Exam 23: The Pregnant Woman and Functional Assessment of the Older Adult

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Describe the various functional assessments that may be performed with the older adult.

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A variety of tools that may be used to assess ADLs and IADLs are described. In addition, measures of physical performance are mentioned. The purposes and some advantages and disadvantages of the various tools are discussed.

State methods of determining weeks of gestation.

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Weeks of gestation may be calculated using the Nägele's rule-from the first day of the last normal menstrual period, add 7 days and subtract 3 months. The number of weeks of gestation also can be estimated by abdominal examination, by ultrasonography, by measuring maternal serum human chorionic gonadotropin levels, and by signs such as "quickening," the first perceived fetal movement.

Discuss pregnancy and the endocrine placenta.

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One follicle ruptures and ovulation occurs. If the ovum meets a viable sperm, then fertilization occurs. Progesterone helps to maintain a rich vascular endometrial wall where the fertilized ovum will implant. A specialized layer of cells becomes the placenta, which functions as an endocrine organ and produces several hormones. These hormones help in the growth and maintenance of the fetus and direct changes in the woman's body to prepare for birth and lactation. The average length of pregnancy is 280 days.

Discuss the changes associated with each trimester of pregnancy.

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Differentiate activities of daily living and independent activities of daily living.

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Differentiate the three types of signs and symptoms of pregnancy.

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Discuss the aspects of assessment for elder mistreatment.

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List the other domains of assessment that may be performed with the older adult.

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List genetic testing that may be done during a pregnancy.

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Discuss developmental care associated with pregnancy.

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