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ATI OB PROCTOR.docx Solved Questions) (100% VERIFIED QUESTIONS AND ANSWERS

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Chapter 1>>> Contraception>>> Barrier method>>> *condoms *diaphragms: -must be refitted: - by a provider every 2 years! -if they gained more then 15 pounds (7 kilograms) -if they had full term pregnancy -if they had second-term abortion *use spermicide (for d...

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  • September 27, 2023
  • 18
  • 2023/2024
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johnlynnk262
ATI OB PROCTOR

Chapter 1>>>

Contraception>>>

Barrier method>>> *condoms

*diaphragms:

-must be refitted:

- by a provider every 2 years!

-if they gained more then 15 pounds (7 kilograms) -if they had full term pregnancy

-if they had second-term abortion

*use spermicide (for diaphragm) for each act of sex

*diaphragm must remain in place for 6 hours after sex

hormonal methods>>> *side effects (look for signs of):

-chest pain, shortness of breath, leg pain from possible clot, headache, eye problems (from stroke or
hypertension)

-if a smoker, this type of contraceptive is not recommended.



*contraindications:

-history of blood clot

-stroke

-cardiac problems

-breast or estrogen cancers: pill contains estrogen ---> cause more estrogen in body

-smoker

depoprovera (injection of progesterone)>>> *can cause decrease of bone mineral density or loss of
calcium

,*interventions: adequate amount of calcium and vitamin D to protect bones

IUDs>>> *increase the risk of pelvic inflammatory disease

*cause uterine perforation

-increase risk of ectopic pregnancy



*look for:

-change in string length (IUD has moved/dislocated)

-foul smelling vaginal discharge

-pain with intercourse

-fevers, chills (infection)

chapter 2>>>

infertility>>> *the inability to conceive over 12 months

infertility workup>>> *start with the guy (because cost effective and easier): sperm analysis ---> comes
out as clear --->

*then look at woman

-any tests that require dye: make sure woman does not have history of allergy to iodine or seafood

chapter 3>>>

signs of pregnancy>>>

presumptive>>> *things that can be explained other then pregnancy

*ex: amenorrhea (could be pregnant OR anorexic, exercising too much), fatigue (maybe didn't sleep
well!), n/v (could be sick), urinary frequency (could have a UTI), breast changes, quickening (gas in
stomach)

probable>>> *everything else in-between

*abdominal enlargement

*hegar sign: softening of uterus

*chadwick's sign: blueish color of cervix

*goodelles: softening of cervix

, *ballotment: rebound of the unengaged fetus

*Braxton Hicks: false contractions

*positive pregnancy test

*fetal outline felt by examiner

positive>>> *hear FHR

*see the baby with ultrasound

*feel movement in uterus

nagale's rule>>> *when due date is based on last menstral cycle

-add 9 months and 1 week

GTPAL>>> *g: gravity: number of times woman has been pregnant, including current pregnancies

*t: term births: pregnancies that have gone to 38 weeks or more

*p: preterm births: below 38 weeks

*a: abortions or miscarriages

*l: living children

chapter 5>>>

normal weight gain in pregnancy>>> *25-35 lbs

-if overweight (a little less): 15-25 lbs

-if underweight: 28-40 lbs

first trimester>>> *shouldn't gain more than 1-2 kg (2-4 lbs) for the entire trimester

-once pass the trimester, expected weight gain of 1 lb/wk for the last two trimester

extra calories>>> *340 calories/day for second trimester

*450 calories/day for third trimester

*don't need much extra calories during the first trimester

if breastfeeding after pregnancy>>> *still need extra calories (300-400/day)

folic acid>>> *help to prevent fetal neural tube defects

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