Contraception & Women’s Health
When is a woman most fertile in her cycle?
3 days before and 3 days after ovulation
What is the most common bacterial STI in young women?
Chlamydia
What is the first nursing action for a boggy uterus?
Fundal massage
Where is the preductal pulse ox placed?
Right hand
What medication is given for fetal lung maturity?
Betamethasone
You are a baby nurse. You attend a delivery, and the baby that has just been delivered is not breathing right after birth—what is your first intervention?
Resuscitation
What should a patient do when taking combination oral contraceptives?
Take daily at the same time; start day 1 of menses or use backup x7 days
What STI presents with a painless chancre?
Syphilis (primary stage)
What are the 4 T’s of postpartum hemorrhage?
Tone, Trauma, Tissue, Thrombin
Define macrosomia?
Birth weight ≥ 4,000–4,500 gm
What does green amniotic fluid indicate?
Meconium-stained fluid
DAILY DOUBLE
You have a newborn with jitteriness and macrosomia. What is your main concern?
Hypoglycemia
What hormone is the mini pill, and what is its main side effect?
Progesterone-only pill; irregular bleeding
What medication treats gonorrhea?
Rocephin/Ceftriaxone IM
DAILY DOUBLE
A postpartum patient has continued heavy bleeding, but the fundus is firm and midline.
Laceration
A newborn experiences a shoulder dystocia during delivery. What nerve-related complication is the nurse concerned about?
Brachial plexus injury (Erb’s palsy)
When checking the cervix, you find a prolapsed cord. What is the first action to take?
Lift the presenting part off the cord
Your postpartum patient has foul discharge and a fever. What is the probable diagnosis?
Endometritis
DAILY DOUBLE
A patient taking combination oral contraceptives forgets to take her pills for 2 days. She had unprotected intercourse yesterday.
What teaching should the nurse provide?
Which STIs have vaccines that can prevent them?
HPV, Hepatitis A & B
What are the signs of hypovolemic shock postpartum?
Low BP, high HR, low urine, pallor, restlessness.
Why give caffeine citrate to a premature infant in the NICU?
Stimulates breathing center (apnea of prematurity)
DAILY DOUBLE
During labor, the fetal head delivers and then retracts back against the perineum.
What is occurring, and what is the immediate intervention?
You are caring for a patient with Preterm labor. She has a BP of 90/60 what is the best tocolytic?
Terbutaline (avoid nifedipine)
A 22-year-old patient comes to the clinic requesting birth control. She states she does not want hormones, has multiple sexual partners, and is not always consistent with follow-up appointments.
What is the best recommendation and why?
External/internal condoms.
Rationale: Only method that prevents both pregnancy and STIs and does not require follow-up or hormones.
A patient presents with painless genital lesions. She reports they appeared about a week ago, and she has not had pain or itching.
What condition should the nurse suspect, and what is the treatment?
Syphilis (primary stage).
Treatment: Penicillin.
A postpartum patient, 10 minutes after delivery, is experiencing heavy vaginal bleeding. The fundus is boggy and deviated.
What is the priority intervention, and what medication will likely be ordered first?
A newborn is delivered after a difficult shoulder dystocia. The infant weighs 4,500 g, has a weak cry, is jittery, and has asymmetrical arm movement.
Besides a brachial plexus injury, what other potential complications should the nurse anticipate?
A 30-week pregnant patient presents with contractions, low back pain, and increased vaginal discharge.
What complication is suspected, and what two medications may be given for mom and baby?
A newborn is not feeding well, has a cephalohematoma, and has multiple risk factors for jaundice. The parents want early discharge due to weather conditions.
What is the nurse’s priority approach?