Suggested Answers to Assignments, Chapter 7, Prenatal Care
Written Assignment Learning Objective(s)
1. Students’ answers should include the following: 1, 2, 3,
• The history at the first prenatal visit includes chief
complaint, reproductive history, medical-surgical history,
family history, and social history. The reproductive
history includes the obstetric history, which looks at
previous pregnancies and their outcomes. Determining the
gravida and parity of the woman is an important part of
the obstetric history. The parity is usually further
subdivided into the number of term deliveries, preterm
deliveries, abortions (spontaneous or induced), and living
children.
• To calculate the estimated due date by Nagele rule, add 7
days from the 1st day of the last menstrual period, then
subtract 3 months to obtain the due date. Other methods
for estimating the due date use uterus size, landmarks in
the pregnancy, and ultrasonographic measurement of fetal
structures.
2. Students’ answers should include the following: 6
A. Subsequent prenatal visits are shorter and focus on the
weight, blood pressure, urine protein and glucose
measurements, fetal heart rate, and fundal height.
Inquiry is made regarding the danger signals of
pregnancy at each prenatal visit.
Group Assignment Learning Objective(s)
1. Students’ answers should include the following: 9
• Providing the pregnant woman with information on
relieving common discomforts of pregnancy, self-care
during pregnancy, and preparation for labor and delivery
is a major nursing intervention during the prenatal period.
2. Students’ answers should include the following: 8
• Symptoms that indicate a potential threat to the mother or
fetus must be reported immediately and include an
elevated blood pressure, sudden weight gain, epigastric
pain, vaginal bleeding, decreased fetal movement, or signs
of preterm labor.
Clinical Assignment Learning Objective(s)
1. Students’ answers should include the following: 2,3, 4, 5, 6
The history at the first prenatal visit includes chief
complaint, reproductive history, medical-surgical
history, family history, and social history. The
reproductive history includes the obstetric history,
which looks at previous pregnancies and their
outcomes. Determining the gravida and parity of the
woman is an important part of the obstetric history.
The parity is usually further subdivided into the
number of term deliveries, preterm deliveries,
abortions (spontaneous or induced), and living
children.
A complete physical examination will be done during
the first visit to include a breast examination, a
speculum examination with a Pap test, and a bimanual
examination of the uterus.
Laboratory assessments done in conjunction with the
first prenatal visit include a complete blood count,
blood type and screen, hepatitis B, HIV, syphilis,
gonorrhea, chlamydia, rubella titer, and a urine
culture.
To calculate the estimated due date by Nagele rule,
add 7 days from the first day of the last menstrual
period, then subtract 3 months to obtain the due date.
Other methods for estimating the due date use uterus
size, landmarks in the pregnancy, and ultrasonographic
measurement of fetal structures.
Any abnormal part of the history, physical
examination, or laboratory work can put the pregnancy
at risk. A history of difficult pregnancy or pregnancy
complications puts subsequent pregnancies at risk.
Subsequent prenatal visits are shorter and focus on
the weight, blood pressure, urine protein and glucose
measurements, fetal heart rate, and fundal height.
Inquiry is made regarding the danger signals of
pregnancy at each prenatal visit.
Web Assignment Learning Objective
1. Students’ answers should include the following: 7
The NIH website is much more comprehensive and
detailed and goes into more test detail and offers the
ability to review information from the client
perspective. The book is a good overview of testing
and nursing information. The website is a good
resource for other information.