Guided Lecture Notes

Chapter 12: Nursing Management During Pregnancy

Learning Objective 1. Define the key terms in this chapter. (Refer to Written
Assignment 2)
Review the list of key terms at the beginning of the chapter.
Correlate the key terms to what is discussed in the chapter.

Learning Objective 2. Identify the information typically collected at the initial prenatal
visit. (Refer to Group Assignment 1; Clinical Assignment 1; Case Study; Discussion
Topics 1; Test Generator Questions 2, 7, 8; Pre-Lecture Quiz T/F 1)
Explain the importance of preconception care.
Identify risk factors associated with adverse pregnancy outcomes. (Refer to
PowerPoint Slide 2)
Describe the nursing management associated with preconception care. (Refer to
PowerPoint Slide 3)
Discuss the benefits of the initial prenatal visit. (Refer to PowerPoint Slide 4)
Explain the various types of information obtained during the comprehensive health
history. (Refer to PowerPoint Slide 4)
Identify key components to be covered when obtaining the womans past history.
Describe the key areas to explore as part of the womans reproductive history,
including:
o Menstrual history (refer to PowerPoint Slides 5, 6)

o Obstetric history
o Gynecologic history
Review how to determine EDB using Nageles rule. (Refer to PowerPoint Slide 7)
Explain the terminology used for an obstetric history and give examples. (Refer to
PowerPoint Slides 8, 9)
Describe the physical examination. (Refer to PowerPoint Slides 12, 13)
Identify the typical assessment findings of the pelvic examination. (Refer to
PowerPoint Slide 13)
Discuss the importance of pelvic shape and size on pregnancy and birth.
List the typical laboratory tests performed on the initial prenatal visit. (Refer to
PowerPoint Slide 14)

Learning Objective 3. Explain the assessments completed at follow-up prenatal visits.

(Refer to Clinical Assignment 1; Case Study; Test Generator Questions 4, 5; PreLecture Quiz T/F 2, 3)
Review the usual schedule for follow-up visits, including assessments completed with
each visit. (Refer to PowerPoint Slides 15, 16)
Describe fundal height measurement and its significance.
Explain the methods for determining fetal movement.
Demonstrate fetal heart rate auscultation.
Identify key danger signs that pregnant women need to report.

Learning Objective 4. Categorize the tests used to assess maternal and fetal well-being,
including nursing management for each. (Refer to Written Assignment 1; Case Study;
Test Generator Questions 6, 9, 10, 15; Pre-Lecture Quiz T/F 3, 4, 5; Pre-Lecture
Quiz FitB 2, 3)
Review the common laboratory tests performed during the prenatal period.
Discuss the following tests to determine fetal well-being, including when performed,
information obtained, risks to mother or fetus, and nursing management (refer to
PowerPoint Slide 19):
o Ultrasound
o Doppler flow studies
o Alpha-fetoprotein analysis
o Marker screening tests
o Nuchal translucency screening
o Amniocentesis
o Chorionic villi sampling
o Percutaneous umbilical blood sampling
o Nonstress test
o Contraction stress test
o Biophysical profile

Learning Objective 5. Outline appropriate nursing management to promote maternal

self-care and minimize the common discomforts of pregnancy. (Refer to Group

Assignment 2; Clinical Assignment 3; Discussion Topics 3; Test Generator

Questions 1, 11, 12, 13, 14; Pre-Lecture Quiz FitB 1)
Identify the common discomforts of pregnancy by trimester. (Refer to PowerPoint
Slides 20 to 22)
Explain the physiological basis for each discomfort.
Describe nursing management, including client teaching, for each of the discomforts.
Emphasize that pregnancy is a time of health, not illness.
Outline the common measures for health promotion and maintenance to be addressed
with pregnant women (refer to PowerPoint Slides 23, 24):
o Personal hygiene
o Perineal care
o Dental care
o Breast care
o Exercise
o Sleep and rest
o Sexual activity
o Employment
o Travel
o Immunizations and medications

Learning Objective 6. List the key components of perinatal education. (Refer to Clinical
Assignment 2; Web Assignment 1; Discussion Topics 2; Test Generator Questions 3;
Pre-Lecture Quiz FitB 4, 5)
Define the term perinatal education.
Describe the usual components of childbirth education classes.
Compare and contrast the Lamaze, Bradley, and Dick-Read methods of childbirth.
(Refer to PowerPoint Slide 27)
Identify the options available for birth settings and care providers. (Refer to
PowerPoint Slide 28)
List the advantages and disadvantages of breast-feeding. (Refer to PowerPoint Slide
29)
Explain the measures needed, including client education, to prepare a woman for
breast-feeding.
Discuss the teaching needed for parents who choose bottle feeding.
Explain the information to be addressed as final preparation for labor and birth.