ATI_Maternal_Newborn_Proctored_Study_Guide_.docx
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Ch.1 Oral Contraceptives
• Chest pain, SOB, leg pain (clot), headache, eye problems
• Can cause blood clots
• Hypertension
• Do not use with smokers
• Hx of blood clots, stroke, cardiac
...
, breast or estrogen
• Depro-provera calcium and vitamin D
• IUD= increased risk of pelvic inflammatory disease, ectopic pregnancy
o Change in string length, foul smell, fever/chills, pain with intercourse notify provider
Ch.2 Infertility
• Inability for at least 12 months
• Male first (sperm analysis), then the woman (no hx of dye for test or seafood)
Ch.3
• Presumptive sign: things that can be explained by other means
o Nausea, amenorrhea, N/V, Fatigue
• Probable signs
o Abdominal enlargements, Hagar sign, chad wicks sign, goodwill sign, ballottement, Braxton hick contractions, positive pregnancy test, fetal outline
• Positive sign
o FHR
• Nagele’s rule: add 9 months and a week
• GTPAl: Gravidity (# of times of pregnancy), Term births (38 weeks or more), Preterm births, Abortions/miscarriages, Living children
Ch. 5 Nutrition During Pregnancy
• Normal: 25-30 pounds
• Overweight: 15-25 pounds
• Underweight: 28-40 pounds
• First trimester: no more than 2-4 pounds for entire trimesters.. then 1 lb/week
• 340 calories/day for second trimester…450 for third trimester (even during breastfeeding)
• Folic acid (dark leafy green veggies) fetal neuro tube defects
• 2-3 L of water, limit amount of caffeine
Ch.6 Assessment of Fetal Well being
• Ultrasound want bladder full **non-invasive**
• When poking stomach empty bladder (amniocenteses)
• Biophysical profile: 0-10 score, 8-10 is normal
o Reactive HR (0-2)
o Breathing
o Body movement
o Fetal tone
o Amniotic fluid volume
• Nonstress test: measures fetal well-being in last trimester, response to FHR to fetal movement; reactive if FHR accelerates; non reactive if no FHR acceleration
o YOU WANT REACTIVE
• Contraction stress test
o Want a contraction to occur ocycotcin, nipple stimulation; monitor FHR to see if decelerations occur
o You want late decelerations
• Amniocentesis
o You want an empty bladder
o AT 14 WEEKS
o Levels of AFP (high nuero tube defects; low down syndrome)
o L/S ratio: 2:1 ratio is fetal lung maturity (2:5:1 or 3:1 for a client who has diabetes mellitus)
o Complications: amniotic fluid emboli, hemorrhage, infection
• Chorionic callus sampling
o Taking a piece of placenta
o Can be done earlier to identify abnormalities ( 11 WEEKS)
Ch. 7 Bleeding During Pregnancy
• Ectopic: Unilateral stabbing pain; Lower abdominal quadrant pain
• Molar: bleeding that resembles prune juice
• Placenta previa: lower segment of uterus instead of fundus; PAINLESS bright red during 2nd or 3rd trimester may hemorrhage
o Complete: cervical is completely covered by placental attachment
o Partial
o Incomplete
• Abruptio placentae: sudden onset of intense localized pain with dark red vaginal bleeding
Ch. 8 Infections
• Yeast infection pretty common
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