Maternal-Newborn ATI Summaries
1.(1st Trimester: 0-12; 2nd: 13-27, 3rd: 28-40) - varies slightly by practice/book
-normal vaginal pH: 4.5/acidic
-amniotic fluid pH: 6.5-7.5/alkaline
-WBC 4-7 days after delivery 20-25,000
-temp for the first 24hr after delivery: 100 degrees
-normal vag. Blood loss: 500mL
-normal c-section blood loss: 1000mL
-aPTT: Heparin 1.5-2.5: Normal/Expected Maternal Labs
2.-Hgb: 14-24; Hct: 44-64%
-Platelets: 150-300,000
-Glucose: 40-60
-RBC: 4.8-7.1
-Bilirubin:
*first 24H: 2-6
*48H: 6-7
*3-5 days: 4-6
-WBC: 9-30,000
-dehydration: urine output <1mL/kg/day
-overhydration: "" >3mL/kg/day: Newborn Labs
3.-R: 30-60
-BP: (rarely taken) 60-80/40-50
-P: 110-160
-T: 36.5-37.5 (97.7-99.5)
-Wt: 2500-4000g (5.5-8.8lbs)
-Length: 45-55cm (18-22in)
-Head: 32-36cm (12.5-14.5in)
-Chest: 30-33cm (12-13in): Expected Ranges of Newborns
4.(OCP = oral contraception pills): Estrogen & Progestin to suppress ovula- tion &
thicken cervical mucous.
Advantages:
-decrease bleeding/regulation of cycle
, Maternal-Newborn ATI Summaries
-decrease PMS
***Protection against endo, ovarian & colon CA
-improves acne
-protects against ovarian cysts
Disadvantages:
-increased risks of DVT, stroke, MI, HTN
-exacerbates migraines, epilepsy, asthma, kidney or heart disease
, Maternal-Newborn ATI Summaries
-BTB (breakthrough bleeding)
-Headaches
Contraindications:
-<6 weeks postpartum
-smokers >35yo
-uncontrolled HTN
-Hx of DVT, stroke MI, headaches, breast CA: Hormonal Methods of Birth Control
- Combined OCPs
5.(i.e. Micronor) aka the "minipill"
Advantages:
-fewer adverse effects (a/e)
-Safe with breastfeeding
Disadvantages:
-less effective
-increase ovarian cysts: Progestin-only Pills
6."morning-after pill"
-Needs to be taken within 72hr
-Does NOT terminate an established pregnancy: Emergency contraceptives
7.-contains Progesterone & Estradiol
-Apply to buttock, ab, or upper arm (never breast)
-Apply the same day of the week for 3 weeks
-Remove on the 4th week
Disadvantages:
-less effective if >198lbs
-increases the risk of DVTs: Other Birth Control Options: Transdermal Patch
8.(i.e. Depo Provera)
-IM or Sub-Q
-Q90 days
-Start during first 5 days of period
-5 days after delivery if not breastfeeding
-or 6 weeks postpartum if breastfeeding
1.(1st Trimester: 0-12; 2nd: 13-27, 3rd: 28-40) - varies slightly by practice/book
-normal vaginal pH: 4.5/acidic
-amniotic fluid pH: 6.5-7.5/alkaline
-WBC 4-7 days after delivery 20-25,000
-temp for the first 24hr after delivery: 100 degrees
-normal vag. Blood loss: 500mL
-normal c-section blood loss: 1000mL
-aPTT: Heparin 1.5-2.5: Normal/Expected Maternal Labs
2.-Hgb: 14-24; Hct: 44-64%
-Platelets: 150-300,000
-Glucose: 40-60
-RBC: 4.8-7.1
-Bilirubin:
*first 24H: 2-6
*48H: 6-7
*3-5 days: 4-6
-WBC: 9-30,000
-dehydration: urine output <1mL/kg/day
-overhydration: "" >3mL/kg/day: Newborn Labs
3.-R: 30-60
-BP: (rarely taken) 60-80/40-50
-P: 110-160
-T: 36.5-37.5 (97.7-99.5)
-Wt: 2500-4000g (5.5-8.8lbs)
-Length: 45-55cm (18-22in)
-Head: 32-36cm (12.5-14.5in)
-Chest: 30-33cm (12-13in): Expected Ranges of Newborns
4.(OCP = oral contraception pills): Estrogen & Progestin to suppress ovula- tion &
thicken cervical mucous.
Advantages:
-decrease bleeding/regulation of cycle
, Maternal-Newborn ATI Summaries
-decrease PMS
***Protection against endo, ovarian & colon CA
-improves acne
-protects against ovarian cysts
Disadvantages:
-increased risks of DVT, stroke, MI, HTN
-exacerbates migraines, epilepsy, asthma, kidney or heart disease
, Maternal-Newborn ATI Summaries
-BTB (breakthrough bleeding)
-Headaches
Contraindications:
-<6 weeks postpartum
-smokers >35yo
-uncontrolled HTN
-Hx of DVT, stroke MI, headaches, breast CA: Hormonal Methods of Birth Control
- Combined OCPs
5.(i.e. Micronor) aka the "minipill"
Advantages:
-fewer adverse effects (a/e)
-Safe with breastfeeding
Disadvantages:
-less effective
-increase ovarian cysts: Progestin-only Pills
6."morning-after pill"
-Needs to be taken within 72hr
-Does NOT terminate an established pregnancy: Emergency contraceptives
7.-contains Progesterone & Estradiol
-Apply to buttock, ab, or upper arm (never breast)
-Apply the same day of the week for 3 weeks
-Remove on the 4th week
Disadvantages:
-less effective if >198lbs
-increases the risk of DVTs: Other Birth Control Options: Transdermal Patch
8.(i.e. Depo Provera)
-IM or Sub-Q
-Q90 days
-Start during first 5 days of period
-5 days after delivery if not breastfeeding
-or 6 weeks postpartum if breastfeeding
