Maternal Newborn ATI Study Guide
Types of barrier techniques - ANScondoms, diaphragms
A patron should be fitted every ___ years for a diaphragm. - ANS2
Reasons customers will must be refitted for diaphragm: - ANS-Every 2 years
-Gained 15 kilos (7 kg)
-had complete time period being pregnant
-had 2d time period abortion
What need to be used further will diaphragms? - ANSspermicide
A diaphragm need to continue to be in location for ___ hours after intercourse. - ANS6
True or False: Spermicide need to be used with diaphragm for every act of sex. - ANSTrue
Side outcomes of hormonal techniques (oral, patch, Nuva Ring) of birth control: - ANSchest
pain, SOB, leg pain (viable clot), headache, eye troubles, HTN
Hormonal strategies dangers - ANS-blood clots, leading to a stroke or PE
-HTN
Smokers need to now not take: - ANShormonal contraceptives
Contraindications of hormonal contraceptives: - ANShx of blood clots, stroke, cardiac issues,
breast/estrogen associated cancers, smoker
Depo-provera - ANSinjectable progestin
Depo-provera can reason: - ANSdecreased bone mineral density
Education for patron receiving Depo injection: - ANSreceive adequate intake of calcium and
diet D
IUDs boom the threat of: - ANSpelvic inflammatory sickness, uterine perforation, and ectopic
pregnancy
Clients who had IUDs ought to be at the appearance out for: - ANSincrease in string period,
foul smelling vaginal discharge, ache w/ intercourse, fever, chills
Definition of infertility - ANSthe incapability to conceive after attempting for three hundred
and sixty five days
Workup after determining infertility: - ANS-Sperm analysis on male (performed 1st)
,- Woman examined if male comes out bad
The nurse ought to make sure that the patron receiving a take a look at with dye does no
longer have hx or allergy to __ or ___. - ANSiodine or seafood
Presumptive signs of pregnancy - ANSamenorrhea, fatigue, nausea, vomiting, urinary
frequency, breast changes, quickening
Probable signs of being pregnant - ANSabdominal growth, hegar signal (softening of uterus),
chadwick's sign (bluish shade of cervix, Goodell's sign (softening of cervical tip),
ballottement (rebound of unengaged fetus), braxton hicks contractions, superb pregnancy
test, fetal define felt by examiner
Positive signs and symptoms of pregnancy - ANShearing fetal coronary heart sounds, see
baby with extremely sounds, feeling of movement in uterus
Presumptive symptoms can: - ANSbe explained for problems apart from pregnancy
Positive signs and symptoms of pregnancy are: - ANSvery wonderful
Naegele's rule - ANSsubtract 3 months, add 7 days, upload 1 yr
***Easier way: Add 9 months, add 1 week***
GTPAL - ANSG- gravitity (# of instances woman has been pregnant, inclusive of the
contemporary pregnancy)
T- pregnancies of 38 wks or greater
P- pregnancies of much less than 38 wks
A- abortions/miscarriages
L- dwelling children
weight gain variety for pregnant woman who's a normal weight - ANS25-35 kilos
weight benefit range for woman who's overweight - ANS15-25 pounds
Weight gain variety for woman who's underweight - ANS28-forty pounds
During 1st trimester, a woman should not advantage extra than: - ANS2-four lbs (1-2 kg)
Once beyond 1st trimster, weight advantage is expected as ___ - ANS1 pound per week
Expected extra calories according to day for 2nd trimester - ANS340 greater cal according to
day
Expected extra calories per day for third trimester - ANS450 greater calories consistent with
day
True or fake: Mothers who're breastfeeding after being pregnant want extra day by day
energy - ANStrue
, Range for extra each day energy whilst breastfeeding - ANS300-four hundred cal/day
Folic acid facilitates save you: - ANSfetal neural tube defects
Pregnant women have to drink how a whole lot water in step with day? - ANS2-3 L
Pregnant girls should restrict caffeine intake to ___ mg in keeping with day - ANS300 mg
Sources of folic acid: - ANSdark, inexperienced leafy veggies, orange juice
When patron is having ultrasound, the bladder must be: - ANSfull (allows sounds waves
resonate better)
When purchaser is having diagnostic test in which belly is being poked (amniocentesis), the
bladder need to be: - ANSempty
Biophysical profile (BPP) - ANS-score given among zero-10
-measures reactive heart, respiration, body moves, fetal tone, and amniotic fluid extent
- every section is given rating of two if regular and zero if not normal
Normal rating for BPP - ANSbetween eight-10 (indicated healthful baby)
Nonstress check - ANS-non invasive
-measures fetal well being within the ultimate trimester of being pregnant
-measures response of fetal heart charge to fetal motion (button given to girl to press while
she feels baby pass after which HR is measured in response to the motion)
Non strain take a look at is taken into consideration reactive if: - ANSFetal HR quickens all
through movement
True or false: Reactive non stress take a look at is everyday - ANStrue
Non stress check is considered non reactive if: - ANSfetal HR does not boost up adequately
Is nonreactive non strain take a look at excellent or terrible? - ANSbad
If non strain check is nonreactive, what different assessments may be achieved? -
ANSbiophysical profile, contraction pressure take a look at (CST)
During a contraction stress check, contractions are added on with the aid of using: -
ANSpitocin (oxytocin) or nipple stimulation
What is monitored at some stage in the contraction of a contraction strain test? - ANSFetal
HR to see if overdue deceleration occur
If no overdue decelerations occur at some point of contraction pressure check, then the end
result is: - ANSnegative (what you want)