PN Maternal Newborn Nursing ATI Proctored Exam study guide Correct 100%

Contraceptive use - ANSWERa water soluble lubricant should be used with condoms Oral contraceptive danger indications - ANSWERShortness of breath can indicate pulmonary embolism or myocardial infarction IUD (intrauterine device) - ANSWERCheck for presence of IUD strings following each menstruation to ensure the device is still present. A change in the length of the strings should be reported to the provider Implantable progestins adverse effects - ANSWERIrregular vaginal bleeding weight gain breast changes medroxyprogesterone - ANSWERclients should take calcium and vitamin D o prevent loss of bone density can cause irregular bleeding Signs of pregnancy: Presumptive - ANSWERchanges might be subjective or objective: amenorrhea (no periods) fatigue nausea and vomiting urinary frequency breast changes quickening (fluttering movements of a fetus 16 to 20 weeks gestation) abdominal enlargement Signs of Pregnancy: Probable - ANSWERchanges that make the examiner suspect pregnancy: uterine enlargement Hegar's sign (soft lower uterus) chadwick's sign ( bluish cervix) goodell's sign ( softening cervix tip) ballottement braxton Hickscontractions positive pregnancy test fetal outline felt by examiner Signs of Pregnancy: Positive - ANSWERthose explained only by pregnancy: fetal heart sounds