NURSING 265 Lecture Notes - Lecture 7: Costovertebral Angle Tenderness, Stretch Marks, Fundal Height
Document Summary
Fetal heart tones are heard at a normal baseline rate of 110 to 160/min with reassuring fhr accelerations noted, which indicates an intact fetal cns. Dark line of pigmentation from the umbilicus extending to the pubic area. Stretch marks most notably found on the abdomen and thighs. Best to start before pregnancy when possible, begin folic acid therapy. Determine estimated date of birth based on the last menstrual period. Obtain medical, ob, family history (hypertension, diabetes, cancer, heart problems, genetic problems), psychosocial, exercise, diet, and nursing history to include social supports, and review of systems (to determine risk factors). Perform a physical assessment to include a client"s baseline weight, vital signs, and pelvic examination. Assess for costovertebral angle tenderness to identify kidney infection. Monitoring weight, blood pressure, and urine for glucose, protein, and leukocytes. Measure fundal height after 12 weeks of gestation. Vaccination during pregnancy with live or attenuated live viruses is contraindicated, such as: mumps, rubella, and chickenpox.
