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cr_PromotingFetalandMaternalHealth.doc

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Promoting Fetal and Maternal Health Promoting Fetal and Maternal Health  The health of the fetus and mother are directly linked.  A woman who eats well and takes care of her own health provides a healthy environment for fetal growth and development.  Education is a major role in nursing care.  Providing empathetic and accurate advice.  Alert for danger signs of pregnancy and current teratogens. Health Promotion  The nurse will help the family maintain a state of wellness throughout the pre
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  Promoting Fetal and Maternal HealthPromoting Fetal and Maternal Health   The health of the fetus and mother are directly linked.  A woman who eats well and takes care of her own health provides a healthy environment for fetal growth and development.  Education is a major role in nursing care.  Providing empathetic and accurate advice.  Alert for danger signs of pregnancy and current teratogens.Health Promotion   The nurse will help the family maintain a state of wellness throughout the pregnancy and into early parenthood.  ursing Process!  Assessment egins efore pregnancy  Plan# goals and outcomes$realistic%.  &mplementation# teaching is one of the major interventions.  Evaluation# ongoing process aided y regular prenatal health care visits.'elf#(are eeds  Pregnancy is not an illness so common sense a out health care isall that is re)uired.  urse must e alert to misunderstandings* separate fact from +ction and prevent unnecessary restrictions.  ,athing!  sweating increases  increased vaginal discharge  encourage daily athing* shower is est  restrict tu ath if cervi- dilated ruptured mem ranes or vaginal leeding.  ,reast (are!  wear a +rm supportive ra with wide straps to spread the weight across the shoulders.  week / colostrum secretions egin0 wash daily with clear tap water $no soap% and dry.  May need gau1e s)uares or reast pads inside ra.  2ental (are!  see dentist regularly  good tooth rushing $gingival tissue tends to hypertrophy during pregnancy%.  Perineal Hygiene!  increased vaginal discharge   douching is contraindicated due to risk for infection and lowers pH.  2ressing!  common sense and comfort.  avoid garters* +rm girdles with panty legs* knee#high stockings* anything e-tremely restricting.  3ear shoes with a moderate to low heel.  'e-ual Activity!  ask if she has any )uestions  dispel the myths  intercourse is not harmful to the child  if she has a history of miscarriage she may avoid coitus during this time in the pregnancy when a previous miscarriage occurred.  mem ranes ruptured or vaginal spotting may lead to infection  caution a out male oral#female genital contact  decreased se-ual desire due to increased estrogen levels  reast tenderness  increased clitoral sensation  new positions for intercourse  caution a out 'T24s  E-ercise!  prevents circulatory stasis in lower e-tremities  e-treme e-ercise is associated with lower irth rate.  daily e-ercise is recommended for 56 minutes0 walking is est.  woman can continue any sport she participated in efore pregnancy e-cept contact sports.  Avoid aero ics* jogging* hot tu s or saunas.  'leep!  needed for uilding new ody cells and increased meta olic demand  may need rest periods during the afternoon  modi+ed 'ims4 position is est. This puts the weight of the fetus on the ed and allows good circulation in the lower e-tremities  avoid supine position due to supine hypotension syndrome  avoid sitting or lying with knees sharply ent due to increased risk of venous stasis elow the knee.  Employment!   There are few reasons women cannot continue to work throughout pregnancy.  'ome reasons involve e-posure to to-ic su stances* lifting heavyo jects* e-cessive physical strain* long periods of standing* or having to maintain ody alance.   Pu lic 7aw 89#999 in 8:;  Family 7eave Act passed in 885   Travel!  early in normal pregnancy # no restrictions  late in pregnancy0 possi ility of early la or  know the nearest health care facility  if e-tended period of time* medical records need to e copied and prenatal visits continued and ade)uate prescriptions.  fre)uent rests ) #< hours.  wear seat elt under a dominal ulge  check air travel restrictions and immuni1ations needed for destination.2iscomforts of Early Pregnancy   These symptoms may not seem minor to the pregnant woman.   They may lead to more serious pro lems if not monitored ade)uately.  7istening* o serving and developing a nursing diagnosis ased on assessment data.  ,reast Tenderness!  one of the +rst symptoms noticed  wear proper ra  avoid cold drafts  Palmar Erythema!  constant redness or itching of the palms  caused y increased estrogen levels* will disappear once her ody adjusts.  (alamine lotion may help  (onstipation!  weight of the growing fetus presses against the owel and slows peristalsis.  encourage regular ,M4s  increase roughage and water  Avoid =T( drugs $(olace or glycerin suppositories may e prescri ed%.  ausea* >omiting and Pyrosis!  Fatigue!  common in early pregnancy  due to increased meta olic re)uirements  increase rest and sleep   short rest period during the day  Muscle (ramps!  decreased serum calcium levels* increased serum phosphorus levels and circulatory interference cause cramps to legs.  relieved y woman lying on ack* and e-tending involved leg while keeping knee straight dorsi?e- foot until pain is gone  may need @-. for aluminum hydro-ide gel $Amphojel% which inds to phosphorus in intestinal tract and lowers levels  lower milk intake to  pint day and addcalcium lactate will reduce phosphorus levels  elevate legs fre)uently  Hypotension!  supine hypotension  lood pooling in the pelvic area or lower e-tremities  raise slowly and avoid standing for long periods of time.  >aricosities!  due to pressure from the fetus on the veins returning lood from the lower e-tremities.  causes pooling of lood in the vessels  veins ecome engorged* in?amed and painful  can e-tend to the vulva  rest in 'ims4 position or on ack with legs raised against the wall or on foot stool for 9 to <6 minutes twice a day.  avoid crossing legs or knees ent  avoid knee high hose or garters  may need medical support hose $apply efore arising%.  e-ercise and walk < times a day  increase vitamin ( with fresh fruit  Hemorrhoids!  due to pressure on veins from the uterus  daily ,M4s  'ims4 position or knee chest position for 6 to 9 minutes  stool softeners* witch ha1el or cold compresses  Heart Palpitations!  with sudden movements  due to circulatory adjustments for increased lood supply during pregnancy  encourage slow gradual movements  Fre)uency of Brination!  due to pressure of uterus on anterior ladder  lasts for 5 months then returns again in late pregnancy
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