Guided Lecture Notes

Chapter 12: Nursing Management During Pregnancy

Learning Objective 1. Define the key terms in this chapter. (Refer to Written

Assignment 2)

 Review the list of key terms at the beginning of the chapter.

 Correlate the key terms to what is discussed in the chapter.

Learning Objective 2. Identify the information typically collected at the initial prenatal visit. (Refer to Group Assignment 1; Clinical Assignment 1; Case Study; Discussion

Topics 1; Test Generator Questions 2, 7, 8; Pre-Lecture Quiz T/F 1)

 Explain the importance of preconception care.

 Identify risk factors associated with adverse pregnancy outcomes. (Refer to

PowerPoint Slide 2)

 Describe the nursing management associated with preconception care. (Refer to

PowerPoint Slide 3)

 Discuss the benefits of the initial prenatal visit. (Refer to PowerPoint Slide 4)

 Explain the various types of information obtained during the comprehensive health

history. (Refer to PowerPoint Slide 4)

 Identify key components to be covered when obtaining the woman’s past history.

 Describe the key areas to explore as part of the woman’s reproductive history,

including:

o Menstrual history (refer to PowerPoint Slides 5, 6) o Obstetric history

o Gynecologic history

 Review how to determine EDB using Nagele’s rule. (Refer to PowerPoint Slide 7)

 Explain the terminology used for an obstetric history and give examples. (Refer to

PowerPoint Slides 8, 9)

 Describe the physical examination. (Refer to PowerPoint Slides 12, 13)

 Identify the typical assessment findings of the pelvic examination. (Refer to

PowerPoint Slide 13)

 Discuss the importance of pelvic shape and size on pregnancy and birth.

 List the typical laboratory tests performed on the initial prenatal visit. (Refer to

Learning Objective 3. Explain the assessments completed at follow-up prenatal visits.

(Refer to Clinical Assignment 1; Case Study; Test Generator Questions 4, 5; Pre-

Lecture Quiz T/F 2, 3)

 Review the usual schedule for follow-up visits, including assessments completed with

each visit. (Refer to PowerPoint Slides 15, 16)

 Describe fundal height measurement and its significance.

 Explain the methods for determining fetal movement.

 Demonstrate fetal heart rate auscultation.

 Identify key danger signs that pregnant women need to report. Learning Objective 4. Categorize the tests used to assess maternal and fetal well-being, including nursing management for each. (Refer to Written Assignment 1; Case Study;

Test Generator Questions 6, 9, 10, 15; Pre-Lecture Quiz T/F 3, 4, 5; Pre-Lecture

Quiz FitB 2, 3)

 Review the common laboratory tests performed during the prenatal period.

 Discuss the following tests to determine fetal well-being, including when performed,

information obtained, risks to mother or fetus, and nursing management (refer to

PowerPoint Slide 19):

o Ultrasound

o Doppler flow studies

o Alpha-fetoprotein analysis

o Marker screening tests

o Nuchal translucency screening

o Amniocentesis

o Chorionic villi sampling

o Percutaneous umbilical blood sampling

o Nonstress test

o Contraction stress test

o Biophysical profile

Learning Objective 5. Outline appropriate nursing management to promote maternal self-care and minimize the common discomforts of pregnancy. (Refer to Group Assignment 2; Clinical Assignment 3; Discussion Topics 3; Test Generator

Questions 1, 11, 12, 13, 14; Pre-Lecture Quiz FitB 1)

 Identify the common discomforts of pregnancy by trimester. (Refer to PowerPoint

Slides 20 to 22)

 Explain the physiological basis for each discomfort.

 Describe nursing management, including client teaching, for each of the discomforts.

 Emphasize that pregnancy is a time of health, not illness.

 Outline the common measures for health promotion and maintenance to be addressed

with pregnant women (refer to PowerPoint Slides 23, 24):

o Personal hygiene

o Perineal care

o Dental care

o Breast care

o Exercise

o Sleep and rest

o Sexual activity

o Employment

o Travel

o Immunizations and medications Learning Objective 6. List the key components of perinatal education. (Refer to Clinical

Assignment 2; Web Assignment 1; Discussion Topics 2; Test Generator Questions 3;

Pre-Lecture Quiz FitB 4, 5)

 Define the term perinatal education.

 Describe the usual components of childbirth education classes.

 Compare and contrast the Lamaze, Bradley, and Dick-Read methods of childbirth.

(Refer to PowerPoint Slide 27)

 Identify the options available for birth settings and care providers. (Refer to

 List the advantages and disadvantages of breast-feeding. (Refer to PowerPoint Slide

 Explain the measures needed, including client education, to prepare a woman for

breast-feeding.

 Discuss the teaching needed for parents who choose bottle feeding.

 Explain the information to be addressed as final preparation for labor and birth.