*NURSING > STUDY GUIDE > NURS 551 - Maternal Newborn Proctored Study Guide (All)
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, cardi... ac, 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 [Show More]
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