the expectant family
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The Expectant Family . Chapter 11. Common Discomforts of Pregnancy. Constipation Nausea/Vomiting Rest Urinary frequency Breast tenderness Fatigue Increased vaginal discharge. Anticipatory Guidance. Involve father in PNC What to expect Encourage to attend classes

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common discomforts of pregnancy
Common Discomforts of Pregnancy
  • Constipation
  • Nausea/Vomiting
  • Rest
  • Urinary frequency
  • Breast tenderness
  • Fatigue
  • Increased vaginal discharge
anticipatory guidance
Anticipatory Guidance
  • Involve father in PNC
  • What to expect
  • Encourage to attend classes
  • Assess family unit i.e. siblings
relief of common discomforts
Relief of Common Discomforts
  • Morning sickness-cause by increase in hCG
  • Small frequent meals, avoid lying, take OTC meds
  • Assess for S/S of dehydration
  • Urinary frequency
  • Report burning, urgency, pain, and blood
  • Intake= 2000 cc /day. Do not decrease fluid intake
relief of common discomforts5
Relief of Common Discomforts
  • Fatigue- presumptive, difficult to rest and sleep
  • Breast tenderness- increase in estrogen and progesterone
  • Leukorrhea- hyperplasia of vaginal discharge.
  • Epitaxis and nasal stuffiness- increase estrogen.
  • NI- use vaporizer, no meds
  • Ptyalism- bitter saliva
second and third trimester
Second and Third Trimester
  • Pyrosis- heartburn
  • Causes – progesterone, decrease in gastric motility, relaxation of cardiac sphincter
  • Use low sodium antacids
  • Ankle edema-slow venous return
  • Avoid prolonged sitting, standing, hot weather
  • Assess for proteinuiria and hypertension
second and third trimester7
Second and Third Trimester
  • Varicosities-weak vein wall or incompetent valves.
  • Wear support stocking, avoid standing and sitting
  • Hemorrhoids-varicosities of rectal vein
  • DO NOT STRAIN
  • Constipation- caused by progesterone, iron, fetal growth, displacement of intestines.
  • Give stool softeners
second and third trimester8
Second and Third Trimester
  • Dyspnea-pressure on diaphragm
  • Primigravida experience lightening (few weeks)
  • Round ligament pain
  • Carpal tunnel- pressure on median nerve
  • Provide anticipatory guidance
self care
Self Care
  • Monitor fetal movement
  • Breast care- supportive bra and nipple preparation
  • Clothing- not too tight
  • Bathing- avoid hot water, slippery surfaces
  • Working
  • Avoid travel if high risk
  • Balance rest and exercise
exercises
Exercises
  • Pelvic tilt- press back to floor
  • Abdominal exercise
  • Kegel- lift perineal muscles
  • Prevents urinary (cystocele) and fecal (rectocele) incontinence
sexual activity
Sexual Activity
  • Avoid if high risk
  • Openly discuss feelings
  • Explore other forms of intimacy
teratogens
Teratogens
  • Avoid medications in first trimester
  • Cat. A- no fetal risk
  • Cat B- human studies support use- low risk
  • Cat C- no adequate studies or risk to animals
  • Cat D- harmful but benefits must outweigh risks
  • Cat. X
teratogens13
Teratogens
  • Tobacco- associated LBW, PTL
  • Alcohol- FAS
  • Caffeine- use in moderation
  • Marijuana- r/t poly substance abuse
  • Cocaine- abruption, SGA, fetal distress, withdrawal
older couples
“Older” Couples
  • Over 35
  • Better educated and financially stable
  • Risks r/t preexisting conditions
  • PIH, GDM, genetic abnormalities
  • May be more assertive with provider
  • Screening-MFSAP, estriol, hCG, amniocentesis
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