Unit 1: Antepartum

Worksheet/Note Taking Aid

Chapter 11
1. Explain the presumptive, probable and positive signs of pregnancy. Give
examples of each.
2. How do pregnancy tests work?
3. Terms to know:
a.
b.
c.
d.

Ballottement
Hegars sign
Goodells sign
Chadwicks sign

4. Discuss the physiologic changes/adaptations a pregnant woman would

experience in the following organs/body systems (refer to book and notes
from class activity):
a. Vagina
b. Breasts
c. GI /mouth/digestion
d. CV
e. Respiratory
f. Urinary
g. MS
h. Skin
i. Pancreas
5. Highlight the nutritional needs of a woman during pregnancy. If you were
providing dietary counseling to a healthy pregnant woman with a normal BMI,
what information would you give about weight gain and food choices? What
about for a woman with an elevated BMI?
How could you demonstrate cultural competence if you were providing
dietary counseling to a woman from a particular cultural group different from
your own? How familiar are you with different ethnic foods?
What are some of the most important nutrients for a pregnant woman to
incorporate into her nutrition plan for her developing baby? Are there any
foods she should avoid? What is pica?
6. Discuss the emotional responses and psychosocial adaptations a woman may
experience during pregnancy.
7. Discuss Rubins Maternal Role Tasks.
Chapter 12:

1. What is preconception care and why is it important? Imagine you are the
nurse providing preconception counseling to a woman who is considering
pregnancy within the next year. What information would you want to share?
The following questions refer to Ms. Andersons case study from class:
2. What information about managing first trimester discomforts can the nurse
share with Ms. Anderson?
3. How can the nurse promote Ms. Andersons self-care during the pregnancy?
What are the important topics to teach?
4. As Ms. Anderson progresses through her pregnancy, what information can the
nurse share with her about second and third trimesters discomforts?
5. Ms. Anderson expresses interest in childbirth education (CBE) classes but
lacks knowledge about the different types. She also inquires about her
options for providers and birth settings. What information can the nurse
share with Ms. Anderson about perinatal education, care providers and birth
settings? Summarize information about the three major methods of CBE:
a. Lamaze Method
b. Bradley Method
c. Dick-Read Method
6. Ms. Anderson is unsure if she will breastfeed or bottle feed. How should the
nurse educate Ms. Anderson about infant feeding? How can she balance the
facts with remaining respectful of her patients decisions?

Assessment of Fetal Well-Being

Antepartum
Test
Fetal

Description of
procedure

Indications

Timing in
pregnancy

Nursing
notes/management

movement
counts
Ultrasonograp
hy
Alpha
fetoprotein
(AFP)
Multiple
marker
screens
(triple-marker
and quad
screen)
Amniocentesi
s
Chorionic
villus
sampling
(CVS)
Percutaneous
Umbilical
Blood
Sampling
(PUBS)
Nonstress
test (NST)
Contraction
stress test
(CST)
Biophysical
profile (BPP)