition Eating disorders Vegetarian Lactose Intolerant Pica Cultural, ethnic and religion Socioeconomic Education
- 10. Return Visits Every 4 weeks in 1 st and 2 nd trimesters Every 2 weeks from 29 to 36 weeks Weekly after 36 weeks
- 13. Assessment of Fetal Well Being Ultrasound Fetal movement Nonstress test Contraction stress test Biophysical profile Alpha – fetoprotein Amniocentesis CVS
- 14. Sonogram
- 16. Non Stress Test
- 17. Biophysical Profile Non Stress Test Fetal Breathing Movements Gross Body Movements Fetal Tone Amniotic Fluid Volume Scored 0-2