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By Debra Buie RN, MSN

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1 Perception of pregnancy Family support system Womans knowledge of pregnancy Coping mechanisms

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1 Attitude toward medicated/unmedicated birth Attitude on acceptable sexual behavior Occupation History of abuse

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1 Assess need for basic info Explain procedures VS Height & Weight Empty bladder Head to toe

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2 Signs of pregnancy

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2 Reproductive Cardiovascular Respiratory Renal Integumentary Musculoskeletal Neurologic Gastrointestinal (Pica)

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3 Weight gain Energy intake 8 glasses of water Minerals, Vitamins & Electrolyte

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3 Folic acid > Neural tube defects Inadequate weight gain > Intrauterine Growth Retardation (IUGR) Underweight >Preterm labor > LBW Obesity > Preeclampsia Dietary restrictions > Ketones > Preterm labor Pica > Anemia

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Daily US MRI Amniocentesis PUBS CVS

fetal movement count

Full

Bladder Amnio- fetal maturity, genetic problems, fetal hemolytic disease.

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MSAFP Coombs NST CST

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Tylenol Benadryl,

Claritin Sudafed, Robitussin, Tylenol Cold Colace, Metamucil, Milk of Magnesia Imodium Maalox, Tums

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6 Note effects and Nursing Implications of medications on previous slides

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7 Hygiene Prevention of UTI Kegel exercises Prep for breastfeeding Dental

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7 Activity Posture & body Mechanics Intercourse Employment Clothing & Travel Immunizations Symptoms to report

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8 P- 254-256; Table 11-2