MATERNAL NEWBORN ATI STUDY GUIDE
Types of barrier methods
Correct answer: condoms, diaphragms
A client must be tted every ___ years for a diaphragm.
Correct answer: 2
Reasons clients will have to be retted 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 eects 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 inammatory 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
,Denition 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)
Types of barrier methods
Correct answer: condoms, diaphragms
A client must be tted every ___ years for a diaphragm.
Correct answer: 2
Reasons clients will have to be retted 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 eects 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 inammatory 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
,Denition 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)
