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
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