Maternal-Newborn ATI Chapters 1–9 –
Comprehensive Study Guide
CHAPTER 1
Ovum can be fertilized up to - ---✔✔✔ANSWER----24 hours after
fertilization
Motile sperm can fertilize the ovum on an average of - ---✔✔✔ANSWER---
-48-72 hours
A nurse in a health clinic is reviewing contraceptive use with a group of clients.
Which of the following client statements demonstrates understanding?
1. a water-soluble lubricant should be used with condoms
2. a diaphragm should be removed 2 hours after intercourse
3. oral contraceptives can worsen a case of acne
,4. a contraceptive patch is replaces once a month - ---✔✔✔ANSWER----1
A nurse is instructing a client who is taking an oral contraceptive about
manifestations to report to the provider. Which of the following manifestations
should the nurse include?
1. reduced menstrual flow
2. breast tenderness
3. shortness of breath
4. increased appetite - ---✔✔✔ANSWER----3
A nurse in an obstetrical clinic is teaching a client about using an IUD for
contraception. Which of the following statements by the client indicates an
understanding of the teaching?
1. an IUD should be placed annually during a pelvic exam
2. I cannot get an IUD until after i have had a child
3. I should plan on regaining fertility 5 months after the IUD is removed
4. I will check to be sure the strings of the IUD are still present after my periods - -
--✔✔✔ANSWER----4
A nurse is teaching a client about potential adverse effects of implantable
progestins. Which of the following adverse effects should the nurse include? SATA
1. tinnitus
,2. irregular vaginal bleeding
3. weight gain
4. nausea
5. gingival hyperplasia - ---✔✔✔ANSWER----2, 3, 4
A nurse in a clinic is teaching a client about a new prescription for
medroxyprogesterone. Which of the following information should the nurse
include in the teaching? SATA
1. weight fluctuations can occur
2. you are protected against STIs
3. you should increase your intake of calcium
4. you should avoid taking antibiotics
5. irregular vaginal spotting can occur - ---✔✔✔ANSWER----1, 3, 5
- - ---✔✔✔ANSWER-----
CHAPTER 2 - ---✔✔✔ANSWER----
Infertility - ---✔✔✔ANSWER----inability to conceive despite engaging in
unprotected sexual intercourse for a prolonged period of time or at lest 12 months
, Common factors of infertility - ---✔✔✔ANSWER----decreased sperm
production, endometriosis, ovulation disorders, and tubal occlusions
Risk Factors for infertility in women - ---✔✔✔ANSWER-----age: greater
than 35 can affect fertility
-duration of infertility: more than 1 year of coitus without contraceptives
-medical history: endocrine, hormone, or adrenal gland disorders
-surgical history: pelvic and abdominal procedures
-obstetric history:
-gynecologic history:
-nutrition status: overweight or underweight, anorexia
-substance abuse: alcohol, tobacco, heroin, methadone
Signs of endocrine disorders in women - ---✔✔✔ANSWER----atypical
secondary sexual characteristic such as abnormal body fat distribution or hair
growth
Pelvic Examination - ---✔✔✔ANSWER----assess for uterine or vaginal
abnormalities
Hormone Analysis - ---✔✔✔ANSWER----evaluates hypothalamic-pituitary-
ovarian axis to include blood prolactin, FSH, LH, estradiol, progesterone, and
thyroid hormones