RN Maternal newborn ati
proctored exam.LATEST VERSION
2024 REVISED
100% CORRECT
When is Rhogam given?
- ANSWER-o Given at 28 weeks and also within 72 hours of deliveryo
Also given after abortion, ectopic pregnancy, amniocentesis
What is gravidity? Example.
- ANSWER-Number of pregnancies
Nulligravida: never been pregnant
Primigravida: first pregnancy
What are presumptive signs of
pregnancy? - ANSWER-Perceived by
the woman
Signs: amenorrhea, fatigue, nausea, vomiting
Urinary frequency, uterine enlargement
Breast changes (darkened areolae, enlarged Montgomery
glands Quickening
Define quickening. When does it occur?
- ANSWER-Quickening is the term used to describe when the mother
first detects fetal movements, usually at 18 to 20 weeks of
gestation in a primigravida and 16 to 18 weeks of gestation in a
multigravida.
What are probable signs of pregnancy?
- ANSWER-Perceived by the examiner
Signs: Abdominal enlargement, positive pregnancy test, fetal
outline felt by examiner
Braxton Hicks contractions, Ballottement
Hegar's sign, Goodell's sign, Chadwick's
sign
What are Braxton Hicks contractions?
- ANSWER-false labor contractions that can begin as early as the
sixth month of pregnancy; painless, irregular, and usually relieved
by walking or changing position
- if contractions increase in intensity and frequency (true
contractions) with regularity, notify provider
What is ballottement?
RN Maternal newborn ati proctored exam. LATEST VERSION 2024 REVISED 100% CORRECT
,RN Maternal newborn ati
proctored exam.LATEST VERSION
2024 REVISED
100% CORRECT
- ANSWER-Light tap of examining finger on cervix causes fetus to
rise in amniotic fluid & then rebound to original position (16-18
wks); used to diagnose pregnancy
rebound of unengaged fetus
Hegar's
sign
- ANSWER-softening and compressibility of
lower uterus
Goodell's
sign
- ANSWER-softening of the
cervix
Chadwick's sign –
ANSWER-Bluish purple discoloration of the cervix, vagina, and labia
during pregnancy as a result of increased vascular congestion.
What are positive
signs of pregnancy?
- ANSWER-Fetal
heart sounds
Fetal movement
felt by examiner
Ultrasound
visualization of
fetus
During what week of pregnancy
is the fetal heartbeat detectable?
- ANSWER-10 weeks;
using a doppler device
How early can a fetus be
visualized using an
ultrasound?
- ANSWER-4-
5weeks
What is the least effective method of contraception?
- ANSWER-Coitus interruptus (withdrawal)
Advantage: possible choice for monogamous couples
No protection against STIs
Usually influenced by male partner's control
What is the rhythm method?
RN Maternal newborn ati proctored exam. LATEST VERSION 2024 REVISED 100% CORRECT
,RN Maternal newborn ati
proctored exam.LATEST VERSION
2024 REVISED
100% CORRECT
- ANSWER-Also known as the "calendar method"
Abstinence during fertile periods
Woman records her menstrual cycle by calculating her fertile
period most useful when combined with basal body
temperature or cervical mucus method
How is the fertile period calculate?
- ANSWER-Record the number of days in each menstrual cycle for
atleast 6 cycles (From beginning of first period to beginning of
next period)
Subtract 18 days from the number of days in the woman's shortest
cycle (start of the fertile period)
Subtract 11 days from the number of days in the longest cycle (end
of the fertile period)
Example:
Shortest cycle: 26-
18 = 8th day
Longest cycle: 30-
11=19th day
Fertile period: days 8-19;
avoid intercourse
When does
ovulation occur?
- ANSWER-14 days before the onset
of the menstrual cycle
How long is the sperm and ovum viable?
- ANSWER-sperm: 48-72 hours; takes 24 hours to fertilize an egg
ovum: 24 hours
(after ovulation)
How is basal body temperature used as a natural contraceptive
method?
- ANSWER-Temperature can drop slightly at the time
of ovulation
Monitored by measuring oral temp prior to getting out of bed
each morning
What is the cervical mucus method of contraception?
- ANSWER-Spinnbarkeit sign; the ability of the mucus to stretch
between the fingers is greatest during ovulation
RN Maternal newborn ati proctored exam. LATEST VERSION 2024 REVISED 100% CORRECT
, RN Maternal newborn ati
proctored exam.LATEST VERSION
2024 REVISED
100% CORRECT
Begin examining mucus from the last day of the of the menstrual
cycle; mucus is obtained from the vaginal introitus Do not douche
prior to assessment
What is the spinnbarkeit sign?
- ANSWER-The time of the month when mucus can stretch between
fingers is the greatest. Cervical mucous is thin and flexible to allow
for sperm viability and motility. It means you are ovulating.
What can the cervical mucus method diagnose?
- ANSWER-Self evaluation of cervical mucus can be helpful in
determining the start of ovulation while breastfeeding, noting the
commencement of menopause, and planning a desired pregnancy
What are the advantages of male condoms?
- ANSWER-Protects against STIs
Involves the male in the birth control
method Readily accessible
What are the disadvantages of male condoms?
- ANSWER-Can reduce spontaneity of intercourse
High rate of noncompliance
Penis must be erect to apply
Withdrawing the penis while still erect can interfere with sexual intercourse
What type of lubricants can be used for latex
condoms?
- ANSWER-ONLY water-soluble; this is to avoid condom
breakage
What is a female condom (FC2)?
- ANSWER-Vaginal sheath made of nitrile, a nonlatex synthetic
rubber, with flexible rings on both ends; coated with silicone oil
lubricant; 17cm long
Expensive (18.95)
Flexible inner closed ring inserted into vagina prior to intercourse
and anchored around the cervix to hold condom in place
wider external second ring (open ring) remains outside the vagina
and covers the labias
Can be inserted standing, sitting, squatting, lying
down Removed and thrown away after sex
RN Maternal newborn ati proctored exam. LATEST VERSION 2024 REVISED 100% CORRECT
proctored exam.LATEST VERSION
2024 REVISED
100% CORRECT
When is Rhogam given?
- ANSWER-o Given at 28 weeks and also within 72 hours of deliveryo
Also given after abortion, ectopic pregnancy, amniocentesis
What is gravidity? Example.
- ANSWER-Number of pregnancies
Nulligravida: never been pregnant
Primigravida: first pregnancy
What are presumptive signs of
pregnancy? - ANSWER-Perceived by
the woman
Signs: amenorrhea, fatigue, nausea, vomiting
Urinary frequency, uterine enlargement
Breast changes (darkened areolae, enlarged Montgomery
glands Quickening
Define quickening. When does it occur?
- ANSWER-Quickening is the term used to describe when the mother
first detects fetal movements, usually at 18 to 20 weeks of
gestation in a primigravida and 16 to 18 weeks of gestation in a
multigravida.
What are probable signs of pregnancy?
- ANSWER-Perceived by the examiner
Signs: Abdominal enlargement, positive pregnancy test, fetal
outline felt by examiner
Braxton Hicks contractions, Ballottement
Hegar's sign, Goodell's sign, Chadwick's
sign
What are Braxton Hicks contractions?
- ANSWER-false labor contractions that can begin as early as the
sixth month of pregnancy; painless, irregular, and usually relieved
by walking or changing position
- if contractions increase in intensity and frequency (true
contractions) with regularity, notify provider
What is ballottement?
RN Maternal newborn ati proctored exam. LATEST VERSION 2024 REVISED 100% CORRECT
,RN Maternal newborn ati
proctored exam.LATEST VERSION
2024 REVISED
100% CORRECT
- ANSWER-Light tap of examining finger on cervix causes fetus to
rise in amniotic fluid & then rebound to original position (16-18
wks); used to diagnose pregnancy
rebound of unengaged fetus
Hegar's
sign
- ANSWER-softening and compressibility of
lower uterus
Goodell's
sign
- ANSWER-softening of the
cervix
Chadwick's sign –
ANSWER-Bluish purple discoloration of the cervix, vagina, and labia
during pregnancy as a result of increased vascular congestion.
What are positive
signs of pregnancy?
- ANSWER-Fetal
heart sounds
Fetal movement
felt by examiner
Ultrasound
visualization of
fetus
During what week of pregnancy
is the fetal heartbeat detectable?
- ANSWER-10 weeks;
using a doppler device
How early can a fetus be
visualized using an
ultrasound?
- ANSWER-4-
5weeks
What is the least effective method of contraception?
- ANSWER-Coitus interruptus (withdrawal)
Advantage: possible choice for monogamous couples
No protection against STIs
Usually influenced by male partner's control
What is the rhythm method?
RN Maternal newborn ati proctored exam. LATEST VERSION 2024 REVISED 100% CORRECT
,RN Maternal newborn ati
proctored exam.LATEST VERSION
2024 REVISED
100% CORRECT
- ANSWER-Also known as the "calendar method"
Abstinence during fertile periods
Woman records her menstrual cycle by calculating her fertile
period most useful when combined with basal body
temperature or cervical mucus method
How is the fertile period calculate?
- ANSWER-Record the number of days in each menstrual cycle for
atleast 6 cycles (From beginning of first period to beginning of
next period)
Subtract 18 days from the number of days in the woman's shortest
cycle (start of the fertile period)
Subtract 11 days from the number of days in the longest cycle (end
of the fertile period)
Example:
Shortest cycle: 26-
18 = 8th day
Longest cycle: 30-
11=19th day
Fertile period: days 8-19;
avoid intercourse
When does
ovulation occur?
- ANSWER-14 days before the onset
of the menstrual cycle
How long is the sperm and ovum viable?
- ANSWER-sperm: 48-72 hours; takes 24 hours to fertilize an egg
ovum: 24 hours
(after ovulation)
How is basal body temperature used as a natural contraceptive
method?
- ANSWER-Temperature can drop slightly at the time
of ovulation
Monitored by measuring oral temp prior to getting out of bed
each morning
What is the cervical mucus method of contraception?
- ANSWER-Spinnbarkeit sign; the ability of the mucus to stretch
between the fingers is greatest during ovulation
RN Maternal newborn ati proctored exam. LATEST VERSION 2024 REVISED 100% CORRECT
, RN Maternal newborn ati
proctored exam.LATEST VERSION
2024 REVISED
100% CORRECT
Begin examining mucus from the last day of the of the menstrual
cycle; mucus is obtained from the vaginal introitus Do not douche
prior to assessment
What is the spinnbarkeit sign?
- ANSWER-The time of the month when mucus can stretch between
fingers is the greatest. Cervical mucous is thin and flexible to allow
for sperm viability and motility. It means you are ovulating.
What can the cervical mucus method diagnose?
- ANSWER-Self evaluation of cervical mucus can be helpful in
determining the start of ovulation while breastfeeding, noting the
commencement of menopause, and planning a desired pregnancy
What are the advantages of male condoms?
- ANSWER-Protects against STIs
Involves the male in the birth control
method Readily accessible
What are the disadvantages of male condoms?
- ANSWER-Can reduce spontaneity of intercourse
High rate of noncompliance
Penis must be erect to apply
Withdrawing the penis while still erect can interfere with sexual intercourse
What type of lubricants can be used for latex
condoms?
- ANSWER-ONLY water-soluble; this is to avoid condom
breakage
What is a female condom (FC2)?
- ANSWER-Vaginal sheath made of nitrile, a nonlatex synthetic
rubber, with flexible rings on both ends; coated with silicone oil
lubricant; 17cm long
Expensive (18.95)
Flexible inner closed ring inserted into vagina prior to intercourse
and anchored around the cervix to hold condom in place
wider external second ring (open ring) remains outside the vagina
and covers the labias
Can be inserted standing, sitting, squatting, lying
down Removed and thrown away after sex
RN Maternal newborn ati proctored exam. LATEST VERSION 2024 REVISED 100% CORRECT
