Florida National Nursing Care Related to Psychological & Physiologic Changes Paper of Pregnancy

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Hello,

I have this presentation is ready done, I just need in each slice an explanation of the points, like I am doing a teaching class and I have to explain every point in detail. Is add the explanation in the notes in the Power point, not change the presentation just add comments in the part for the comments.

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Chapter 10 Nursing Care Related to Psychological and Physiologic Changes of Pregnancy Psychological Changes #1 ❖Social ❖Cultural ❖Family ❖Personal influences Copyright © 2018 Wolters Kluwer · All Rights Reserved Psychological Tasks #1 Copyright © 2018 Wolters Kluwer · All Rights Reserved Psychological Tasks #2 ❖Emotional responses o Grief o Narcissism o Introversion versus extroversion o Body image and boundary o Stress Copyright © 2018 Wolters Kluwer · All Rights Reserved Psychological Tasks #3 ❖Emotional responses—(cont.) o Depression o Couvade syndrome o Emotional lability o Changes in sexual desire o Changes in expectant family Copyright © 2018 Wolters Kluwer · All Rights Reserved Physiologic Changes #2 Copyright © 2018 Wolters Kluwer · All Rights Reserved Physiologic Changes #3 ❖Reproductive system changes o Uterine changes o Amenorrhea o Cervical changes o Vaginal changes o Ovarian changes Copyright © 2018 Wolters Kluwer · All Rights Reserved Physiologic Changes #4 ❖Changes in breasts ❖Systemic changes o Endocrine system ▪ Placenta ▪ Pituitary gland ▪ Thyroid and parathyroid glands ▪ Adrenal glands ▪ Pancreas Copyright © 2018 Wolters Kluwer · All Rights Reserved Physiologic Changes #5 ❖Systemic changes—(cont.) o Immune system ▪ Competency decreases ▪ IgG is decreased ▪ Increase in WBC o Integumentary system o Respiratory system o Temperature Copyright © 2018 Wolters Kluwer · All Rights Reserved Physiologic Changes #6 Copyright © 2018 Wolters Kluwer · All Rights Reserved Physiologic Changes #7 ❖Systemic changes—(cont.) o Cardiovascular system ▪ Blood volume ▪ Iron, folic acid, and vitamin needs ▪ Heart ▪ Blood pressure ▪ Peripheral blood flow ▪ Supine hypotension syndrome ▪ Blood constitution Copyright © 2018 Wolters Kluwer · All Rights Reserved Physiologic Changes #8 ❖Systemic changes—(cont.) o Gastrointestinal system o Urinary system ▪ Fluid retention ▪ Renal function ▪ Ureter and bladder function Copyright © 2018 Wolters Kluwer · All Rights Reserved Physiologic Changes #9 Copyright © 2018 Wolters Kluwer · All Rights Reserved Physiologic Changes #10 ❖Systemic changes—(cont.) o Musculoskeletal system ▪ Progressive cartilage softening ▪ Possible back or pelvic girdle pain Copyright © 2018 Wolters Kluwer · All Rights Reserved 2020 National Health Goals Related to the Psychological and Physiologic Changes of Pregnancy ❖Increase abstinence from alcohol, cigarettes, and illicit drugs among pregnant women from baselines of 89.4%, 89.6%, and 94.9% to target levels of 98.4%, 98.6%, and 100%. ❖Reduce maternal deaths from a baseline of 12.7/100,000 live births to a target of 11.4/100,000. ❖Increase the proportion of pregnant women who receive early and adequate prenatal care from a baseline of 70.5% to a target level of 77.6%. Copyright © 2018 Wolters Kluwer · All Rights Reserved Nursing Process: Psychological and Physiologic Changes of Pregnancy ❖Assessment ❖Nursing diagnosis ❖Outcome identification and planning ❖Implementation ❖Outcome evaluation Copyright © 2018 Wolters Kluwer · All Rights Reserved Nursing Care Planning Tips for Effective Communication Copyright © 2018 Wolters Kluwer · All Rights Reserved Assessing Events That Could Contribute to Difficulty Accepting a Pregnancy Copyright © 2018 Wolters Kluwer · All Rights Reserved Presumptive Indications of Pregnancy #1 ❖Breast changes ❖Nausea, vomiting ❖Amenorrhea ❖Frequent urination ❖Fatigue ❖Uterine enlargement Copyright © 2018 Wolters Kluwer · All Rights Reserved Presumptive Indications of Pregnancy #2 ❖Quickening ❖Linea nigra ❖Melasma ❖Striae gravidarum Copyright © 2018 Wolters Kluwer · All Rights Reserved Probable Indications of Pregnancy ❖Maternal serum test ❖Chadwick’s sign ❖Hegar’s sign ❖Sonographic evidence of gestational sac ❖Ballottement ❖Braxton Hicks contractions ❖Fetal outline felt by examiner Copyright © 2018 Wolters Kluwer · All Rights Reserved Positive Indications of Pregnancy ❖Sonographic evidence of fetal outline ❖Fetal heart audible ❖Fetal movement felt by examiner Copyright © 2018 Wolters Kluwer · All Rights Reserved Assessing Physiologic Changes of Pregnancy #1 Copyright © 2018 Wolters Kluwer · All Rights Reserved Assessing Physiologic Changes of Pregnancy #2 Copyright © 2018 Wolters Kluwer · All Rights Reserved Hegar’s Sign Copyright © 2018 Wolters Kluwer · All Rights Reserved Nursing Diagnoses: Psychological and Physiologic Changes of Pregnancy #1 ❖Altered breathing patterns related to respiratory system changes of pregnancy ❖Disturbed body image related to weight gain from pregnancy ❖Deficient knowledge related to normal changes of pregnancy ❖Imbalanced nutrition, less than body requirements, related to early morning nausea Copyright © 2018 Wolters Kluwer · All Rights Reserved Nursing Diagnoses: Psychological and Physiologic Changes of Pregnancy #2 ❖Powerlessness related to unintended pregnancy ❖Possible impaired health and prenatal care behaviors associated with cultural beliefs Copyright © 2018 Wolters Kluwer · All Rights Reserved Outcomes: Psychological and Physiologic Changes of Pregnancy ❖Patient states that she is able to continue her usual lifestyle throughout the pregnancy. ❖Family members describe ways they have adjusted their lifestyles to accommodate the mother’s fatigue. ❖Couple states they understand the physiologic changes of pregnancy. Copyright © 2018 Wolters Kluwer · All Rights Reserved Quality & Safety Education for Nurses (QSEN) ❖Patient-Centered Care ❖Teamwork & Collaboration ❖Evidence-Based Practice ❖Quality Improvement ❖Safety ❖Informatics Copyright © 2018 Wolters Kluwer · All Rights Reserved Nursing Care for Psychological and Physiologic Change of Pregnancy Copyright © 2018 Wolters Kluwer · All Rights Reserved Question #1 Which of the following tasks is the most important task of the first trimester of pregnancy? A. Accepting the pregnancy B. Accepting a coming child C. Making plans for the baby D. Sharing time with a significant other Copyright © 2018 Wolters Kluwer · All Rights Reserved Answer #1 A. Accepting the pregnancy Rationale: Before a fetus moves, adjusting to pregnancy is a primary task; later, adjusting to having a baby becomes the primary task. Copyright © 2018 Wolters Kluwer · All Rights Reserved Question #2 As a pregnant woman lies on the examining table, she grows very short of breath and dizzy. The nurse recognizes which as the probable cause? A. Her cerebral arteries are growing congested with blood. B. The uterus requires more blood in a supine position. C. Blood is trapped in the vena cava in a supine position. D. Sympathetic nerve responses cause dyspnea when a woman lies supine. Copyright © 2018 Wolters Kluwer · All Rights Reserved Answer #2 C. Blood is trapped in the vena cava in a supine position. Rationale: Supine hypotension syndrome, or an interference with blood return to the heart, occurs when the weight of the fetus rests on the vena cava. Copyright © 2018 Wolters Kluwer · All Rights Reserved Question #3 Blood volume normally increases during pregnancy. The extent of this increase is what percentage of prepregnancy volume? A. 1% to 10% B. 20% to 30% C. 30% to 50% D. 70% to 90% Copyright © 2018 Wolters Kluwer · All Rights Reserved Answer #3 C. 30% to 50% Rationale: To supply adequate blood for fetal circulation, blood volume increases 30% to 50%. Copyright © 2018 Wolters Kluwer · All Rights Reserved Question #4 A woman during her first trimester questions how much longer she will have urinary frequency. Which should the nurse advise her regarding urinary frequency? A. It is a common complaint during the first trimester and again later in the third trimester. B. It is a common concern reported during the entire pregnancy. C. It will subside after the first trimester. D. It is a concern until the last trimester of pregnancy. Copyright © 2018 Wolters Kluwer · All Rights Reserved Answer #4 A. It is a common complaint during the first trimester and again later in the third trimester. Rationale: The weight of the growing uterus causes urinary frequency during the first trimester. After lightning occurs in the last trimester, urinary frequency reoccurs. Copyright © 2018 Wolters Kluwer · All Rights Reserved ...
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School: University of Virginia

Attached.

Chapter 10
Nursing Care Related to
Psychological and Physiologic
Changes of Pregnancy

Psychological Changes #1
❖Social
❖Cultural
❖Family
❖Personal influences

Copyright © 2018 Wolters Kluwer · All Rights Reserved

Psychological Tasks #1

Copyright © 2018 Wolters Kluwer · All Rights Reserved

Psychological Tasks #2
❖Emotional responses
o Grief

o Narcissism
o Introversion versus extroversion
o Body image and boundary
o Stress

Copyright © 2018 Wolters Kluwer · All Rights Reserved

Psychological Tasks #3
❖Emotional responses—(cont.)
o Depression
o Couvade syndrome

o Emotional lability
o Changes in sexual desire
o Changes in expectant family

Copyright © 2018 Wolters Kluwer · All Rights Reserved

Physiologic Changes #2

Copyright © 2018 Wolters Kluwer · All Rights Reserved

Physiologic Changes #3
❖Reproductive system changes
o Uterine changes
o Amenorrhea

o Cervical changes
o Vaginal changes
o Ovarian changes

Copyright © 2018 Wolters Kluwer · All Rights Reserved

Physiologic Changes #4
❖Changes in breasts
❖Systemic changes
o Endocrine system
▪ Placenta
▪ Pituitary gland
▪ Thyroid and parathyroid glands
▪ Adrenal glands
▪ Pancreas

Copyright © 2018 Wolters Kluwer · All Rights Reserved

Physiologic Changes #5
❖Systemic changes—(cont.)
o Immune system
▪ Competency decreases
▪ IgG is decreased
▪ Increase in WBC

o Integumentary system
o Respiratory system
o Temperature

Copyright © 2018 Wolters Kluwer · All Rights Reserved

Physiologic Changes #6

Copyright © 2018 Wolters Kluwer · All Rights Reserved

Physiologic Changes #7
❖Systemic changes—(cont.)
o Cardiovascular system

▪ Blood volume
▪ Iron, folic acid, and vitamin needs
▪ Heart
▪ Blood pressure
▪ Peripheral blood flow
▪ Supine hypotension syndrome
▪ Blood ...

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