Diaphragm teaching - ✔✔ Must be refitted every 2 years, or if there has been a 15 pound weight change, full term pregnancy or second term abortion.
... [Show More] Keep in place for at least 6 hours after coitus.
Combined hormonal contraception - ✔✔ Contains estrogen and progestin to suppress ovulation, thicken cervical mucus to block semen
Toxic shock syndrome - ✔✔ caused by bacteria infection. Clinical manifestations include high fever, faint feeling, drop in BP, watery diarrhea, headache, and muscles aches
What BCP is safe to take while breastfeeding? - ✔✔ Progestin only
Which form of contraception has the potential for for causing decreased bone density ? - ✔✔ Depo-provera
Disadvantage of oral contraceptives - ✔✔ Thromboses, pulmonary embolism (sx SOB, cough, hemoptysis), hormone dependent cancers
Presumptive signs of pregnancy - ✔✔ Changes that the woman experiences and reports. Amenorrhea, fatigue, urinary frequency, N/V, breast tenderness, quickening
Probable signs of pregnancy - ✔✔ Observed by the provider.. Goodell's (softening of cervical tip), Chadwick's (bluish color of vag mucosa), and Hegar's sign (softening and compressing of lower uterus); positive pregnancy test (note false +/-), braxton hicks contractions, ballottement (rebound of engaged fetus)
Positive signs of pregnancy - ✔✔ fetal heart sounds, visualization of fetus by UTZ, fetal movement palpated by examiner.
fetal heart rate detected by electronic device at 10-12 weeks (doppler) and by non-electronic device at 20 weeks (fetoscope
HCG - ✔✔ Human Chorionic Gonadotropin; may be detected as early as 7-10 days after implantation
Parity - ✔✔ # of pregnancies that reach age of viability (appx 20-24 weeks) OR a fetal weight of at least 500g (2lbs) regardless of whether or not the fetus is born alive or not
GTPAL - ✔✔ Gravida, Term, Preterm, Abortions, Living Children
TORCH - ✔✔ (acronym for toxoplasmosis, other infections, rubella, cytomegalovirus, and herpes virus) screening when indicated.
MSAFP - ✔✔ maternal serum alpha fetoprotein (15 to 22 weeks) rules out down syndrome and neural tube defects. Increased indicates neural tube defect, decreased indicates down syndrome.
Fundal height - ✔✔ 12-13 weeks: rises out of the symphysis; 20 weeks: at umbilicus; 24 weeks: measured in cm, with the number of cm above the symphysis equal to the number of weeks of gestation
RhoGAM - ✔✔ Admin @ 28 wks & 72 hrs PP for mothers who are RH negative
How much fluid to consume per day during pregnancy - ✔✔ 2-3L
Fetal kick counts - ✔✔ Record daily; count 2-3 times a day for 60 min each time Fetal movements of less than 3 in/hr or movements that cease entirely for 12 hr indicate a need for further eval
Intervention for heartburn - ✔✔ Sit up for 30 minutes after meal, eat small frequent meals,
Intervention for hemmorhoids - ✔✔ Take warm sitz bath, use witch hazel pads
Danger signs of pregnancy - ✔✔ Vaginal bleeding, Persistent vomiting, chills & fever, Sudden escape of fluid from vagina, abdominal or chest pain, >4-6 contractions per hour, visual changes, severe headache, epigastric pain, severe edema, decreased fetal movement.
Symptoms of hyperglycemia - ✔✔ flushed, dry skin, fruity breath, rapid breathing, increased thirst and urination, headache
Symptoms of hypoglycemia - ✔✔ clammy pale skin, weakness, tremors, irritability and lightheadness, blurred vision
Recommended weight gain during pregnancy - ✔✔ 25 to 35 lb total.. (3-4 lbs during 1st trimester and then 1 lb per week for the last two trimesters
Increase daily calorie intake during pregnancy by... - ✔✔ 340 cal/day during 1st trimester, 452 cal/day during third trimester
Increase daily calorie intake during lactation by... - ✔✔ 330 cal/ day for 1st 6 mo. 400 cal/day for 2nd 6 mo
Sources of iron - ✔✔ Meats, eggs, legumes, whole grains, green leafy vegetables, dried fruits, fortified cereals
Sources of folic acid (consume 600mg during pregnancy, 500mg during lactation) - ✔✔ Enriched cereals, green leafy vegetables, enriched whole grain bread, fortified foods
Sources of calcium - ✔✔ Milk, cheese, dark green vegetables, dried figs, soy and legumes
Non stress test - ✔✔ Reactive (desired result)
demonstration of reactive fetal heart rate, consisting of 2 episodes of acceleration >15 bpm for 15 seconds over a 30 minute time frame
Contraction stress test - ✔✔ Induces contractions to see how fetus reacts to decreased O2 supply. May use nipple stimulation or pitocin. Contraindications= prematurity, placenta previa, polyhydramnios, multiple gestation, previous uterine classical scar, ROM. Record 20 min baseline strip, then must record at least 3 contractions in 10 min. Negative=good, positive=bad. [Show Less]