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

o Body movement