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