Sex Sex Sex Pregnancy: Prenatal Education

a) b)
Describe the health teaching for Xena regarding the warning signs of serious complications. Describe a teaching session with Xena related to her concerns about sex. If you had morning sickness, mood swings and low energy during the first trimester, you may not have felt like having sex very often. Many women find that their desire for sex returns during the second trimester. Having sex is OK anytime during pregnancy, unless your doctor says you shouldn't. Describe a teaching session with Xena in which you inform her of the benefits of prenatal education classes. Prenatal education programs provide important opportunities to share information about pregnancy, childbirth, coping mechanisms, and choices available for the woman and her support person. Studies have shown that prepared childbirth education programs can have a beneficial effect on performance in labor and delivery. The prenatal period should be used to expose the prospective parents to information about labor and delivery, pain relief, obstetric complications and procedures, breastfeeding, normal newborn care, and postpartum adjustment. Along with this information, women need up-to-date, evidencebased information to help them make decisions regarding their choices during pregnancy and childbirth (Lothian, 2008). The content of each class is generally directed by the overall goals of the program. For example, in classes that aim to provide preconception information, preparations for becoming pregnant would be the major topics. Other classes may be directed toward childbirth choices available today, preparation of the mother for pregnancy and birth, preparation for cesarean birth, preparation for vaginal birth after cesarean, preparation for couples who desire an unmedicated birth, and preparation of specific people such as grandparents or siblings for the birth. The nurse who knows the types of prenatal programs available in the community can direct expectant parents to programs that meet their special needs and learning goals. Childbirth preparation classes usually contain information about changes in the woman and the developing baby. What health teaching will you provide her with respect to her blood type? What is the treatment and when is it administered? As part of the initial prenatal history the nurse asks the mother whether she knows her blood type and Rh factor. Many women are aware that they are Rh negative and that this status has implications for pregnancy. If the woman knows she is Rh negative, the nurse can assess the woman's knowledge of what that means. The nurse can also ask the woman whether she ever received Rh immune globulin, whether she has had any previous pregnancies and their outcome, and whether she knows her partner's Rh factor. Should the partner be Rh negative, there is no risk to the fetus, which will also be Rh negative. Uncertain paternity is an awkward situation; nevertheless, it is essential for the physician to have this information. Nurses often have a more intimate relationship with pregnant women, allowing them to obtain sensitive information that is vital in the management of pregnancy. When paternity is uncertain or the father is unavailable for testing, the fetus is assumed to be antigen positive until proven otherwise.
c)
d)
1.
Urinary frequency, a common discomfort of pregnancy, occurs early in pregnancy and again during the third trimester because of the pressure of the enlarging uterus on the bladder.
2. What is the name given to the contractions that Xena is feeling? How can she distinguish between false labour and true labour? Braxton Hicks contractions. 3. What health teaching does Xena need in relation to her fatigue and insomnia?
What would you tell Xena is the reason that her urinary symptoms have returned?
4.
Describe a health teaching session in which you facilitate their decision about breast versus bottle feeding. How do you feel about the two methods of feeding? What effect do you think that your feelings might have in your role as a health teacher? What instructions should Ryan and Xena be given about when they should go to the hospital? Although most births in Canada take place in a hospital under the care of a physician, there are other choices that can be made. Find an article that describes alternative birthing plans and bring it to class to discuss with your group. Be prepared to evaluate this type of birth in regards to safety for the mother and child, acceptability to the mother and child, financial considerations and any other pertinent factors.
5. 6. 7.

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