EAG Flashcards
(55 cards)
Signs of impending labor
(after 38 weeks),
including lightening, engagement, cervical
changes, and presence of contractions.
Signs and symptoms of impending labor (Premonitory
Signs)
Lightening is the descent of the fetus and uterus into
the pelvic cavity 2 to 3 weeks before the onset of
labor.
Braxton Hicks
Cervical changes include softening , “ripening” and
effacement of the cervix that will cause expulsion of
the mucous plug (bloody show).
Rupture of amniotic membranes
Burst of energy or increased tension and fatigue may
occur right before the onset of labor.
Weight loss of about 1 to 3 pounds may occur 2 to 3
days before the onset of labor
Early skin-to-skin contact
prevents hypothermia, hypoglycemia and sepsis,
increases colonization with protective bacterial flora
and improved breastfeeding initiation and exclusivity
Oral contraceptives,
are composed of varying amounts of
synthetic estrogen combined with a small amount of
synthetic progesterone (progestin).
ORAL ROUTE
Hormonal Contraceptive Pill
comprises of synthetic
estrogen combined with small amount of synthetic
progesterone. It prevents ovulation by inhibiting FSH and
decreases the permeability of cervical mucus.
ORAL ROUTE
Combination pills
monophasic
– fixed dose of estrogen and
progesterone throughout 21-day cycle
ORAL ROUTE
Combination pills
biphasic
constant amount of estrogen throughout
the cycle, but varying amounts of progestin.
ORAL ROUTE
Combination pills
triphasic
vary in both estrogen and progestin
content throughout the cycle.
ORAL ROUTE
Sunday start:
Take the first pill on the first Sunday after the
beginning of a menstrual flow.
ORAL ROUTE
Quick start:
Begin pills as soon as they are prescribed.
Beginning pills immediately after a prescription is filled may
increase compliance, reducing unintended pregnancies.
ORAL ROUTE
First day start:
start: Begin pills on the first day of menses
Coc’s are not
effective for the first __ days after birth
7
Lybrel is a
a new low-dose combination estrogen and
progestin pill that is taken 365 days a yr. without a placebo
or pill-free interval so menstrual periods are completely
eliminated for 1 yr
ORAL ROUTE
Emergency contraception
is a way to prevent pregnancy after unprotected sex
o Often called the morning-after pill
o levonorgestrel
It works up to 72 hours after having unprotected sex
ORAL ROUTE
Mini pills
(progestin only) – prevents endometrial
development, implantation will not take place. It thickens
cervical mucus
recommended that adolescent girls have wellestablished menstrual cycles for at least 2 years
before beginning
COCs
After woman stop taking COCs, they may not be able
to become pregnant for
1 to 2 months and possibly
6 to 8 months, because the pituitary requires a
recovery period to begin cyclic gonadotropin
stimulation again
to restore
fertility
clomiphene citrate (Clomid) therapy
Intrauterine Devices (IUD)
a small plastic object inserted
into uterus where it remains in place.
Pelvic inflammatory disease (PID)
is an an infection
or inflammation of organs affecting the female
reproductive system (such as the uterus, vagina and
fallopian tubes).
INTRAUTERINE DEVICES (IUD)
Risk for
PID
- Common Types of IUD’s
Copper T380 (ParaGard)
a T shape plastic device
wound with copper. Effective for 10 years
- Common Types of IUD’s
Mirena
Hold a drug reservoir of progesterone in
the stem effective for 5 yrs
in IUD ( use additional form of
contraception, such as spermicide, she is likely to)
expel the
device spontaneously