ATI MATERNAL NEWBORN 2021/2022
Main Topics Covered On Proctored & Need To Know Information* Plus Proctored Exam 2021/2020
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Contraception:
◊ 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 ◊
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 ◊ 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”)
Probable signs of pregnancy:
♥ Hegar’s sign
♥ Chadwick’s sign
♥ Ballottement
♥ Braxton hicks contractions
♥ Positive pregnancy test
Positive signs of pregnancy:
♥ Fetal heart sounds heard
♥ Baby seen via ultrasound
♥ Fetal movement felt
GTPAL:
G = gravidity: number of times a woman has been pregnant, including current pregnancy* (don’t forget)
T = Term births: numbers of babies delivered at 37 weeks+ P = Preterm births: number of babies born before 37 weeks A = Abortion: spontaneous or miscarriages
L = Living children
Routine lab tests:
♥ Blood type, Rh factor,
♥ CBC with differential, hgb, and hbt - anemia
♥ Rubella titer
♥ Hep B screening
♥ Group B strep – 35-37 weeks gestation
♥ Urinalysis – identifies pregnancy, DM, gestational HTN, renal disease, infection
♥ 1 hr glucose tolerance test!
o 24-28 weeks
o > 140 mg/dl = follow up with 3 hr glucose tolerance test
♥ 3 hr glucose tolerance test
o Screening tool for DM; diagnosis is based on two elevated glucose readings
♥ MSAFP – between 15 and 22 weeks
o Used to rule out down syndrome (low levels) and neural tube defects (high) [Show Less]