PN MATERNAL NEWBORN NURSING ATI
PROCTORED EXAM STUDYGUIDE || WITH 100%
ERRORLESS SOLUTIONS.
Contraceptive use correct answers a water soluble lubricant should be used with condoms
Oral contraceptive danger indications correct answers Shortness of breath can indicate
pulmonary embolism or myocardial infarction
IUD (intrauterine device) correct answers Check for presence of IUD strings following each
menstruation to ensure the device is still present. A change in the length of the strings should be
reported to the provider
Implantable progestins adverse effects correct answers Irregular vaginal bleeding
weight gain
breast changes
medroxyprogesterone correct answers clients should take calcium and vitamin D o prevent loss
of bone density
can cause irregular bleeding
Signs of pregnancy: Presumptive correct answers changes might be subjective or objective:
amenorrhea (no periods)
fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks gestation)
abdominal enlargement
Signs of Pregnancy: Probable correct answers changes that make the examiner suspect
pregnancy:
uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
braxton Hickscontractions
positive pregnancy test
fetal outline felt by examiner
Signs of Pregnancy: Positive correct answers those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
, hCG blood / urine test correct answers Human chorionic gonadotropin:
can start as early as day of implantation and can be detected about 8 days after conception.
peaks about day 60-70, declines til day 100-130 then incline until term
raised levels=multifetal, ectopic, hydatidiform mole
low level= miscarriage, ectopic
Gravidity correct answers Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
Parity correct answers Number of pregnancies which fetus reached 20 weeks ( includes stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
Viability correct answers Point at which a fetus can survive outside the womb.
GTPAL correct answers Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
Physiological changes correct answers stretch marks
hyperpigmentation
Supine hypotensive syndrome correct answers Low blood pressure resulting from compression
of the inferior vena cava by the weight of the pregnant uterus when the mother is supine.
lie on left side with head elevated on a pillow
pulse during pregnancy correct answers increases 10 to 15/min around 32 weeks until term
FHR correct answers 110-160 beats/min
Cardiovasuclar changes correct answers Output increases
blood volume increases
heart rate increases
uterine changes correct answers by 36 weeks the top of the uterus and the fundus will reach the
xiphoid process, causing shortness of breath as uterus pushes against the diaphragm
Skin changes correct answers chloasma: an increase of pigmentation on face
linea nigra: dark line (happy trail)
striae gravidarum: stretch marks
PROCTORED EXAM STUDYGUIDE || WITH 100%
ERRORLESS SOLUTIONS.
Contraceptive use correct answers a water soluble lubricant should be used with condoms
Oral contraceptive danger indications correct answers Shortness of breath can indicate
pulmonary embolism or myocardial infarction
IUD (intrauterine device) correct answers Check for presence of IUD strings following each
menstruation to ensure the device is still present. A change in the length of the strings should be
reported to the provider
Implantable progestins adverse effects correct answers Irregular vaginal bleeding
weight gain
breast changes
medroxyprogesterone correct answers clients should take calcium and vitamin D o prevent loss
of bone density
can cause irregular bleeding
Signs of pregnancy: Presumptive correct answers changes might be subjective or objective:
amenorrhea (no periods)
fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks gestation)
abdominal enlargement
Signs of Pregnancy: Probable correct answers changes that make the examiner suspect
pregnancy:
uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
braxton Hickscontractions
positive pregnancy test
fetal outline felt by examiner
Signs of Pregnancy: Positive correct answers those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
, hCG blood / urine test correct answers Human chorionic gonadotropin:
can start as early as day of implantation and can be detected about 8 days after conception.
peaks about day 60-70, declines til day 100-130 then incline until term
raised levels=multifetal, ectopic, hydatidiform mole
low level= miscarriage, ectopic
Gravidity correct answers Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
Parity correct answers Number of pregnancies which fetus reached 20 weeks ( includes stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
Viability correct answers Point at which a fetus can survive outside the womb.
GTPAL correct answers Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
Physiological changes correct answers stretch marks
hyperpigmentation
Supine hypotensive syndrome correct answers Low blood pressure resulting from compression
of the inferior vena cava by the weight of the pregnant uterus when the mother is supine.
lie on left side with head elevated on a pillow
pulse during pregnancy correct answers increases 10 to 15/min around 32 weeks until term
FHR correct answers 110-160 beats/min
Cardiovasuclar changes correct answers Output increases
blood volume increases
heart rate increases
uterine changes correct answers by 36 weeks the top of the uterus and the fundus will reach the
xiphoid process, causing shortness of breath as uterus pushes against the diaphragm
Skin changes correct answers chloasma: an increase of pigmentation on face
linea nigra: dark line (happy trail)
striae gravidarum: stretch marks
