Maternal Newborn ATI Study Guide Questions with correct answers 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
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
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
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
During 1st trimester, a woman shouldn't gain more than: Correct Answer - 2-4 lbs (1-2 kg)
Once past 1st trimster, weight gain is expected as ___ Correct Answer - 1 pound per week
Expected extra calories per day for 2nd trimester Correct Answer - 340 extra cal per day
Expected extra calories per day for 3rd trimester Correct Answer - 450 extra calories per day
True or false: Mothers who are breastfeeding after pregnancy need extra daily calories Correct Answer - true
Range for extra daily calories when breastfeeding Correct Answer - 300-400 cal/day
Folic acid helps prevent: Correct Answer - fetal neural tube defects
Pregnant women should drink how much water per day? Correct Answer - 2-3 L
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
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
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
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
During 1st trimester, a woman shouldn't gain more than: Correct Answer - 2-4 lbs (1-2 kg)
Once past 1st trimster, weight gain is expected as ___ Correct Answer - 1 pound per week
Expected extra calories per day for 2nd trimester Correct Answer - 340 extra cal per day
Expected extra calories per day for 3rd trimester Correct Answer - 450 extra calories per day
True or false: Mothers who are breastfeeding after pregnancy need extra daily calories Correct Answer - true
Range for extra daily calories when breastfeeding Correct Answer - 300-400 cal/day
Folic acid helps prevent: Correct Answer - fetal neural tube defects
Pregnant women should drink how much water per day? Correct Answer - 2-3 L
