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Maternal Child Final Exam

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Maternal child final exam Chapter 6 • ORAL CONTRACEPTION -Some have hormones in them, some women need to not take an oral contraception as it increases risks of DVT, headache. Patients with know... n high blood pressure should not take oral contraption (not the combo). Women who are hypertensive,35 & older should take the estrogen only oral contraceptive. Smoking is a contraindication as well as high blood pressure Side effects are weight gain and high blood pressure. Chapter 8 & 10 • SUPINE HYPOTENSION SYNDROME- Supine hypotension is caused by pressure of the enlarging uterus pressing on the inferior vena cava while the woman is in a supine position. Vena cava compression impedes venous blood flow, reduces the amount of blood in the heart, and decreases cardiac output, causing dizziness and syncope. • The uterus pushes up against the inferior vena cava when lying flat or supine position on back/ should lie on side. Mom will feel dizzy/ reduces the amount of blood going to the heart/cause’s hypotension/ get out of bed slowly from side line position to sitting up position. Will help blood pressure changes • Recommendations; Moms should not lay on their back, lay on their side, move slowly from a side lying to a sitting position. Chapter 9 • GTPAL- ❖ (G) Gravida- Number of pregnancies including current. ❖ (T) Term- Number of pregnancies carried to 37-40 weeks. ❖ (P) Preterm- Number of pregnancies carried between 20-36 weeks. ❖ (A) Abortion- Spontaneous (miscarriage) and elective. ❖ (L) Living- Number of living children. ❖ Twins are considered one gestation e.g., T/P = 1, L= 2 ❖ Less than 20 weeks is considered a spontaneous abortion. ...............................................................continued.................................................................. [Show More]

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