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By Michele R. Davidson PhD CNM CFN RN
All elements of secure, powerful, holistic deal with birthing moms, newborns, and their households are incorporated during this easy-access consultant for brand spanking new antepartum and postpartum nurses and their preceptors in the course of the orientation interval. provided within the handy, easy-to-use Fast Facts structure, the ebook presents updated information about deal with either low- and high-risk antepartum and postpartum sufferers. It encompasses evidence-based perform directions and scientific suggestions for regimen antepartum review and nursing care, care of ladies with pre-existing stipulations ahead of being pregnant or problems of being pregnant, regimen postpartum evaluate and care, postpartum issues, and care of particular populations. every one bankruptcy incorporates a invaluable “orientation consultant” to acquaint the recent orientee with crucial info on techniques and rules, apparatus, medicinal drugs, and evidence-based protocols.
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ROUTINE SCREENINGS IN PREGNANCY These routine screenings are offered to all pregnant women during the prenatal stage. Women with additional factors may warrant further testing and evaluation measures. The testing obtained at the initial pelvic exam is described in Chapter 2. • Women from high-risk populations for contracting tuberculosis (TB) should undergo a routine purified protein derivative (PPD) test; high-risk populations include HIV-positive women, those living in crowded or institutional settings, those from countries where TB has a high prevalence rate and who immigrated within the last 5 years, those exposed to patients with TB, health care workers, or women with a history of intravenous drug use.
NURSING CARE OF THE PREGNANT WOMAN 37 Third-trimester testing performed at 36 weeks includes: • Hemoglobin, hematocrit, and platelets • Group Streptococcus culture HEALTH PROMOTION AND RISK REDUCTION STRATEGIES Multiple recommendations and considerations play a key role in establishing a healthy pregnancy. Women should be counseled on appropriate nutritional, environmental, and preventive health practices to reduce risk factors during pregnancy. indd 37 07/12/13 3:08 AM 38 Nutritional Recommendations 3.
Protein levels greater than 150 mg in nonpregnant adults are considered abnormal; however, in pregnancy, protein levels that exceed 300 mg are considered abnormal and require further assessment to identify possible etiologies. indd 31 07/12/13 3:08 AM 3. NURSING CARE OF THE PREGNANT WOMAN 32 preeclampsia, kidney disease, and urinary tract infections. Other possible etiologies include renal disease secondary to other chronic medical conditions such as chronic hypertension and diabetes. • Glucosuria can occur in pregnancy as a result of eating a high sugar meal, but can also be associated with gestational diabetes or unknown previous diabetes.