PN Maternal Newborn Nursing ATI Proctored Exam studyguide
PN Maternal Newborn Nursing ATI Proctored Exam studyguide Contraceptive use a water soluble lubricant should be used with condoms Oral contraceptive danger indications Shortness of breath can indicate pulmonary embolism or myocardial infarction IUD (intrauterine device) Check for presence of IUD strings following each menstruation to ensure the device is still present. A change in the length of the strings should be reported to the provider Implantable progestins adverse effects Irregular vaginal bleeding weight gain breast changes medroxyprogesterone clients should take calcium and vitamin D o prevent loss of bone density can cause irregular bleeding Signs of pregnancy: Presumptive changes might be subjective or objective: amenorrhea (no periods) fatigue nausea and vomiting urinary frequency breast changes quickening (fluttering movements of a fetus 16 to 20 weeks gestation) abdominal enlargement Signs of Pregnancy: Probable changes that make the examiner suspect pregnancy: uterine enlargement Hegar's sign (soft lower uterus) chadwick's sign ( bluish cervix) goodell's sign ( softening cervix tip) ballottement braxton Hickscontractions positive pregnancy test fetal outline felt by examin
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