SAMPLE NCLEX-LPN

‭menstrual‬ ‭period.‬ ‭However,‬ ‭it‬ ‭is‬‭essential‬‭to‬‭understand‬‭that‬‭only‬‭a‬‭small‬‭percentage‬‭of‬‭births‬ ‭occur‬ ‭precisely‬‭on‬‭this‬‭estimated‬‭date.‬‭A‬‭pregnancy‬‭is‬‭considered‬‭full-term‬‭between‬‭weeks‬ ‭37‬ ‭and‬ ‭42‬ ‭,‬ ‭with‬‭births‬‭occurring‬‭before‬‭week‬‭37‬‭classified‬‭as‬‭premature‬‭and‬‭those‬‭after‬‭week‬‭42‬ ‭considered overdue.‬ ‭●‬ ‭Documenting‬ ‭the‬ ‭Mother's‬ ‭Current‬ ‭Health‬ ‭and‬ ‭Preexisting‬ ‭Health‬ ‭History‬ ‭:‬ ‭Obtaining‬ ‭the‬ ‭expectant‬ ‭mother's‬ ‭current‬ ‭health‬ ‭and‬ ‭previous‬ ‭health‬ ‭history‬ ‭forms‬ ‭a‬ ‭fundamental‬ ‭part‬ ‭of‬ ‭prenatal‬‭care.‬‭Gathering‬‭data‬‭on‬ ‭blood‬‭pressure,‬‭weight,‬‭lifestyle,‬‭family‬‭and‬‭genetic‬‭history,‬ ‭support‬‭systems,‬‭perception‬‭of‬‭pregnancy,‬‭and‬‭previous‬‭coping‬‭mechanisms‬ ‭is‬‭essential.‬‭In‬ ‭cases‬ ‭where‬ ‭a‬ ‭strong‬ ‭support‬ ‭system‬ ‭is‬ ‭lacking,‬‭connecting‬‭the‬‭client‬‭with‬‭a‬‭prenatal‬‭support‬ ‭group‬‭can‬‭be‬‭beneficial.‬‭Additionally,‬‭identifying‬‭any‬‭previous‬‭use‬‭of‬‭denial‬‭or‬‭fantasy‬‭as‬‭coping‬ ‭mechanisms necessitates appropriate referrals.‬ ‭●‬ ‭Medication‬ ‭Management‬ ‭and‬ ‭Rh‬ ‭Factor‬ ‭Testing‬ ‭:‬ ‭Careful‬ ‭attention‬ ‭must‬ ‭be‬ ‭paid‬ ‭to‬ ‭the‬ ‭medications‬ ‭the‬ ‭expectant‬ ‭mother‬ ‭is‬ ‭using,‬ ‭including‬ ‭prescribed,‬ ‭alternative,‬ ‭and‬ ‭over-the-counter‬ ‭drugs.‬ ‭Category‬ ‭X‬ ‭medications‬ ‭with‬ ‭high‬ ‭fetal‬ ‭risk‬ ‭should‬ ‭be‬ ‭avoided.‬ ‭Rh‬ ‭factor‬‭testing‬ ‭is‬‭necessary‬‭unless‬‭both‬‭parents‬‭are‬‭Rh-negative‬‭or‬‭the‬‭mother‬‭is‬‭Rh-positive.‬‭If‬ ‭the‬ ‭mother‬ ‭is‬ ‭Rh-negative‬ ‭and‬‭the‬‭father‬‭is‬‭Rh-positive,‬‭Rho‬‭(D)‬‭immune‬‭globulin‬‭(RhoGAM)‬‭is‬ ‭administered in the 28th week and following delivery to prevent Rh incompatibility issues.‬ ‭●‬ ‭Diagnostic‬ ‭Procedures:‬ ‭Ultrasounds‬ ‭and‬ ‭Amniocentesis‬ ‭:‬ ‭Noninvasive‬ ‭diagnostic‬ ‭procedures‬ ‭such‬‭as‬ ‭ultrasounds‬ ‭play‬‭a‬‭vital‬‭role‬‭in‬‭confirming‬‭fetal‬‭viability,‬‭gestational‬‭age,‬‭fetal‬‭anatomy,‬ ‭and‬ ‭placental‬ ‭location.‬ ‭Amniocentesis‬ ‭,‬ ‭a‬ ‭procedure‬ ‭where‬ ‭amniotic‬ ‭fluid‬ ‭is‬ ‭withdrawn‬ ‭for‬ ‭analysis,‬ ‭is‬ ‭performed‬ ‭after‬ ‭the‬ ‭14th‬ ‭week,‬ ‭typically‬ ‭for‬ ‭women‬ ‭over‬ ‭age‬ ‭35‬ ‭or‬ ‭those‬ ‭with‬ ‭a‬ ‭family history of genetic or metabolic problems.‬ ‭●‬ ‭Monitoring‬‭Fetal‬‭Health‬‭and‬‭Maternal‬‭Nutrition‬ ‭:‬‭During‬‭routine‬‭prenatal‬‭exams,‬‭monitoring‬‭the‬ ‭fetal‬ ‭heart‬ ‭rate,‬ ‭which‬ ‭should‬ ‭range‬ ‭from‬ ‭120‬ ‭to‬ ‭160‬ ‭beats‬‭per‬‭minute,‬‭is‬‭essential.‬‭Nutrition‬ ‭also‬ ‭plays‬ ‭a‬ ‭crucial‬ ‭role‬ ‭in‬ ‭prenatal‬ ‭care‬ ‭and‬ ‭education.‬ ‭Pregnant‬ ‭teenagers‬ ‭have‬ ‭specific‬ ‭nutritional‬ ‭needs,‬ ‭requiring‬ ‭more‬ ‭protein,‬ ‭calcium,‬ ‭and‬ ‭phosphorus‬ ‭due‬ ‭to‬‭their‬‭ongoing‬‭bone‬ ‭growth.‬‭Proper‬‭weight‬‭gain,‬‭limited‬‭to‬ ‭22‬‭to‬‭27‬ ‭pounds,‬‭is‬‭vital‬‭to‬‭preventing‬‭complications‬‭like‬ ‭preeclampsia.‬ ‭●‬ ‭Prenatal‬ ‭Education‬ ‭(Normal‬ ‭Pregnancy‬ ‭Events‬ ‭and‬ ‭Danger‬ ‭Signals):‬ ‭Providing‬ ‭expectant‬ ‭mothers‬ ‭with‬ ‭prenatal‬ ‭education‬ ‭is‬ ‭essential‬ ‭to‬ ‭keeping‬ ‭them‬ ‭informed‬ ‭and‬ ‭prepared‬ ‭for‬ ‭pregnancy‬ ‭events.‬ ‭Examples‬ ‭include‬ ‭quickening,‬ ‭the‬‭first‬‭fetal‬‭movement‬‭usually‬‭felt‬‭between‬ ‭17‬ ‭and‬ ‭19‬ ‭weeks.‬ ‭Braxton‬ ‭Hicks‬ ‭contractions,‬ ‭which‬‭some‬‭women‬‭may‬‭experience‬‭after‬‭the‬ ‭20th‬ ‭week,‬‭are‬‭also‬‭addressed.‬‭Additionally,‬‭recognizing‬‭and‬‭understanding‬‭danger‬‭signals‬‭like‬ ‭vaginal‬ ‭bleeding,‬ ‭severe‬ ‭abdominal‬ ‭pain,‬ ‭and‬ ‭decreased‬ ‭fetal‬ ‭movement‬ ‭is‬‭crucial‬‭for‬‭prompt‬ ‭medical attention.‬ ‭●‬ ‭Comprehensive‬‭antepartum‬‭care‬ ‭:‬‭A‬‭cornerstone‬‭of‬‭safeguarding‬‭the‬ ‭health‬‭and‬‭well-being‬‭of‬ ‭both‬‭mother‬‭and‬‭baby‬‭during‬‭pregnancy‬ ‭.‬‭By‬‭closely‬‭monitoring‬‭various‬‭aspects‬‭of‬‭the‬‭mother's‬ ‭health‬‭and‬‭fetal‬‭development‬‭and‬‭acknowledging‬‭cultural‬‭differences,‬‭healthcare‬‭providers‬‭can‬ ‭ensure a positive and healthy pregnancy experience for expectant mothers and their families.‬

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