ATI Proctored OB Maternal NewbornInfertility is defined as an inability to conceive desire engaging in unprotected sexual intercourse for a prolonged
... [Show More] period of time or at least 12 months.
Common factors associated with infertility include:
o Decreased sperm production (Sperm analysis)
o Endometriosis
o Ovulation disorders
o Tubal occlusions If you test and use DYE (used in the fallopian tubes), make sure the woman is not allergic to iodine or shellfish/seafood
Video #2: Signs of Pregnancy
Presumptive: Can be defined by things/reasons other than pregnancy
Amenorrhea Can be anorexic or exercising too much
Fatigue Didn’t sleep well
Nausea/Vomiting Sick
Urinary Frequency UTI
Quickening/Fluttering in stomach Gas
Probable: Changes that make the examiner suspect a woman is pregnant (primarily related to physical changes of the uterus).
Abdominal enlargement: Related to changes in uterine size, shape, and position
Hegar’s Sign: Softening and compressibility of the lower uterus
Chadwick’s Sign: Deepend violet bluish color of cervix and vaginal mucosa
Goodell’s Sign: Softening of cervical tip
Ballottement: Rebound of unengaged uterus
Braxton Hicks Contractions: False contractions that are painless, irregular, and usually relieved by walking
Positive Pregnancy Test: Woman’s hormonal level may not be normal
Fetal Outline:
Positive: Very distinct things.
Fetal Heart Sounds
Fetal Heart Beat can be heard
Can see the baby with ultrasound
Can feel movement in the uterus
Naegele’s Rule: LMP – 3 months + 7 days + 1 year Cathy’s Rule: + 9 months + 1 week
Know how to find out GTPAL numbers
G= Gravidity (# of times a woman has been pregnant PLUS current pregnancy) T= Term Births (How many baby’s were delievered at term 38 WEEKS OR MORE) P= Preterm Births (Below 38 weeks)
A= Abortion (spontaneous or not) or miscarriages
L= Living children
Video #3: Weight Gain & Nutrition During Pregnancy AND Diagnostic Tests During Pregnancy
Weight Gain & Nutrition
Normal weight gain = 25- 35 pounds
Overweight person weight gain = 15- 25 pounds
Underweight person weight gain = 28-40 pounds
During 1st trimester A woman should only gain 1-2 kg (2-4 pounds); A woman should not gain 1 pound per week.
During 2nd trimester 1 pound per week is normal; increase caloric intake by 340 calories per day
During 3rd trimester 1 pound per week is normal ; increase caloric intake by 450 calories per day
If you are breastfeeding after pregnancy You still need to eat an extra 300-400 calories per day
Intake of FOLIC ACID Helps prevent Neural Tube Defects (NTD) Sources: dark green leafy veggies; orange juice
Women should increase their fluid intake to 2-3L per day
Women should limit their caffeine intake to 300 mg per day
No amount of alcohol is okay
Diagnostic Tests During Pregnancy Noninvasive = Full Bladder
Invasive = Empty Bladder
Ultrasound Bladder should be full to help sound waves resonate better
Amniocentesis Bladder should be empty
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