Prep for preg - discuss attitude toward preg, CBE education, early preg classes, &
include family
QUESTION
12 weeks fetal
Answer:
embryo becomes a fetus
heart discernable by ultrasound lower body develops, sex discernable kidneys
produce urine
fetus weighs 19-28g
QUESTION
12 weeks maternal
Answer:
uterus rises above pelvic brim Braxton Hicks contractions may be felt UTI risk
increases
2-4lbs gain
placenta fully functioning
QUESTION
12 weeks nursing interventions
Answer:
,UTI prevention - 3L/day, void q 2 hrs while awake, void b4 & after sex, wipe front
to back Diet & exercise - increase calories by 300 calories per day, stress value of
regular exercise discuss effects of pregnancy on sex
QUESTION
16 week fetal
Answer:
becomes more proportionate scalp hair appears
meconium in bowel, anus opens
ultrasound can detect bones, joints & muscle movements heart muscle well
developed, blood form active in spleen fibers appear in lungs, bronchioles appear
sense organs differentiated
testes in position to descend, vagina open
QUESTION
16 week maternal
Answer:
quickening - 16-20 weeks
colostrum can be expressed as early as 16 weeks cholesterol increases
insulin resistance rises weight gain 1lb per week
QUESTION
16 week nursing interventions
Answer:
explain maternal serum alpha-fetoprotein test - high levels = neural tube defects &
multiple gestations; low levels = downs
, explain multiple marker or triple screen blood test to detect downs syndrome &
other chromosomal abonormalities
QUESTION
20 week fetal
Answer:
vernix protects body lanugo covers body
eyebrows, lashes & head hair develop fetus sleeps, sucks & kicks
weighs 200-400g
QUESTION
20 week maternal
Answer:
fundus reaches umbilicus
begin secreting colostrum if not already, areola darkens amniotic sac - 400mL
postural hypotension may occur quickening noted if not already
nasal stuffiness, leg cramps, varicose veins & constipation may develop
QUESTION
20 week nursing interventions
Answer:
comfort measures - remain active, sit with feet elevated, avoid pressure on lower
thighs, support stockings, dorsiflex foot to relieve cramps, heat to muscles,
saline nasal spray or cool-air vaporizer for stuffiness
avoid constipation - raw fruit, veggies, cereals with bran; 3L fluids daily, exercise
QUESTION
24 weeks fetal
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