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Asynchronous Activity#2
Asynchronous Activity#2
College of Nursing
Level 2 - NCM 107j - CARE OF MOTHER, CHILD AND ADOLESCENT (WELL CLIENTS)
Asynchronous Learning Topics (ALT-Module #2)
Focus: Psychological and Physiologic changes of Pregnancy
Learning Objectives:
After completing the asynchronous learning topics, the students should be able to:
1. Define key terms related to psychological and physiologic changes of pregnancy and pregnancy health
assessment;
2. Recognize common psychological and physiologic changes that occur with pregnancy, the underlying
principles for these changes, and
3. Determine the relationship of the changes to pregnancy diagnosis;
4. Describe the areas of health assessment commonly included in prenatal visits like: History, current
pregnancy (EDD, AOG, gravid, para), previous pregnancies & outcomes (TPAL score), gynecologic
history, medical history, nutritional status, etc.;
Discussions and Explanation (# 2- What suggestion could you make to ease her worry about being a
good parent?)
Discussions and Explanation (#3 - What are the psychological changes in pregnancy?)
First Trimester
Second Trimester
Third Trimester
The Pregnancy
Pregnancy is the term used to describe the period in which a fetus develops inside a woman's
womb or uterus.
Pregnancy usually lasts about 40 weeks, or just over 9 months, as measured from the last
menstrual period to delivery. Health care providers refer to three segments of pregnancy, called
trimesters.(https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo#:~:text=Pregnancy%20is% 20the%20term%20
used,segments%20of%20pregnancy%2C%20called%20trimesters.)
Guide Questions:
1. In figure 1. Classify the signs and symptoms of Pregnancy into presumptive, probable and positive.
Explain briefly the signs/symptoms as why it happens, when it is evident, how it occurs.
PRESUMPTIVE S/S why it happens when it is evident how it occurs
Cervix
Vagina
Breast
Integumentary system
Respiratory system
Circulatory system
Skeletal system
Endocrine system
Physiologic Changes of Pregnancy
Cervix
Vagina
Breast
Respiratory system
Circulatory system
Skeletal system
Endocrine system
Physiologic Changes of Pregnancy
Cervix
Vagina
Respiratory system
Circulatory system
Skeletal system
Endocrine system
READ AND REVIEW THIS PATIENT SCENARIO:
CHIEF CONCERN:
“I’m pregnant. At least that’s what my home test showed.”
PERSONAL/SOCIAL:
Client lives with husband in three-bedroom house. She works as a dental assistant. He worked as a
newspaper reporter up until 2 weeks ago when he lost his job. Finances are reported as “terrible” because
husband has no job. Anita’s mother lives nearby and serves as Anita’s best support person.
PREGNANCY HISTORY:
Client has had no alcohol to drink for 2 months; does not smoke cigarettes although husband smokes a
pack a day. She has symptoms of morning nausea, frequency of urination, and breast tenderness. She
states, “How sore my breasts are scares me. How bad is this going to get?” Her mother has told her birth
is “the worst pain you can get.” She asks you, “Are there some exercises or something I can do to make
that not so bad?”
GYNECOLOGICAL HISTORY:
Menarche at 14 years; usual cycle is 28 days with 4 to 5 days of menses. Used oral contraceptive for 5
years before stopping now because she might be pregnant.
REVIEW OF SYSTEMS:
Negative except for chief concern and occasional headaches she attributes to stress or eye strain. Urinary
infection at 14 years; treated with no return.
PHYSICAL EXAMINATION:
General Appearance: Well appearing young female.
HEENT: Normocephalic. Sclera of right eye reddened and tearing.“Sniffing” as if nose is stuffy.
Neck: Full range of motion; no palpable nodes.
Chest: Respiratory rate: 22 breaths per minute. No rales or rhonchi present. Good aeration all lobes.
Abdomen: Soft to palpation. Uterus not palpable.
Extremities: Full range of motion. Normal gait.
Pelvic Exam: Normal female genitalia. Vagina purple hued. Cervix soft to touch. Pap smear obtained and
plated.
Anita was diagnosed as pregnant and her due date was calculated. She appears to be
in good health except for a possible conjunctivitis of her right eye, which was
cultured.
Evaluation: 3-2-1 Ticket- Out Activity
2 – interesting things /
concepts about the
asynchronous activity
Note: