Ch.1 Oral Contraceptives

 Chest pain, SOB, leg pain (clot), headache, eye problems

 Can cause blood clots

 Hypertension

 Do not use with smokers

 Hx of blood clots, stroke, cardiac, breast or estrogen

 Depro-provera calcium and vitamin D

 IUD= increased risk of pelvic inflammatory disease, ectopic pregnancy

o Change in string length, foul smell, fever/chills, pain with intercourse  notify

provider

Ch.2 Infertility

 Inability for at least 12 months

 Male first (sperm analysis), then the woman (no hx of dye for test or seafood)

Ch.3

 Presumptive sign: things that can be explained by other means

o Nausea, amenorrhea, N/V, Fatigue

 Probable signs

o Abdominal enlargements, Hagar sign, chad wicks sign, goodwill sign,

ballottement, Braxton hick contractions, positive pregnancy test, fetal outline

 Positive sign

o FHR

 Nagele’s rule: add 9 months and a week

 GTPAl: Gravidity (# of times of pregnancy), Term births (38 weeks or more), Preterm

births, Abortions/miscarriages, Living children

Ch. 5 Nutrition During Pregnancy

 Normal: 25-30 pounds

 Overweight: 15-25 pounds

 Underweight: 28-40 pounds

 First trimester: no more than 2-4 pounds for entire trimesters.. then 1 lb/week

 340 calories/day for second trimester…450 for third trimester (even during breastfeeding)

 Folic acid (dark leafy green veggies)  fetal neuro tube defects

 2-3 L of water, limit amount of caffeine

Ch.6 Assessment of Fetal Well being

 Ultrasound  want bladder full **non-invasive**

 When poking stomach  empty bladder (amniocenteses)

 Biophysical profile: 0-10 score, 8-10 is normal

o Reactive HR (0-2)

o Breathing