Fear related to the unknown
Pain related to numerous procedures.
Ineffective family coping related to infertility.
Self-esteem disturbance related to infertility.
Increased plasma HCG levels
Decreased intestinal motility
Decreased gastric acidity
Elevated estrogen levels
Breast, areola, and nipples
Chest, neck, arms, and legs
Abdomen, breast, and thighs
Cheeks, forehead, and nose
The large size of the newborn
Pressure on the pelvic muscles
Relaxation of the pelvic joints
Excessive weight gain
12 to 22 lb
15 to 25 lb
24 to 30 lb
25 to 40 lb
Pressure on blood vessels from the enlarging uterus
The force of gravity pulling down on the uterus
Nausea and vomiting
Skin pigmentation changes
Positive serum pregnancy test
Introversion, egocentrism, narcissism
Awkwardness, clumsiness, and unattractiveness
Anxiety, passivity, extroversion
Ambivalence, fear, fantasies
Involution occurs more rapidly
The incidence of allergies increases due to maternal antibodies
The father may resent the infant’s demands on the mother’s body
There is a greater chance for error during preparation
The test was performed less than 10 days after an abortion
The test was performed too early or too late in the pregnancy
The urine sample was stored too long at room temperature
A spontaneous abortion or a missed abortion is impending
5 weeks gestation
10 weeks gestation
15 weeks gestation
20 weeks gestation
Uterus in the pelvis
Uterus at the xiphoid
Uterus in the abdomen
Uterus at the umbilicus
Leaking amniotic fluid
Rubella titer less than 1:8
White blood cells 8,000/mm3
One hour glucose challenge test 110 g/dL
Occurring at irregular intervals
Starting mainly in the abdomen
Gradually increasing intervals
Increasing intensity with walking
The neonatal effects include hypotonia, hypothermia, generalized drowsiness, and reluctance to feed for the first few days.
These drugs readily cross the placental barrier, causing depressive effects in the newborn 2 to 3 hours after intramuscular injection.
They rapidly transfer across the placenta, and lack of an antagonist make them generally inappropriate during labor.
Adverse reactions may include maternal hypotension, allergic or toxic reaction or partial or total respiratory failure
Obtain a urine specimen and other laboratory tests.
Assess uterine contractions every 30 minutes.
Coach for effective client pushing
Promote parent-newborn interaction.
Placing the newborn under a radiant warmer.
Suctioning with a bulb syringe
Obtaining an Apgar score
Inspecting the newborn’s umbilical cord
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