NUR 323 Lecture Notes - Lecture 7: Episiotomy, Teratology, Abdominal Pain
Document Summary
Time immediately before conception through period of organogenesis. Time between end of one pregnancy and beginning of next. Identify conditions that could adversely affect pregnancy: reproductive life plan. Reflection of intentions about number and timing of pregnancies in context of personal values/life goals. Tobacco (promote smoking cessation), alcohol (no amount is safe), illicit substances. Caffeine (2 cups or less), artificial sweeteners. Nutritional assessment: preferences (personal, cultural, cravings/aversions, special diets) Nutritional elements: calories (extra 300kcal/day needed, protein, water (8-10 eight ounce glasses of fluid daily, minerals and vitamins. To reduce risk of ntds: 400mcg for all women of childbearing age; 800 mcg in pregnancy. First trimester, average maternal weight gain 1-2. 5 kg (2. 2-5. 5 pounds) Thereafter recommended weight gain for woman of normal weight is ~0. 4 kg/week: overweight: ~0. 3 kg/week, underweight: ~0. 5kg/week. May signal deficiencies in iron, vitamin c & d, calcium, zinc, niacin, thiamine: anorexia nervosa, bulimia nervosa. Vegetarian diets: may have low protein, calcium, iron, zinc and vitamin b12.