Exam #1 Flashcards
What is true labor?
cervical changes with rhythmic contractions
When should the 1st prenantal visit occur?
within 12 weeks
What labs are taken at 1st prenatal visit?
HGC
CBC
Type & Rh
RPR
HIV
Hemoglobin
Electrophoresis
(check anemias),
A1C
UA
cervical
exam
pap
smear,
How often should prental visits be between 12-28 weeks?
Once a month
What labs are taken at the monthly visits 12-28 weeks?
- UA at every visit
- TB skin test,
Rubella titer, Hep
B test, Triple
Screen & MSAFP - Ultrasound
- 1hr glucola (24-28
weeks)
How often should prenatal visits be between 29-36 weeks?
Every 2 weeks
What labs are drawn every 2 week at 29-36 weeks?
- UA at every visit
- Ultrasound if not
done before - Type & Rh
How often should prenatal visits be from 36 weeks-delivery?
weekly
What labs will be drawn from 36 weeks-delivery?
- GBS, HIV
- Possible U/S for
presentation
What are warning signs during first trimester of pregnancy that the doctor may follow-up on?
-severe vomiting
-chills, fever
-dysuria
-diarrhea
-abdominal cramping
-vaginal bleeding
How does the menstrual cycle correlate with getting pregnant or not?
A woman is most fertile during the ovulation period (12-14 days before next cycle) of the menstrual cycle, and is the time where a woman is most likely to get pregnant
What are examples of barrier method contraceptives?
spermicides, condoms, diaphragms, cervical caps, contraceptive sponge
When should a female obstain from intercourse using cervical mucus method?
when cervical mucus is wet, clear, and stretchable
What is education concerning barrier method contraception?
use in conjunction with spermicidal foam to increase effectiveness, recommended to prevent STDs
What is an important education about spermicidal method?
not effective when a
highly reliable contraceptive method is sought
What are important things to note about diaphragm method?
- Round flexible device that covers the cervix
- Must be fitted for size by health care provider
- Inserted into the vagina up to 6 hours before
intercourse - Used with spermicidal jelly or cream
- Must remain in place for 6-8 hours after
intercourse - Increases risk of urinary tract infections
- Return to health care provider for size
refitting if weight fluctuates up or down - Does not prevent STD
What is the teaching when a birth control pill is missed and its been <12 hours?
Take 1 pill immediately and
take the rest of the pack at the
usual time
No backup method needed
No Emergency
Contraceptive needed
What is the teaching when a birth control pill is missed and its been over 12 hours?
Take pill as soon as
remembered and continue the
rest of the pack at the usual
time
Use EC if had unprotected
intercourse in the past 7
days
Use condoms or abstinence
for the next 7 days
What are serious side effects for oral contraceptives?
- A = abdominal pain
- C = chest pain or shortness of breath
- H = severe headache
- E = Eye problems such as vision loss, dizziness
or blurring of vision - S = Severe leg pain or swelling
What is the education needed for transdermal contraception patch?
- Contains a combination of estrogen and
progestin - Patch placed on abdomen, buttocks, upper
outer arm or torso BUT NOT THE BREAST - Replaced each week for 3 weeks
- Not used for 1 week to allow for
menstruation
What is the education needed for vaginal ring?
- Small flexible ring inserted deep into the
vagina for 3 out of every 4 weeks - A new ring is used for each 4-week cycle
- Delivers continuous levels of progestin &
ethinyl estradiol
What is the education needed for depo-provera?
- Given every 11-13 weeks
- Suppresses ovulation and produces thick cervical mucus that decreases sperm motility
- Effective, convenient, inexpensive compared to other methods
- Menstrual bleeding is diminished or absent
- May be a delay in fertility for up to 18 months when discontinued
What are side effects of IUD?
Side Effects: include irregular
menstrual cycles and increased bleeding
and cramping during menstruation
What are serious side effects of an IUD?
- P = Period late abnormal spotting or bleeding
- A = Abdominal pain; pain during intercourse
- I = Infection exposure; STD’s
- N = Not feeling well; fever and chills
- S = String missing; shorter or longer