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concept 3 > ati book shit maternal exam 1 > Flashcards

ati book shit maternal exam 1 Flashcards

1
Q

when does ovulation occur

A

14 days before next menstrual cycle

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2
Q

how to calculate fertile period

A

subtract 11 days from # of days from longest cycle (ex. shortest cycle: 26-18 =8th day
longest cycle: 30-11= 19th day
fertile period= days 8-19

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3
Q

what is basal body temp

A

temp of body at rest

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4
Q

what happens to basal body temp prior to ovulation

A

temp slightly drops and rises

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5
Q

how to get basal body temp

A

take temp immediately after waking before doing ANYTHING

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6
Q

what is considered first fertile day when using basal body temp

A

first day temp drops or elevates

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7
Q

how many consecutive days of temp changes is fertility extended using basal body temp

A

3 days

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8
Q

what method should basal body temp be used with for increased effectiveness

A

calendar method

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9
Q

billings method is

A

using cervical mucous to determine ovualtion

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10
Q

what happens to cervical mucous following ovulation

A

becomes thin and flexible from estrogen and progesterone (allows sperm viability and motility)

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11
Q

spinnbarkeit sign is

A

the ability for mucus to stretch between fingers

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12
Q

when is spinnbarkeit sign greatest

A

during ovulation

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13
Q

how long does fertile period last using billings method

A

4 days after last day of thin slippery cervical mucus

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14
Q

what should you educate pt not to do before billings test

A

douche

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15
Q

do natural skin condoms protect against STI’s?

A

no because they have small pores

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16
Q

why are polyurethane condoms less effective than latex condoms

A

easily slip and lose shape

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17
Q

what do condoms not protect against

A

hpv
hsv
syphilis

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18
Q

contraceptive that is dome shaped cup w flexible rim that fits over cervix

A

diaphragm

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19
Q

when should diaphragm be replaced

A

every 2 yrs

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20
Q

when should diaphragm be refitted

A

EVERY PREGNANCY
after 20% weight fluctuation
abdominal/pelvic surgery

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21
Q

when should diaphragm be placed

A

up to 6 hrs before sex

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22
Q

how long should diaphragm stay in place after sex

A

6 hrs after

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23
Q

diaphragm should not stay inside for more than?

A

24 hrs

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24
Q

what should you do before inserting diaphragm to reduce urethra pressure

A

pee

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25
Q

what should u do with diaphragm after every use

A

wash with mild soap and water

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26
Q

hormonal contraceptive that contains estrogen and progestin is called

A

combined oral contraceptives

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27
Q

how do combined oral contraceptives prevent pregnancy

A

thicken cervical mucus to block semen
alter uterine decidua (uterine tissue) to prevent implantation

28
Q

when should regular menstrual cycles occur w combined oral contraceptive use

A

last 7 days

29
Q

when should pt be educated to take combined oral contraceptive if nausea occurs

A

bedtime

30
Q

what do oral combined contraceptives increase the risk of

A

-thromboembolisms
-strokes
-heart attacks
-htn
-gallbladder disease
-liver tumors

31
Q

what conditions do combined oral contraceptives exacerbate

A

fluid retention conditions:
-migraine
-epilepsy
-asthma
-kidney/heart disease

32
Q

what can be used as emergency contraceptive up to 5 days after unprotected sex (not plan b)

A

copper IUD

33
Q

transdermal contraceptive patches can have what effect on glucose

A

impaired glucose tolerance (dm pts)
increases risk of dm

34
Q

what is medroxyprogesterone

A

injectable progestin

35
Q

when is medroxyprogesterone given

A

im or subq every 11-13 weeks

36
Q

how long are copper iuds effective

A

10 years

37
Q

how long are hormonal iuds effective

A

3-5 yrs

38
Q

can irregular spotting occur with medroxyprogesterone

A

yes

39
Q

can weight fluctuations occur with medroprogesterone

A

yes

40
Q

medroprogesterone pt should increase intake of what

A

calcium (prevents bone density loss)

41
Q

what should iud pt check for after menstruation

A

iud strings

42
Q

should u refer a pt who had rubella 3 months before preg to genetic counselor

A

no

43
Q

what gender is easiest to assess for inferility and will be assessed first by provider

A

men

44
Q

what surgery is done for eptopic pregnancy

A

salpingectomy

45
Q

can a pt who had salpingectomy still ovulate

A

yes ovaries werent removed

46
Q

can an eptopic pregnancy increase the risk for eptopic pregnancies

A

yes

47
Q

can a pt w seafood allergy undergo hysterosalpingography?

A

no because of the dye

48
Q

what can high lvls of hcg indicate

A

multifetal pregnancy
eptopic pregnancy
hydatidiform mole pregnancy
genetic abnormality

49
Q

low hcg lvls can indicate

A

miscarriage

50
Q

what meds can affect preg test results

A

anticonvulsants
diuretics
tranquilizers

51
Q

what trimester do rapid physical changes occur during preg

A

2nd trimester

52
Q

what happens to pulse rate around 32 weeks

A

increases 10-15/min

53
Q

how to do nipple stimulated contraction test

A

pt rubs 1 nipple for 2 mins and stops when they feel a contraction (repeat after 5 min rest period)

54
Q

how oxytocin stimulated contracted test is done

A

give iv oxytocin to induce contractions

55
Q

what is the risk of oxytocin stimuated contraction tests

A

preterm labor (contractions are hard to stop)

56
Q

contraindications of oxytocin stimulated contractiont test

A

placenta previa
multiple gestations
previous c section

57
Q

how to do non stress test

A

pt pushes button when they feel contraction and doc watches w doppler & tocotransducer

58
Q

when can amniocentisis be performed

A

after 14 weeks

59
Q

when can alpha fetoprotein be measured from amniotic fluid

A

15-20 weeks

60
Q

afp can detect what

A

neural tube defects
chromosomal disorders

61
Q

high afp indicates

A

neural tube defects

62
Q

low afp indicates

A

chromosomal disorders (I.e down syndrome)

63
Q

causes of bleeding during 1st trimester

A

spontaneous abortion
eptopic pregnancy

64
Q

causes of bleeding during 2nd trimester

A

gestational trophoblastic disease

65
Q

causes of bleeding during 3rd trimester

A

placenta previa
abruptio placentae
vasa previa

66
Q

bloody discharge, regular uterine contractions and cervical dilation/effacement indicates

A

preterm labor

67
Q

uterine contractions/cervical changes that happen between 20-36 wks and 6 days indicate

A

preterm labor

concept 3 (17 decks)

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