Maternal Newborn ATI Study Guide || with 100% Accurate
Solutions.
Types of barrier methods correct answers condoms, diaphragms
A client must be fitted every ___ years for a diaphragm. correct answers 2
Reasons clients will have to be refitted for diaphragm: correct answers -Every 2 years
-Gained 15 pounds (7 kg)
-had full term pregnancy
-had 2nd term abortion
What must be used in addition will diaphragms? correct answers spermicide
A diaphragm must remain in place for ___ hours after intercourse. correct answers 6
True or False: Spermicide must be used with diaphragm for each act of intercourse. correct
answers True
Side effects of hormonal methods (oral, patch, Nuva Ring) of contraception: correct answers
chest pain, SOB, leg pain (possible clot), headache, eye problems, HTN
Hormonal methods risks correct answers -blood clots, leading to a stroke or PE
-HTN
Smokers should not take: correct answers hormonal contraceptives
Contraindications of hormonal contraceptives: correct answers hx of blood clots, stroke, cardiac
problems, breast/estrogen related cancers, smoker
Depo-provera correct answers injectable progestin
Depo-provera can cause: correct answers decreased bone mineral density
Education for client receiving Depo injection: correct answers receive adequate intake of calcium
and vitamin D
IUDs increase the risk of: correct answers pelvic inflammatory disease, uterine perforation, and
ectopic pregnancy
Clients who had IUDs must be on the look out for: correct answers increase in string length, foul
smelling vaginal discharge, pain w/ intercourse, fever, chills
Definition of infertility correct answers the inability to conceive after trying for 12 months
,Workup after determining infertility: correct answers -Sperm analysis on male (done 1st)
- Woman tested if male comes out negative
The nurse must ensure that the client receiving a test with dye does not have hx or allergy to __
or ___. correct answers iodine or seafood
Presumptive signs of pregnancy correct answers amenorrhea, fatigue, nausea, vomiting, urinary
frequency, breast changes, quickening
Probable signs of pregnancy correct answers abdominal enlargement, hegar sign (softening of
uterus), chadwick's sign (bluish color of cervix, Goodell's sign (softening of cervical tip),
ballottement (rebound of unengaged fetus), braxton hicks contractions, positive pregnancy test,
fetal outline felt by examiner
Positive signs of pregnancy correct answers hearing fetal heart sounds, see baby with ultra
sounds, feeling of movement in uterus
Presumptive signs can: correct answers be explained for problems other than pregnancy
Positive signs of pregnancy are: correct answers very distinct
Naegele's rule correct answers subtract 3 months, add 7 days, add 1 year
***Easier way: Add 9 months, add 1 week***
GTPAL correct answers G- gravitity (# of times woman has been pregnant, including the current
pregnancy)
T- pregnancies of 38 wks or more
P- pregnancies of less than 38 wks
A- abortions/miscarriages
L- living children
weight gain range for pregnant woman who is a normal weight correct answers 25-35 pounds
weight gain range for woman who is overweight correct answers 15-25 pounds
Weight gain range for woman who is underweight correct answers 28-40 pounds
During 1st trimester, a woman shouldn't gain more than: correct answers 2-4 lbs (1-2 kg)
Once past 1st trimster, weight gain is expected as ___ correct answers 1 pound per week
Expected extra calories per day for 2nd trimester correct answers 340 extra cal per day
Expected extra calories per day for 3rd trimester correct answers 450 extra calories per day
, True or false: Mothers who are breastfeeding after pregnancy need extra daily calories correct
answers true
Range for extra daily calories when breastfeeding correct answers 300-400 cal/day
Folic acid helps prevent: correct answers fetal neural tube defects
Pregnant women should drink how much water per day? correct answers 2-3 L
Pregnant women should limit caffeine intake to ___ mg per day correct answers 300 mg
Sources of folic acid: correct answers dark, green leafy veggies, orange juice
When client is having ultrasound, the bladder should be: correct answers full (helps sounds
waves resonate better)
When client is having diagnostic test where belly is being poked (amniocentesis), the bladder
should be: correct answers empty
Biophysical profile (BPP) correct answers -score given between 0-10
-measures reactive heart, breathing, body movements, fetal tone, and amniotic fluid volume
- each section is given score of 2 if normal and 0 if not normal
Normal score for BPP correct answers between 8-10 (indicated healthy baby)
Nonstress test correct answers -non invasive
-measures fetal well being within the last trimester of pregnancy
-measures response of fetal heart rate to fetal movement (button given to woman to press when
she feels baby move and then HR is measured in response to the movement)
Non stress test is considered reactive if: correct answers Fetal HR accelerates during movement
True or false: Reactive non stress test is normal correct answers true
Non stress test is considered non reactive if: correct answers fetal HR does not accelerate
adequately
Is nonreactive non stress test good or bad? correct answers bad
If non stress test is nonreactive, what other tests may be performed? correct answers biophysical
profile, contraction stress test (CST)
During a contraction stress test, contractions are brought on by the use of: correct answers
pitocin (oxytocin) or nipple stimulation
Solutions.
Types of barrier methods correct answers condoms, diaphragms
A client must be fitted every ___ years for a diaphragm. correct answers 2
Reasons clients will have to be refitted for diaphragm: correct answers -Every 2 years
-Gained 15 pounds (7 kg)
-had full term pregnancy
-had 2nd term abortion
What must be used in addition will diaphragms? correct answers spermicide
A diaphragm must remain in place for ___ hours after intercourse. correct answers 6
True or False: Spermicide must be used with diaphragm for each act of intercourse. correct
answers True
Side effects of hormonal methods (oral, patch, Nuva Ring) of contraception: correct answers
chest pain, SOB, leg pain (possible clot), headache, eye problems, HTN
Hormonal methods risks correct answers -blood clots, leading to a stroke or PE
-HTN
Smokers should not take: correct answers hormonal contraceptives
Contraindications of hormonal contraceptives: correct answers hx of blood clots, stroke, cardiac
problems, breast/estrogen related cancers, smoker
Depo-provera correct answers injectable progestin
Depo-provera can cause: correct answers decreased bone mineral density
Education for client receiving Depo injection: correct answers receive adequate intake of calcium
and vitamin D
IUDs increase the risk of: correct answers pelvic inflammatory disease, uterine perforation, and
ectopic pregnancy
Clients who had IUDs must be on the look out for: correct answers increase in string length, foul
smelling vaginal discharge, pain w/ intercourse, fever, chills
Definition of infertility correct answers the inability to conceive after trying for 12 months
,Workup after determining infertility: correct answers -Sperm analysis on male (done 1st)
- Woman tested if male comes out negative
The nurse must ensure that the client receiving a test with dye does not have hx or allergy to __
or ___. correct answers iodine or seafood
Presumptive signs of pregnancy correct answers amenorrhea, fatigue, nausea, vomiting, urinary
frequency, breast changes, quickening
Probable signs of pregnancy correct answers abdominal enlargement, hegar sign (softening of
uterus), chadwick's sign (bluish color of cervix, Goodell's sign (softening of cervical tip),
ballottement (rebound of unengaged fetus), braxton hicks contractions, positive pregnancy test,
fetal outline felt by examiner
Positive signs of pregnancy correct answers hearing fetal heart sounds, see baby with ultra
sounds, feeling of movement in uterus
Presumptive signs can: correct answers be explained for problems other than pregnancy
Positive signs of pregnancy are: correct answers very distinct
Naegele's rule correct answers subtract 3 months, add 7 days, add 1 year
***Easier way: Add 9 months, add 1 week***
GTPAL correct answers G- gravitity (# of times woman has been pregnant, including the current
pregnancy)
T- pregnancies of 38 wks or more
P- pregnancies of less than 38 wks
A- abortions/miscarriages
L- living children
weight gain range for pregnant woman who is a normal weight correct answers 25-35 pounds
weight gain range for woman who is overweight correct answers 15-25 pounds
Weight gain range for woman who is underweight correct answers 28-40 pounds
During 1st trimester, a woman shouldn't gain more than: correct answers 2-4 lbs (1-2 kg)
Once past 1st trimster, weight gain is expected as ___ correct answers 1 pound per week
Expected extra calories per day for 2nd trimester correct answers 340 extra cal per day
Expected extra calories per day for 3rd trimester correct answers 450 extra calories per day
, True or false: Mothers who are breastfeeding after pregnancy need extra daily calories correct
answers true
Range for extra daily calories when breastfeeding correct answers 300-400 cal/day
Folic acid helps prevent: correct answers fetal neural tube defects
Pregnant women should drink how much water per day? correct answers 2-3 L
Pregnant women should limit caffeine intake to ___ mg per day correct answers 300 mg
Sources of folic acid: correct answers dark, green leafy veggies, orange juice
When client is having ultrasound, the bladder should be: correct answers full (helps sounds
waves resonate better)
When client is having diagnostic test where belly is being poked (amniocentesis), the bladder
should be: correct answers empty
Biophysical profile (BPP) correct answers -score given between 0-10
-measures reactive heart, breathing, body movements, fetal tone, and amniotic fluid volume
- each section is given score of 2 if normal and 0 if not normal
Normal score for BPP correct answers between 8-10 (indicated healthy baby)
Nonstress test correct answers -non invasive
-measures fetal well being within the last trimester of pregnancy
-measures response of fetal heart rate to fetal movement (button given to woman to press when
she feels baby move and then HR is measured in response to the movement)
Non stress test is considered reactive if: correct answers Fetal HR accelerates during movement
True or false: Reactive non stress test is normal correct answers true
Non stress test is considered non reactive if: correct answers fetal HR does not accelerate
adequately
Is nonreactive non stress test good or bad? correct answers bad
If non stress test is nonreactive, what other tests may be performed? correct answers biophysical
profile, contraction stress test (CST)
During a contraction stress test, contractions are brought on by the use of: correct answers
pitocin (oxytocin) or nipple stimulation
