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 woman’s past history.
 Describe the key areas to explore as part of the woman’s reproductive history,
including:
o Menstrual history (refer to PowerPoint Slides 5, 6)
o Obstetric history
o Gynecologic history
 Review how to determine EDB using Nagele’s 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.