PN Maternal Newborn Nursing ATI
Proctored Exam study guide already
passed
Contraceptive use ✔✔a water soluble lubricant should be used with condoms
Oral contraceptive danger indications ✔✔Shortness of breath can indicate pulmonary embolism
or myocardial infarction
IUD (intrauterine device) ✔✔Check for presence of IUD strings following each menstruation to
ensure the device is still present. A change in the length of the strings should be reported to the
provider
Implantable progestins adverse effects ✔✔Irregular vaginal bleeding
weight gain
breast changes
medroxyprogesterone ✔✔clients should take calcium and vitamin D o prevent loss of bone
density
can cause irregular bleeding
,Signs of pregnancy: Presumptive ✔✔changes might be subjective or objective:
amenorrhea (no periods)
fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks gestation)
abdominal enlargement
Signs of Pregnancy: Probable ✔✔changes that make the examiner suspect pregnancy:
uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
braxton Hickscontractions
positive pregnancy test
,fetal outline felt by examiner
Signs of Pregnancy: Positive ✔✔those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
hCG blood / urine test ✔✔Human chorionic gonadotropin:
can start as early as day of implantation and can be detected about 8 days after conception.
peaks about day 60-70, declines til day 100-130 then incline until term
raised levels=multifetal, ectopic, hydatidiform mole
low level= miscarriage, ectopic
Gravidity ✔✔Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
Parity ✔✔Number of pregnancies which fetus reached 20 weeks ( includes stillborn)
, Nullipara: no pregnancy
primipara: one
Multipara: two or more
Viability ✔✔Point at which a fetus can survive outside the womb.
GTPAL ✔✔Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
Physiological changes ✔✔stretch marks
hyperpigmentation
Supine hypotensive syndrome ✔✔Low blood pressure resulting from compression of the inferior
vena cava by the weight of the pregnant uterus when the mother is supine.
Proctored Exam study guide already
passed
Contraceptive use ✔✔a water soluble lubricant should be used with condoms
Oral contraceptive danger indications ✔✔Shortness of breath can indicate pulmonary embolism
or myocardial infarction
IUD (intrauterine device) ✔✔Check for presence of IUD strings following each menstruation to
ensure the device is still present. A change in the length of the strings should be reported to the
provider
Implantable progestins adverse effects ✔✔Irregular vaginal bleeding
weight gain
breast changes
medroxyprogesterone ✔✔clients should take calcium and vitamin D o prevent loss of bone
density
can cause irregular bleeding
,Signs of pregnancy: Presumptive ✔✔changes might be subjective or objective:
amenorrhea (no periods)
fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks gestation)
abdominal enlargement
Signs of Pregnancy: Probable ✔✔changes that make the examiner suspect pregnancy:
uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
braxton Hickscontractions
positive pregnancy test
,fetal outline felt by examiner
Signs of Pregnancy: Positive ✔✔those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
hCG blood / urine test ✔✔Human chorionic gonadotropin:
can start as early as day of implantation and can be detected about 8 days after conception.
peaks about day 60-70, declines til day 100-130 then incline until term
raised levels=multifetal, ectopic, hydatidiform mole
low level= miscarriage, ectopic
Gravidity ✔✔Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
Parity ✔✔Number of pregnancies which fetus reached 20 weeks ( includes stillborn)
, Nullipara: no pregnancy
primipara: one
Multipara: two or more
Viability ✔✔Point at which a fetus can survive outside the womb.
GTPAL ✔✔Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
Physiological changes ✔✔stretch marks
hyperpigmentation
Supine hypotensive syndrome ✔✔Low blood pressure resulting from compression of the inferior
vena cava by the weight of the pregnant uterus when the mother is supine.
