<p>Guided Lecture Notes</p><p>Chapter 12: Nursing Management During Pregnancy</p><p>Learning Objective 1. Define the key terms in this chapter. (Refer to Written </p><p>Assignment 2) </p><p> Review the list of key terms at the beginning of the chapter.</p><p> Correlate the key terms to what is discussed in the chapter.</p><p>Learning Objective 2. Identify the information typically collected at the initial prenatal visit. (Refer to Group Assignment 1; Clinical Assignment 1; Case Study; Discussion </p><p>Topics 1; Test Generator Questions 2, 7, 8; Pre-Lecture Quiz T/F 1) </p><p> Explain the importance of preconception care. </p><p> Identify risk factors associated with adverse pregnancy outcomes. (Refer to </p><p>PowerPoint Slide 2) </p><p> Describe the nursing management associated with preconception care. (Refer to </p><p>PowerPoint Slide 3) </p><p> Discuss the benefits of the initial prenatal visit. (Refer to PowerPoint Slide 4) </p><p> Explain the various types of information obtained during the comprehensive health </p><p> history. (Refer to PowerPoint Slide 4) </p><p> Identify key components to be covered when obtaining the woman’s past history.</p><p> Describe the key areas to explore as part of the woman’s reproductive history, </p><p> including: </p><p> o Menstrual history (refer to PowerPoint Slides 5, 6) o Obstetric history</p><p> o Gynecologic history</p><p> Review how to determine EDB using Nagele’s rule. (Refer to PowerPoint Slide 7) </p><p> Explain the terminology used for an obstetric history and give examples. (Refer to </p><p>PowerPoint Slides 8, 9)</p><p> Describe the physical examination. (Refer to PowerPoint Slides 12, 13)</p><p> Identify the typical assessment findings of the pelvic examination. (Refer to </p><p>PowerPoint Slide 13)</p><p> Discuss the importance of pelvic shape and size on pregnancy and birth.</p><p> List the typical laboratory tests performed on the initial prenatal visit. (Refer to </p><p>PowerPoint Slide 14)</p><p>Learning Objective 3. Explain the assessments completed at follow-up prenatal visits. </p><p>(Refer to Clinical Assignment 1; Case Study; Test Generator Questions 4, 5; Pre-</p><p>Lecture Quiz T/F 2, 3) </p><p> Review the usual schedule for follow-up visits, including assessments completed with</p><p> each visit. (Refer to PowerPoint Slides 15, 16)</p><p> Describe fundal height measurement and its significance.</p><p> Explain the methods for determining fetal movement.</p><p> Demonstrate fetal heart rate auscultation. </p><p> 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; </p><p>Test Generator Questions 6, 9, 10, 15; Pre-Lecture Quiz T/F 3, 4, 5; Pre-Lecture </p><p>Quiz FitB 2, 3) </p><p> Review the common laboratory tests performed during the prenatal period.</p><p> Discuss the following tests to determine fetal well-being, including when performed, </p><p> information obtained, risks to mother or fetus, and nursing management (refer to </p><p>PowerPoint Slide 19):</p><p> o Ultrasound</p><p> o Doppler flow studies</p><p> o Alpha-fetoprotein analysis</p><p> o Marker screening tests</p><p> o Nuchal translucency screening</p><p> o Amniocentesis</p><p> o Chorionic villi sampling</p><p> o Percutaneous umbilical blood sampling</p><p> o Nonstress test</p><p> o Contraction stress test</p><p> o Biophysical profile </p><p>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 </p><p>Questions 1, 11, 12, 13, 14; Pre-Lecture Quiz FitB 1) </p><p> Identify the common discomforts of pregnancy by trimester. (Refer to PowerPoint </p><p>Slides 20 to 22)</p><p> Explain the physiological basis for each discomfort.</p><p> Describe nursing management, including client teaching, for each of the discomforts. </p><p> Emphasize that pregnancy is a time of health, not illness.</p><p> Outline the common measures for health promotion and maintenance to be addressed </p><p> with pregnant women (refer to PowerPoint Slides 23, 24):</p><p> o Personal hygiene</p><p> o Perineal care</p><p> o Dental care</p><p> o Breast care</p><p> o Exercise </p><p> o Sleep and rest</p><p> o Sexual activity</p><p> o Employment</p><p> o Travel </p><p> o Immunizations and medications Learning Objective 6. List the key components of perinatal education. (Refer to Clinical</p><p>Assignment 2; Web Assignment 1; Discussion Topics 2; Test Generator Questions 3;</p><p>Pre-Lecture Quiz FitB 4, 5)</p><p> Define the term perinatal education. </p><p> Describe the usual components of childbirth education classes.</p><p> Compare and contrast the Lamaze, Bradley, and Dick-Read methods of childbirth. </p><p>(Refer to PowerPoint Slide 27)</p><p> Identify the options available for birth settings and care providers. (Refer to </p><p>PowerPoint Slide 28)</p><p> List the advantages and disadvantages of breast-feeding. (Refer to PowerPoint Slide </p><p>29)</p><p> Explain the measures needed, including client education, to prepare a woman for </p><p> breast-feeding.</p><p> Discuss the teaching needed for parents who choose bottle feeding.</p><p> Explain the information to be addressed as final preparation for labor and birth. </p>