Which hormone stimulates the growth of the endometrium in preparation for

Which hormone stimulates the growth of the

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Which hormone stimulates the growth of the endometrium in preparation for implantation? A. EstrogenB.Follicle-stimulating hormoneC.Luteinizing hormoneD.Progesterone
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MATERNAL – NEWBORN NURSING WK1 CH 3, 4, & 5 CH 4 – PHYSIOLOGICAL ASPECTS OF ANTEPARTUM DIAGNOSIS OF PREGNANCY Based on a combination of the following o Presumptive signs : Subjective o Probable signs : Perceived by HCP o Positive signs : Objective signs attributed to the fetus (noted by the HCP) – ULTRASOUND = ONLY SIGN THAT WILL CONFIRM THAT WOMAN IS PREGNANT, also fetal tone Calculating Due Date (Naegele’s Rule Formula) o LMP – 3 months + 7 days = EDD PHYSIO CHANGES OF PREGNANCY Gastrointestinal system Musculoskeletal system Integumentary Endocrine system Respiratory Cardiovascular Renal Reproductive MATERNAL POSITION & BLOOD FLOW PRENATAL CARE Essential for ensuring overall health of newborns & moms ↓Low birth weight babies ↓Complications Should be initiated early Purpose o Establish baseline of present health o Determine gestational age of fetus o Monitor fetal development o ID women at risk for complications o Minimize risk of possible complications o Provide time for education ***Schedule of Prenatal Visits*** o Every 4 weeks for first 28 weeks of gestation o Every 2 weeks until 36 weeks of gestation o Every week from 36 weeks until birth
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MATERNAL – NEWBORN NURSING WK1 CH 3, 4, & 5 o First Prenatal Visit – What Happens? Establish rapport & trust Extensive health history Screening tool that IDs factors that may adversely affect the pregnancy Family/social profile/socioeconomic History of past illness, family illnesses, current medical history Gynecologic history Obstetric history Identify high risk factors Lab Work CBC ABO & Rh type Antibody screen Rubella titer VDRL or RPR (syphillis) Hepatitis B surface antigen Gonorrhea culture Chlamydia culture HIV screen Urine: glucose, protein & ketones by dipstick. Urinalysis: RBCs, leukocytes, bacteria ^^^ ABOVE LABS ARE DONE DURING FIRST TRIMESTER ^^^ Glucose tolerance test is done between 24-28 wks to test for presence of gestational diabetes Alpha-fetoprotein @ 14wks** Group Beta Strep (GBS)- 35-37 weeks; no s/s of infection, nontransferable, just commonly found in perineal area and it’s related to hormones and alters with vaginal flora! IMPORTANT TO ID BC ITS DETRIMENTAL TO HEALTH OF NEONATE (NOT FETUS) could develop meningitis and die within 6 months of life o Tx: antibiotics during labor/ onset of labor IV ANTIBIOTICS drug of choice = ampicillin (2g IVPB x1 or STAT then change to 1g IVPB Q4 up until she delivers) o Important to tx her even if result is still pending, but she’s in labor Or even if she hasn’t been tested at all! Better to be safe than sorry Hereditary disease screening o Sickle cell o Tay-sachs o Cystic fibrosis ASSESSMENT OF GROWTH & DEVELOPMENT (CONFIRM DATING OF PREGNANCY) Estimating fetal growth: o Fundal height: symphysis to top of fundus o McDonald’s Rule: Between wks 22-34 fundal height in cms should match no. of weeks gestation (± 2 cm)
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