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 examiner Signs of Pregnancy: Positive those explained only by pregnancy: fetal heart sounds visualization of fetus by ultrasound fetal movement palpated by experienced examiner hCG blood / urine test Human chorionic gonadotropin: can start as early as day of implantation and can be detected about 8 days after conception. peaks about day 60-70, declines til day 100-130 then incline until term raised levels=multifetal, ectopic, hydatidiform mole low level= miscarriage, ectopic Gravidity Nulligravida: never been pregnant Primigravida: this is first pregnancy Multigravida: two or more Parity Number of pregnancies which fetus reached 20 weeks ( includes stillborn) Nullipara: no pregnancy primipara: one Multipara: two or more Viability Point at which a fetus can survive outside the womb. GTPAL Gravida, Term - 38 weeks and more Preterm - 37 weeks and under Abortions, Living Physiological changes stretch marks hyperpigmentation Supine hypotensive syndrome Low blood pressure resulting from compression of the inferior vena cava by the weight of the pregnant uterus when the mother is supine. lie on left side with head elevated on a pillow pulse during pregnancy increases 10 to 15/min around 32 weeks until term FHR 110-160 beats/min Cardiovasuclar changes Output increases blood volume increases heart rate increases uterine changes by 36 weeks the top of the uterus and the fundus will reach the xiphoid process, causing shortness of breath as uterus pushes against the diaphragm Skin changes chloasma: an increase of pigmentation on face linea nigra: dark line (happy trail) striae gravidarum: stretch marks April 1st was first day of last period. what is her due date january 8 G3 T1 P0 A1 L1 what does this mean