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. Keep in
... [Show More] 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 fo [Show Less]