Rasmussen College NUR 2513 ATI Maternal Newborn

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Main topics covered on proctored & need to know information* PLUS PROCTORED EXAM 2022 QUESTIONS Contraception: ◊ Diaphragms o Must be refit every 2 years, if client has gained more than 15 lbs,... and if becomes pregnant o You must use spermicide with every act of coitus interruptus; every time you withdrawal, more spermicide should be instilled o Do not remove diaphragm for 6 hours following sexual intercourse ◊ Oral contraceptives o Side effects: chest pain, SOB, leg pain, increased risk for DVT, headache, vision problems, stroke, hypertension o Contraindicated in women with histories of blood clots, stroke, cardiac conditions, smoking, breast or estrogen related cancers ◊ Depo- Provera AKA Medroxyprogesterone o Injectable progestin; key piece of information to know – can cause decreased bone mineral density and/or loss of calcium ****** Presumptive signs of pregnancy: other conditions may cause these signs to occur ♥ Amenorrhea ♥ Fatigue ♥ Nausea, vomiting ♥ Urinary frequency ♥ Quickening (“stomach flutter”) Probable signs of pregnancy: ♥ Hegar’s sign ♥ Chadwick’s sign ♥ Ballottement ♥ Braxton hicks contractions ♥ Positive pregnancy test Positive signs of pregnancy: ♥ Fetal heart sounds heard ♥ Baby seen via ultrasound ♥ Fetal movement felt GTPAL: G = gravidity: number of times a woman has been pregnant, including current pregnancy* (don’t forget) T = Term births: numbers of babies delivered at 37 weeks+ P = Preterm births: number of babies born before 37 weeks A = Abortion: spontaneous or miscarriages L = Living children Routine lab tests: ♥ Blood type, Rh factor, ♥ CBC with differential, hgb, and hbt - anemia ♥ Rubella titer ♥ Hep B screening ♥ Group B strep – 35-37 weeks gestation ♥ Urinalysis – identifies pregnancy, DM, gestational HTN, renal disease, infection ♥ 1 hr glucose tolerance test! o 24-28 weeks o > 140 mg/dl = follow up with 3 hr glucose tolerance test ♥ 3 hr glucose tolerance test o Screening tool for DM; diagnosis is based on two elevated glucose readings ♥ MSAFP – between 15 and 22 weeks o Used to rule out down syndrome (low levels) and neural tube defects (high) [Show More]

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