OB Part II

PMDD (premenstrual dysphoric disorder)

Adolescents and women who experience more extensive emotional symptoms with PMS should be evaluated for ________________ because they may require antidepressant therapy.

sign informed consent

Because some methods have potential dangerous side effects, it is necessary for the woman choosing surgical sterilization, hormone injection, implants, and IUDs to ______________

■Do not eat: shark, swordfish, mackerel, and tile fish. ■Do not eat raw or undercooked fish, meats, poultry, or eggs. ■Avoid luncheon meats and hot dogs. ■Avoid soft cheeses: Brie, Camembert, Roquefort, Feta, Gorgonzola, and Mexican style cheeses that include Queso Blanco and Queso Fresco - the products should say that pasteurized milk is used. ■Do not consume pâté or meat spreads or raw (unpasteurized) milk products.

Food safety in childbearing.

Jitteriness Restlessness Sneezing

Neonatal abstinence Signs?

Noninvasive monitor FHR/ Movement Intrapartum for fetal well being Reaction: baseline normal = monitor variability acceleration = 15 bpm / 15 seconds Used: to assess for fetal central nervous system in third trimester

Non Stress Test

Mittleschmerz

abdominal pain associated with ovulation ➢Middle pain (ovulation) ➢Usually unilateral pelvic pain that occurs at the time of ovulation

premenstrual syndrome (PMS)

describes a constellation of recurrent symptoms that occur during the luteal phase or last half of the menstrual cycle and resolve with the onset of menstruation.

primary dysmenorrhea

painful menstruation that begins at puberty and has no clear cause (cramps)

d. Toxoplasmosis

A pregnant woman in her second trimester comes to the prenatal clinic for a routine visit. She reports that she has a new kitten. The nurse would have the woman evaluated for which infection? a. Herpes simplex virus b. Parvovirus B19 c. Cytomegalovirus d. Toxoplasmosis

of passing the infection to her fetus

A pregnant woman that contracts toxoplasmosis for the first time has an approximately 40% chance of ________________________?

c) "I will make sure to take my estrogen supplements a week before my period."

After the nurse teaches a client about ways to reduce the symptoms of premenstrual syndrome, which client statement indicates a need for additional teaching? a) "I'll cut down on the amount of coffee and colas I drink." b) "I quit smoking about a month ago, so that should help." c) "I will make sure to take my estrogen supplements a week before my period." d) "I've signed up for an aerobic exercise class three times a week."

■Before Pregnancy: -In early development, folic acid helps form the neural tube -Helps prevent major birth defects in the baby's brain (anacephaly) and spine (spina bifida) -400 mcg per day is recommended for women of reproductive age ■Found in prenatal vitamins, enriched cereals, and flour (corn masa)

Info on Folic Acid in Pregnancy?

Decrease stimuli from lights and noise keep handling to a minimum baby wearing or other soothing techniques fostering the mother's attachment to and ability to care for her infant

Intervention for neonatal syndrome?

reduction of caffeine intake, vitamin and mineral supplements, diuretic therapy, and NSAIDs. Medication therapies that have been found to be helpful for clients with PMS are antidepressants and anxiolytics. Other medications that are used are diuretics and NSAIDs.

Possible treatment options for PMS include

Characteristics: Absent/ Few creases Undescended testes Covered with vernix caseosa Extended/ Limp Extremities Weak/ Fragile Lack subcutaneous fat Ears have little cartilage Easily exhausted by noise Risk Factor: Respiratory distress less brown fat for nonshivering Consideration: Meticulous respiratory assessment Periodic breathing v, apnea Maintain hydration Suctioning Reduce Stimuli Prone/ Sidelying

Preterm Characteristics? Risk Factors? Nursing considerations?

a. Eat meat cooked to 160 degrees b. Avoid cleaning the cat's litter box e. Avoid outdoor activities such as gardening Avoid eating raw or undercooked meat, especially lamb or pork. Cook all meat to an internal temperature of 160°F (71°C) throughout. Clean cutting boards, work surfaces, and utensils with hot soapy water after contact with raw meat or unwashed fruits and vegetables.Wear gardening gloves when in contact with outdoor soil. Avoid contact with children's sandboxes, because cats can use them as litter boxes.

The nurse is caring for a pregnant client who indicates that she is fond of meat, works with children, and has a pet cat. Which of the following instructions should the nurse give this client to prevent toxoplasmosis? (Select all that apply). a. Eat meat cooked to 160 degrees b. Avoid cleaning the cat's litter box c. Keep the cat outdoors at all times d. Avoid contact with children when they have a cold e. Avoid outdoor activities such as gardening

⬤Natural family planning ➢Calendar or rhythm method ➢Standard days method ➢Cervical mucus and two-day method ➢Symptothermal method (STM) ➢Abstinence (DO NOT HAVE SEX) ⬤Least reliable methods of contraception ➢Breastfeeding ➢Coitus interruptus (Withdrawl) (Pull out method) BBT - lower temp before ovulation (at rest) STM - mucus from absent to thin stretchy at ovulation

What are some natural family planning for contraception?

A—anxiety: difficulty sleeping, tenseness, mood swings, and clumsiness C—craving: cravings for sweets, salty foods, chocolate D—depression: feelings of low self-esteem, anger, easily upset H—hydration: weight gain, abdominal bloating, breast tenderness O—other: hot flashes or cold sweats, nausea, change in bowel habits, aches or pains, dysmenorrhea, acne breakout

What are symptoms of PMS?

Prone/ Side lying

What type of positioning is used for preterm infants>

b) "Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum."

Which of the following would be most appropriate when explaining endometriosis as a cause of a woman's infertility? a) "You do not ovulate because of endometrial implants on the ovaries." b) "Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum." c) "Your uterine cervix fails to close because it is engorged with tissue." d) "Menstrual sloughing does not occur, so there is never a new base for embryo growth."

Pap test

detects cervical tissue changes

Polyurethane Condoms

sheath inserted vaginally to block sperm, protection from STI and STD

endometriosis

➢Dyspareunia (painful intercourse) ➢Endometrial tissue present outside of the uterus