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2016 Nurs 3907Clinical Focus Care of Antenatal Client

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Clinical Focus:
Care of Antenatal Client
Name_______________________________________ Date of
Experience_________
Clinical Instructor___________________________________
Goal: The student will demonstrate knowledge of physical and psychological
adaptations of the client to pregnancy.
Specific Objectives:
The Student will:
(1) Observe care of a client in the antenatal setting.
(2) Define selected terms related to care of the antenatal client.
(3) Identify the components of the prenatal history and diagnostic assessment.
.
(4) Identify physiological and psychological changes in pregnancy.
(5) Observe for cultural differences in childbearing practices.
(6) Apply Roy’s model with a focus on role function and observe for
behaviors/verbage in the antenatal client that indicates adaptation through
acceptance of the pregnancy and attachment.
1
Clinical Focus: Care of the Antenatal Client
Define the following terms:
Ballottement
Braxton Hicks Contractions
Fetal Acoustic Stimulation Test (FAST)
Fetal Movement Record
Goodell’s Sign
Lecithin/sphingomyelin (L/S) ratio
Lightening
Nagele’s Rule
Percutaneous Umbilical Blood Sampling (PUBS)
Quickening
Supine Hypotensive Syndrome (vena caval syndrome, aortocaval compression)
2
Clinical Focus: Care of the Antenatal Client
4. Summarize the essential components of a prenatal history and associated diagnostic
studies.
History
Diagnostic Studies
First Trimester:
Second Trimester:
Third Trimester:
3
Clinical Focus: Care of the Antenatal Client
Maternal Weight Gain
Recommended weight gain during pregnancy:
Under weight_________
Normal weight________
Over weight _________
Obese______________
Actual Pattern of Weight Gain
Ideal Pattern of Weight Gain
First Trimester
First Trimester
Second Trimester
Second Trimester
Third Trimester
Third Trimester
Describe the average maternal weight gain distribution:
 Fetus, Placenta, Amniotic Fluid __________________
 Uterus ______________________________________
 Increased blood volume ________________________
 Breast tissue _________________________________
 Maternal Stores _______________________________
4
Physiological Changes in Pregnancy
Client’s Present Trimester________
Expected Findings
First Trimester:
Second Trimester:
Third Trimester
5
Actual Findings
Psychological Changes in Pregnancy
Client’s Present Trimester____________
Expected Findings
First Trimester:
Second Trimester:
Third Trimester:
Cultural Practices Observed:
6
Actual Findings
Application of the Roy Model to the Antenatal Client:
Developing roles:
Role expectations:
Role taking:
Role transition:
Role conflict:
7