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1. Contraceptive use a water soluble lubricant should be used with condoms
2. Oral contraceptive dan- Shortness of breath can indicate pulmonary embolism or myocardial
ger indications infarction
3. 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
4. Implantable progestins Irregular vaginal bleeding
adverse effects weight gain
breast changes
5. medroxyprogesterone clients should take calcium and vitamin D o prevent loss of bone
density
can cause irregular bleeding
6. Signs of pregnancy: Pre- changes might be subjective or objective:
sumptive amenorrhea (no periods)
fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks gestation)
abdominal enlargement
7. Signs of Pregnancy: changes that make the examiner suspect pregnancy:
Probable uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
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braxton Hickscontractions
positive pregnancy test
fetal outline felt by examiner
8. Signs of Pregnancy: Pos- those explained only by pregnancy:
itive fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
9. 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
10. Gravidity Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
11. Parity Number of pregnancies which fetus reached 20 weeks ( includes
stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
12. Viability Point at which a fetus can survive outside the womb.
13. GTPAL Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
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Abortions,
Living
14. Physiological changes stretch marks
hyperpigmentation
15. Supine hypotensive syn- Low blood pressure resulting from compression of the inferior vena
drome cava by the weight of the pregnant uterus when the mother is supine.
lie on left side with head elevated on a pillow
16. pulse during pregnancy increases 10 to 15/min around 32 weeks until term
17. FHR 110-160 beats/min
18. Cardiovasuclar changes Output increases
blood volume increases
heart rate increases
19. uterine changes by 36 weeks the top of the uterus and the fundus will reach the xiphoid
process, causing shortness of breath as uterus pushes against the
diaphragm
20. Skin changes chloasma: an increase of pigmentation on face
linea nigra: dark line (happy trail)
striae gravidarum: stretch marks
21. April 1st was first day of january 8
last period. what is her
due date
22. G3 T1 P0 A1 L1 gravida-3 (3 pregnancies including her being pregnant now)
what does this mean