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    05 - Antepartum Care

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    Kyrriel C
    The document discusses topics related to antepartum care including estimation of delivery dates using various rules, expected weight gain and calorie intake during pregnancy, and components of gynecologic and obstetric history. Practice problems are provided to calculate estimated due dates using Naegele's rule.

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    05 - Antepartum Care

    Uploaded by

    Kyrriel C
    2 views2 pages
    The document discusses topics related to antepartum care including estimation of delivery dates using various rules, expected weight gain and calorie intake during pregnancy, and components of gynecologic and obstetric history. Practice problems are provided to calculate estimated due dates using Naegele's rule.

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    05_Antepartum Care

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    The document discusses topics related to antepartum care including estimation of delivery dates using various rules, expected weight gain and calorie intake during pregnancy, and components of gynecologic and obstetric history. Practice problems are provided to calculate estimated due dates using Naegele's rule.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2 views2 pages

    05 - Antepartum Care

    Uploaded by

    Kyrriel C
    The document discusses topics related to antepartum care including estimation of delivery dates using various rules, expected weight gain and calorie intake during pregnancy, and components of gynecologic and obstetric history. Practice problems are provided to calculate estimated due dates using Naegele's rule.

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    © All Rights Reserved
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    MATERNAL AND CHILD NURSING

    TOPIC 5: ANTEPARTUM CARE


    SLRC COMPREHENSIVE REVIEW | (August 11, 2022)
    Lecturer: Alex Arucan
    Reference Lecture: None

    ● “BEFORE” labor Haase’s Rule


    ● Term: 37-42 weeks
    ● 9 calendar months, 10 lunar months ● Determine the length of the fetus (in cm)
    ● 267-280 days ● (1-5 months)2
    ● From fertilization to true signs of labor and *first 5 months square the number
    delivery ○ 1st month = 1 cm
    ○ 2nd month = 4 cm
    ○ 3rd month = 9 cm
    ESTIMATION OF DATE OF ○ 4th month = 16 cm
    DELIVERY/CONFINEMENT ○ 5th month = 25 cm
    ● (6-10 months) x 5
    Nagele’s Rule ○ 6th month = 30 cm
    ○ 7th month = 35 cm
    ● Most popular ○ 8th month = 40 cm
    ● 1st day of LMP ○ 9th month = 45 cm
    ● Jan-March: +9 +7 ○ 10th moth = 50 cm
    ● April-Dec: -3 +7 +1
    EXPECTED WEIGHT GAIN
    Mcdonald’s Rule
    ● Minimum weight gain: 20-25 lbs
    ● Length of the fundus in cm x 8/7 = age in *keyword: cornetto = 20
    weeks ● Optimum weight gain: 25-35 lbs
    ● Length of the fundus in cm x 2/7 = age in
    months 1st tri 1 lb. per month
    ● Bedside equipment: Tape measure
    ● Rule: starting from from the 20th week, cm 2nd tri 1 lb. per week
    is equal to the week
    3rd tri 1 lb. per week
    ○ 20th week = 20cm
    ○ 30th week = 30cm
    ○ 37th week = 37cm ● 1st tri = focused on organogenesis
    ● 2nd tri = focused on fetal height
    Bartholomew’s Rule ● 3rd tri = focused on fetal weight

    ● “Simpson”
    EXPECTED CALORIE INTAKE Additional Notes

    ● Pre-pregnancy: avg. 2,200 kcal/kg “Train hard. Fight Easy.” - Bryan Mendoza, 2022
    ● Pregnancy: +300 kcal/day = 2,500 kcal
    ● Breastfeeding: +500 kcal/day = 2,700 kcal

    GYNECOLOGIC & OBSTETRIC HISTORY

    GPTPAL
    Community Setting Prenatal Visits
    ● Gravida - Number of pregnancies
    ● Parity - Number of deliveries who reached
    ● 1st Tri: Once
    the age of viability (20 weeks)
    ● 2nd Tri: Once
    ● Term - Number of pregnancies that reached
    ● 3rd Tri: Once
    37-42 weeks
    ● 8th month: every 2 weeks
    ● Preterm - Number of pregnancies who
    ● @ 9th month: every week until delivery
    reached 20-36 weeks
    ● Abortion - Number of deliveries that didn’t
    Practice Exercise: Naegele's Rule
    reach age of viability (<20 weeks)
    ● Living - alive 1. Feb 14-28, 2023
    *Term and preterm is equivalent to parity
    *Twins are only counted as 2 in Living if both are alive
    ● A: Nov. 21, 2023
    2. Dec 25-30, 2022
    ● A: Oct. 2, 2023
    3. Dec 1-5, 2022
    ● A: Sept. 8, 2023
    4. Jan 15-20, 2023
    ● A: Oct. 22, 2023
    5. April 29-30, 2023
    ● A: Feb. 5, 2024

    Focus

    ● 1st tri = organogenesis


    ● 2nd tri = fetal height
    ● 3rd tri = fetal weight

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