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