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Extra resources for RNotes®: Nurse's Clinical Pocket Guide
Decreases Dyspnea . . . . . . . . . . . . . . . . . . . . . . . . general at finish of 3rd trimester pH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . raises PaO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . raises PaCO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . decreases HCO3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . decreases Renal ■ Proteinuria . . . . . . . . . . . . . . . . . . . . . . . . . . . may possibly point out attainable PIH ■ GFR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . raises by means of up to 50% Metabolic ■ Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . mild elevate ■ Blood glucose . . . . . . . . . . bring up may possibly point out gestational diabetes Hormones linked to being pregnant ■ ■ ■ ■ ■ Follicle-stimulating hormone (FSH) . . . follicle development and maturation Luteinizing hormone (LH) . . . . . . . . . . egg improvement and ovulation Progesterone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . continues being pregnant Prolactin . . . initiation and continuation of milk creation (lactation) Oxytocin . . . . . . . . . stimulates uterine contractions and milk let-down Weight achieve and dietary standards optimum Weight achieve ■ overall weight achieve while pregnant . . . . . . . . . . . . . . . . 25–35 lb ■ First trimester . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . approximately 2–3 lb ■ Second–third trimester . . . . . . . . . . . . . . . . . . . . . . . . 3/4 lb per week dietary requisites ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ extra caloric wishes . . . . . . . . . . . . . three hundred cal/day (2500 overall) Protein . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . seventy five grams/day Carbohydrates . . . . . . . . . . . . . . . . . . one hundred seventy five grams/day (mostly complicated) Fiber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 grams/day fat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20–35 grams/day Sodium . . . . . . . . shouldn't be limited except less than MD counsel Iron . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 mg/day Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . one thousand mg/day Folic acid . . . . . . . . . . . . . . six hundred mcg/day (500 mcg/day whereas lactating) day-by-day fluid consumption . . . . . . . . . . . . . ~3 L/day except pre-eclampsia exists OB/PEDS/ GERI 2313_Tab03_063-107. qxd 12/24/09 3:28 PM web page seventy two OB/PEDS/ GERI Immunization while pregnant • 2009 prompt For individuals who meet age requirement and who lack facts of immunity, e. g. , documentation. ■ Tetanus and diphtheria (Td) ■ Influenza prompt provided that scientific or publicity Indication Exists ■ ■ ■ ■ Pneumococcal Hepatitis A Hepatitis B Meningococcal Contraindicated while pregnant ■ Varicella ■ Zoster ■ MMR (measles, mumps, rubella) resource: tailored from the suggestions of the CDC; http://www. cdc. gov/mmwr/PDF/wk/ mm5753-Immunization. pdf development of work elements Affecting development of work (Four playstation ) ■ Passenger: measurement of child and its head, fetal presentation, lie, perspective, and place on the subject of beginning canal. ■ Passageway: measurement of start canal when it comes to child. ■ energy: strength, regularity, and period of contractions. ■ mental: discomfort and anxiousness skilled through mom together with instruction for supply and help process. seventy two 2313_Tab03_063-107. qxd 12/24/09 3:28 PM web page seventy three seventy three phases of work From onset of contractions via complete effacement and dilatation of cervix (latent section, 0–3 cm; energetic part, 4–7 cm; transition section, 8–10 cm).