Summary MCH_Final_Exam_Study_Guide.docx.pdf

Dysmenorrhea – a common complaint with women – what are the non-pharmacological and pharmacological treatments. NSAID’s (Motrin, Naproxen, Alive), heating pad, rest, increase calcium, increase fluids, decrease red meat, alcohol, smoking drugs, exercise. 2. Obstetrical issues – pregnancy risks - Know Naegle’s Rule – to establish gestational age ovulation occurs in the middle of the cycle, stress can affect cycle, as well as high exercise, pregnancy, medications, drugs, hormones, obesity. Add 1 year, subtract 3 months, add 7 days. Pregnancy risks smoking, alcohol drinking, obesity, diabetes, drug use, hypertension, poor nutrition, eating disorders ALL affect pregnancy. EDD can also be measured by fundal height (Ex. Fundal height is measuring at umbilicus = 20 weeks) 3. Fetal assessment 3 things baby is okay – fetal heart tones (audible at 10-12 weeks), movement (16-18 weeks for multiparis, 18-20 for prima gravida), fundal height (12-14 weeks, at the symphysis pubis, umbilicus is 20 weeks) 4. Poor nutrition, drugs, HTN, DM are all issues of placental perfusion – what will the fetal result be – IUGR is the result, how do we identify IUGR? Smaller fundus. Uncontrolled diabetes = large baby, larger fundal height, baby can have hypoglycemia after birth, birth injuries and respiratory immaturity