What are the psychological tasks of pregnancy for the 1st trimester?
Accepting the pregnancy.
A common reaction is ambivalence or feeling both pleased and not pleased
What is the psychological task for the second trimester of pregnancy?
Accepting the baby.
Anticipatory role-playing is an important activity for mid-pregnancy.
What is the psychological task during the 3rd trimester of pregnancy?
Preparing for baby and the end of pregnancy.
This is when couples usually begin “nesting”.
What are 3 positive signs of pregnancy?
- demonstration of a fetal heart beat separate from the mum
- fetal movements felt by the examiner
- visualisation of the fetus by ultrasound.
What is quickening?
This is the first moment a women feels fetal movement.
What is amenorrhea?
This is the absence of menstruation.
What are the routine antenatal screenings for the 1st trimester?
- screening bloods
- dating ultrasound
- nuchal translucency (screening for tube defects-not diagnostic)
- FVC (family domestic violence) and EPDS (Edinburgh Post-natal Depression screening)
What are the routine antenatal screenings performed during the second trimester?
- fetal anatomy ultrasound
- gestational diabetes screening
What routine antenatal screenings are performed during the 3rd trimester of pregnancy?
- GBS (group b strep)screening
- FDV and EPDS screening
- managing pregnancy complications
What is the role of the nurse in maternal assessment?
- Pregnant?
- Trimester and Parity?
- Encourage discussion of concerns?
- vital signs, urinalysis and fetal movements
- obstetric hx if applicable
- screening emotional health
- antenatal care received
- Know normal parameters
- Report deviations
- Identify risk behaviours
- Promote healthy practices
- Consult Midwife for care directives
