1
Maternal Newborn ATI Study
Guide
Types of barrier methods - -Correct answer-condoms, diaphragms
A client must be fitted every ___ years for a diaphragm. - -Correct
answer-2
Reasons clients will have to be refitted for diaphragm: - -Correct
answer--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 answer-
spermicide
A diaphragm must remain in place for ___ hours after intercourse. - -
Correct answer-6
True or False: Spermicide must be used with diaphragm for each act
of intercourse. - -Correct answer-True
1
, 2
Side effects of hormonal methods (oral, patch, Nuva Ring) of
contraception: - -Correct answer-chest pain, SOB, leg pain (possible
clot), headache, eye problems, HTN
Hormonal methods risks - -Correct answer--blood clots, leading to a
stroke or PE
-HTN
Smokers should not take: - -Correct answer-hormonal contraceptives
Contraindications of hormonal contraceptives: - -Correct answer-hx
of blood clots, stroke, cardiac problems, breast/estrogen related
cancers, smoker
Depo-provera - -Correct answer-injectable progestin
Depo-provera can cause: - -Correct answer-decreased bone mineral
density
Education for client receiving Depo injection: - -Correct answer-
receive adequate intake of calcium and vitamin D
IUDs increase the risk of: - -Correct answer-pelvic inflammatory
disease, uterine perforation, and ectopic pregnancy
2
, 3
Clients who had IUDs must be on the look out for: - -Correct answer-
increase in string length, foul smelling vaginal discharge, pain w/
intercourse, fever, chills
Definition of infertility - -Correct answer-the inability to conceive
after trying for 12 months
Workup after determining infertility: - -Correct answer--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 answer-iodine or
seafood
Presumptive signs of pregnancy - -Correct answer-amenorrhea,
fatigue, nausea, vomiting, urinary frequency, breast changes,
quickening
Probable signs of pregnancy - -Correct answer-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 answer-hearing fetal heart
sounds, see baby with ultra sounds, feeling of movement in uterus
3
, 4
Presumptive signs can: - -Correct answer-be explained for problems
other than pregnancy
Positive signs of pregnancy are: - -Correct answer-very distinct
Naegele's rule - -Correct answer-subtract 3 months, add 7 days, add
1 year
***Easier way: Add 9 months, add 1 week***
GTPAL - -Correct answer-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 answer-25-35 pounds
weight gain range for woman who is overweight - -Correct answer-
15-25 pounds
Weight gain range for woman who is underweight - -Correct answer-
28-40 pounds
4
Maternal Newborn ATI Study
Guide
Types of barrier methods - -Correct answer-condoms, diaphragms
A client must be fitted every ___ years for a diaphragm. - -Correct
answer-2
Reasons clients will have to be refitted for diaphragm: - -Correct
answer--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 answer-
spermicide
A diaphragm must remain in place for ___ hours after intercourse. - -
Correct answer-6
True or False: Spermicide must be used with diaphragm for each act
of intercourse. - -Correct answer-True
1
, 2
Side effects of hormonal methods (oral, patch, Nuva Ring) of
contraception: - -Correct answer-chest pain, SOB, leg pain (possible
clot), headache, eye problems, HTN
Hormonal methods risks - -Correct answer--blood clots, leading to a
stroke or PE
-HTN
Smokers should not take: - -Correct answer-hormonal contraceptives
Contraindications of hormonal contraceptives: - -Correct answer-hx
of blood clots, stroke, cardiac problems, breast/estrogen related
cancers, smoker
Depo-provera - -Correct answer-injectable progestin
Depo-provera can cause: - -Correct answer-decreased bone mineral
density
Education for client receiving Depo injection: - -Correct answer-
receive adequate intake of calcium and vitamin D
IUDs increase the risk of: - -Correct answer-pelvic inflammatory
disease, uterine perforation, and ectopic pregnancy
2
, 3
Clients who had IUDs must be on the look out for: - -Correct answer-
increase in string length, foul smelling vaginal discharge, pain w/
intercourse, fever, chills
Definition of infertility - -Correct answer-the inability to conceive
after trying for 12 months
Workup after determining infertility: - -Correct answer--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 answer-iodine or
seafood
Presumptive signs of pregnancy - -Correct answer-amenorrhea,
fatigue, nausea, vomiting, urinary frequency, breast changes,
quickening
Probable signs of pregnancy - -Correct answer-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 answer-hearing fetal heart
sounds, see baby with ultra sounds, feeling of movement in uterus
3
, 4
Presumptive signs can: - -Correct answer-be explained for problems
other than pregnancy
Positive signs of pregnancy are: - -Correct answer-very distinct
Naegele's rule - -Correct answer-subtract 3 months, add 7 days, add
1 year
***Easier way: Add 9 months, add 1 week***
GTPAL - -Correct answer-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 answer-25-35 pounds
weight gain range for woman who is overweight - -Correct answer-
15-25 pounds
Weight gain range for woman who is underweight - -Correct answer-
28-40 pounds
4
