Nur 2633 Maternal Child Health Nursing Mch Final Study Guide

NUR 2633: Maternal Child Health Official Study Guide - Test 4 (Final Exam ) -1. Dysmenorrhea - a common complaint with women - what are the non-pharmacological and pharmacological treatments. Dysmenorrhea- painful menses Non pharmacological-heat, exercise, increase calcium Pharmacological- NSAIDs2. Obstetrical issues - pregnancy risks - Know Naegles Rule - to establish gestational age Naegles Rule is first day of last missed period subtract 3 months add 7 days and add oneyear Fundal height(14 weeks just above the symphysis), 12 weeks embryonic stage organ development, 10-12 weeks heart tones, movement starts at 16 weeks multigravida, 18 weeks primigravida3. Poor nutrition, drugs, HTN, DM are all issues of perfusion - what will the fetal result be. IUGR are large head skinny not much brown fat had poor perfusion Small for gestational are proportional have brown fat Macrosomic- body as big as head, worried about birth injuries they usually come from uncontrolled diabetic, Poor lung maturity, hypoglycemic(jittery, lethargy) Meconium staining- post dates because of stress4. Anemia becomes a problem in pregnancy - can you discuss the maternal and fetal risks Most pregnant women have anemia, normal phenomenon, plasma volume goes up not RBC volume so women become anemic, iron supplements Constipation- they