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NUR234 Final Exam Questions And Verified Detailed Answers
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NUR234 Final Exam Questions AndVerified Detailed Answers
diaphragm
A dome shaped cup with a flexible rim that fits snugly over the cervix. Barrier to the
passage of sperm.
diaphragm teaching
- Should remain in place for 6 hours after coitus. If left in for 24 hours, may cause toxic
shock syndrome.
- Using a spermicide will increase effectiveness.
- Replace every 2 years.
- Refit for 15-20 lb. weight fluctuation, after having a baby or abdominal surgery.
diaphragm contraindications
clients who have a history of:
toxic shock
Cystocele
UTI's
uterine prolapse
combined oral contraceptives (COC)
Hormonal contraception containing estrogen and progestin, which suppress ovulation,
and thicken the cervical mucus to block semen.
Prevents implantation.
COC complications
chest pain
SOB
leg pain
,headache
vision changes
HTN
COC contraindications
thromboembolic disorders
smoking
HTN
COC teaching
take every day
the pill is highly effective if taken correctly and consistently
ovulation
involves monitoring the menstrual cycle and, using various techniques, attempting to
determine when ovulation has occurred, an event that occurs about 14 days before the
beginning of the next menstrual cycle
infertile phase
begins when cervical mucus is watery, transparent and can be stretched between the
fingers
functions of the placenta
Nutrients and oxygen are carried to the fetus by
Screens waste material and provides a barrier to some toxic substances and
medications such as insulin.
- Attached to the baby via umbilical cord made up of 2 arteries & 1 vein
hormones produced by the placenta
- hCG
- progesterone
- estrogen
- human placental lactogen
- oxytocin & prostaglandin
,human chorionic gonadotropin (hCG)
Present in maternal blood and urine as early as the first missed menstrual period,
shortly after implantation has occurred
progesterone
Required to support the endometrial lining of the uterus during pregnancy
estrogen
Plays role in development of the mammary glands in preparation for lactation
human placental lactogen
Regulates maternal glucose, protein, and fat levels so adequate amounts are available
to the fetus
oxytocin & prostaglandin
released later in pregnancy to help induce labor
Nagele's Rule
- predicts delivery
- From first day of last menstrual cycle; Subtract 3 months, and add 7 days (and if
necessary, add a year)
amniocentesis
- Aspiration of amniotic fluid from pregnant uterus for examination
- Usually scheduled between the 14th and 16th week of pregnancy.
- This is to check lung maturity in the fetus. L/S ratio should be 2:1
Lecithin/sphingomyelin (L/S) ration
in surfactant, primary test of fetal lung maturity.
- L/S rations is 2:1.
amniocentesis prep
- Empty bladder before procedure.
, - If mother is RH negative blood type, administer Rhogam.
nonstress test
- A noninvasive tool.
- Measures fetal heart rate response to fetal movement (fetal wellbeing)
nonstress test interpretations and interventions
interpreted as reactive if the FHR accelerates at least 15 beats above baseline, for at
least 15 seconds and occurs two or more times during a 20- minute period
If baby hasn't moved, offer mom a drink or snack and have her move around for a few
minutes
reproductive system changes
uterus
ovaries
vagina
breast
presumptive signs of pregnancy
Fatigue
Tender breasts
Pigment changes (areola, melasma, Linea nigra)
Quickening
Amenorrhea
Uterine enlargement
Stria gravidarum
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