ATI PN Maternal Newborn Proctored Exam Study Guide/Latest 2022 A+ Guide

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Contraceptive use (ANS- a water soluble lubricant should be used with condoms Oral contraceptive danger indications (ANS- Shortness of breath can indicate pulmonary embolism or myocardial infarction ... IUD (intrauterine device) (ANS- 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 (ANS Irregular vaginal bleeding weight gain breast changes medroxyprogesterone (ANS- clients should take calcium and vitamin D o prevent loss of bone density can cause irregular bleeding Signs of pregnancy: Presumptive (ANS- 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 (ANS- 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 (ANS- those explained only by pregnancy: fetal heart sounds visualization of fetus by ultrasound fetal movement palpated by experienced examiner hCG blood / urine test (ANS- 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 (ANS- Nulligravida: never been pregnant Primigravida: this is first pregnancy Multigravida: two or more Parity (ANS- Number of pregnancies which fetus reached 20 weeks ( includes stillborn) [Show More]

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