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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 forsecond 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 (amniocent
• Biophysical profile: 0-10 score, 8-10 is normal
o Reactive HR (0-2)
o Breathing
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