ATI Maternal Newborn Proctored Study Guide

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