AT IMaternal Newborn practice notes for the exam

Diaphragms o Must be refit every 2 years, if client has gained more than 15 lbs, and if becomes pregnant o You must use spermicide with every act of coitus interruptus; every time you withdrawal, more spermicide should be instilled o Do not remove diaphragm for 6 hours following sexual intercourse à Oral contraceptives o Side effects: chest pain, SOB, leg pain, increased risk for DVT, headache, vision problems, stroke, hypertension o Contraindicated in women with histories of blood clots, stroke, cardiac conditions, smoking, breast or estrogen related cancers à Depo-Provera AKA Medroxyprogesterone o Injectable progestin; key piece of information to know – can cause decreased bone mineral density and/or loss of calcium ****** Presumptive signs of pregnancy: other conditions may cause these signs to occur © Amenorrhea © Fatigue © Nausea, vomiting © Urinary frequency © Quickening (“stomach flutter”