WEEK 5: Health Promo during Preg

CREATED BY S.I.

ADL

we need to ensure that mother is independent w her ___ while promoting a healthy lifestyle for herself and the fetus

1. Bathing and Skin care

2. Dental care

3. Perineal hygiene

4. clothing

5. sexual activity

6. exercise/physical

7. sleep

8. work/employment

9. travel

10. medications

11. immunization

12. nutrition

12 aspects on health promotion during pregnancy

warm baths

what type of bath is encouraged for women daily

- avoid soaps and pat dry nipples

instruction for bathing

soaps

have drying effect and can cause excoriation (bathing)

tub baths

bath that should be avoided; can cause injuries from accidental slipping bc preg have difficulty in maintaining balance

non-slip rubber mats

to prevent falls if doing tub baths

bath tubs

contraindicated when client has ruptured bag of water or amniotic sac has alr ruptured or has bloody discharges

estrogen

increase vascularity of gums and cause swelling

soft-bristled toothbrush and gentle brushing

what to use for dental care

postpartum period

until when should major dental surgeries be postponed to

douching

obsolete practice and not advisable to manage vaginal discharge

daily bath

will suffice keeping perineal hygiene

support pantyhose

clothing that can be worn for varicosities

clothing for pregnant women

● Wear loose, comfortable clothes made of cotton. Avoid restrictions around the breasts, abdomen, legs, and round garter.

● Wear moderate to low-heeled shoes for comfort and balance.

● They may wear support pantyhose for varicosities, but avoid knee-length stockings.

● Use supportive cotton-line brazier.

coitus

not generally contraindicated except in the presence of premature rupture of membranes, premature labor, history of abortion and bleeding, late pregnancy with engaged fetal head, and incompetent cervix.

side-lying position

position for sexual activity to avoid fatigue

standing position and not supine

what position during exercise to avoid vena cava syndrome

excessive exercise

cause increased blood flow to the uterus, placenta, and fetus; cause elevated temp which is theoretically teratogenic

3x a week, 30 consecutive mins (5 min warm up, 20 min regular exercise, 5 min cool down)

when to exercise

8 hours

average number of sleep

1-3 hrs

for afternoon nap

supine position in bed

in 2nd half of pregnancy, avoid what position

left sim's elevate w pillow, and pillow on right side

what position in bed for sleeping instead of supine

true (provided the nature of work, work area, and conditions do not pose hazards to the health of the

mother and fetus)

pregnant women may continue working

TRUE OR FALSE

stop over every hour or 2

long distance travel for pregnant women needs what

right way to wear seat belt

yes

pressurized planes

what planes are needed

medical certificate indicating fitness to travel by air

late pregnancy airlines require what

2nd trimester

best time to travel through air

intake of illicit drugs

in first trimester ca cause most adverse fetal malformation

hard drugs

may cause growth retardation and drug withdrawal which is associated with increase neonatal mortality

withdrawal or neonatal abstinence syndrome

Common harmful effect of heroine to neonase

illegal drugs

carry risk of acquiring HIV and other STD

herbal supplements

not lalways safe bc of lack consistent potency in active ingredient

approved or supervised by heatlh care provider

general rule for natural herb

true

vaccines that contain killed or inactive viruses can be given during pregnancy

live viruses

what kind of viruses should pregnant women not get?

- flue (influenza) shot

- tetanus toxoid, reduced diphtheria toxoid, and cellular pertussis (TDAP)

2 vaccines recommended during pregnancy

flu (influenza) shot

recommended if pregnant during flu season

TDAP vaccine

One dose is recommended during each pregnancy to protect the newborn from whooping cough or pertussis, these are given within 27 to 36 weeks AOG

TT1

- 20th weeks AOG

- 0%

- protection for mother for first delivery

TT2

- 4 weeks later

- 80%

- infants born to mother will be protected from NEONATAL TETANUS

- gives 3 year protection for mother

TT3

- 6 months later

- 95%

- infants born to mother will be protected from neonatal tetanus

- 5 years protection for mother

TT4

- 1 yr later

- 99%

- infants born will be protected from neonatal tetanus

- 10 yrs protection for mom

TT5

- 1 yr later

- 99%

- lifetime protection for mom

- all infants born to mother will be protected

2 doses of TT one month apart; 5 DOSES

If the woman if not previously vaccinated or immunization status is unknown, healthcare provider gives _____ before delivery and further doses, a total of five doses

1 tt b4 delivery

if px has 4 vax in past healthcare, provider will only give 1 tt before delivery

■ Pregnant teenagers

■ With low prepregnant weight ; obese

■ Low income women, stressful lifestyle

■ Vegetarians

women that need special attention on nutrition

PIca

- behavior we need to look

- craving for something that isn't food

pica

- symptom; accompanies IRON DEFICIENCY ANEMIA

iron supplement

may solve pica

25-35 pounds

recommended average weight gain in pregnancy

37-54 pounds

weight gain for multiple gestation

15-25 pounds

weight gain for overweight mom

11-20 pound

weight gain for obese mom

1.5 pound/month

weight gain during 1st trimester

1 pound/week

weight gain during 2nd and 3rd week

3-12-12

trimester pattern for weight gain

3 kg/6.6 lbs per month

general rule for excessive weight gain during 2nd and 3rd trimester

less than 1 kg/month during 2nd and 3rd trimester

unusual weight gain

7 pounds

fetus weight

1 pound

placenta weight

1.5 pounds

amniotic fluid weight

2 pounds

weight of uterus (gravid uterus)

1 pound

blood volume weight

1.5-3 pounds

breast weight

2 lbs

weight of additional fluid

4-6

fat and fluid accumulation

20=25 pounds

average total of weight gain of fetys

1800 kcal-2200 kcal/day

non pregnant women need how many kcal

2100-2500 kcal/day

daily caloric need for pregnant women

300 kcal

additional caloriess needed for preg women

74-76g/day

protein requirement

200-300 mg (omega-fatty acid)

fats requirement

10000 IU/day

vit a requirement

85 mg.day

vitamin c requirement

400 mcg/day

folic acid requiement

30-60 mg.day

iron requirement

1200 mg/day

calciumr euqirement