RN MATERNAL NEWBORN ONLINE PRACTICE
EXAM STUDY GUIDE 2026 QUESTIONS WITH
FULL SOLUTIONS
◉ What is the diaphragm and spermicide form of contraception?
Answer: Dome-shaped cup with a flexible rim made of silicone that
fits snugly over the cervix with spermicidal cream or gel applied on
dome and around the rim
Available in different sizes; client should be properly fitted with a
diaphragm by a provider (requires a prescription)
Empty bladder prior to insertion
Requires proper insertion and removal to be effective
Interferes with spontaneity; inconvenient
◉ How often are diaphragms and cervical caps for contraception
replaced? Answer: Every 2 years; and refitted for a 20% weight
fluctuation, after abdominal or pelvic surgery and after every
pregnancy
◉ When can a diaphragm or cervical cap for contraception be
inserted into the vagina and how long can it stay in for? Answer: Can
be inserted up to 6 hours before intercourse and must stay in place 6
hours after intercourse
diaphragm: no more than 24 hours
,cervical cap: no more than 48 hours
◉ What are potential risks/complications associated with
diaphragm contraceptive use? Answer: Risk for allergic reaction
Not recommended for clients who have a hx of toxic shock syndrome
(TSS) or frequent/recurrent UTIs; prevented by proper hand
hygiene and removal of diaphragm promptly at 6 hour after sex
◉ what is another name for sexual intercourse? Answer: Coitus
◉ What forms of contraception protect against STIs? Answer:
Abstinence
Male condoms
Female condoms
◉ What to do with a diaphragm or cervical cap contraceptive
between each use? Answer: Wash with mild soap and warm water
Reapply spermicide to be effective
◉ What are the disadvantages of using a diaphragm or cervical cap
contraceptive? Answer: Risk of an allergic reaction
Risk of acquiring toxic shock syndrome
Does not protect against STIs
,◉ What is a cervical cap with spermicide contraceptive and
contraindications for it's use? Answer: Silicone rubber cap that fits
snugly around the base of the cervix; comes in 3 sizes
Not for women who have abnormal Pap test results or have a hx of
toxic shock syndrome
◉ What is a contraceptive sponge? Answer: a contraceptive device
made of polyurethane sponge that contains enough spermicide to be
effective for 24 hours after being inserted into the vagina
-it is designed to fit over the cervix and is one size fits all
-should be left in place for 6 hours after intercourse
-does not protect against STIs
◉ Define dysmenorrhea Answer: pain during or shortly before
menstruation; period cramps
◉ Define menorrhagia Answer: excessive (> 80 mL) or prolonged (>
7 d) regular menstrual bleeding
heavy prolonged menstrual flow with severe cramping
also known as hypermenorrhea
, ◉ What is an implantable progestin contraceptive? Answer: Surgical
procedure to subdermally implant and remove a single rod
containing etonogestrel on the inner side of upper arm; reversible
Effective continuous contraception for 3 years
Can be inserted immediately after abortion, miscarriage, birth, and
while breastfeeding; can be used by mothers who are breastfeeding
after 4 weeks postpartum
◉ What are the adverse effects of implantable progestin
contraceptive use? Answer: most common: irregular and
unpredictable menstruation (vaginal bleeding)
mood changes, headache, acne, depression, decreased bone density,
and weight gain (same as for progestin injections), breast changes
increased risk of ectopic pregnancy if pregnancy occurs
◉ What is the most effective contraceptive method secondary to
abstinence? Answer: Long acting reversible contraceptive (LARC)
methods such as implants and intrauterine devices (IUD)
◉ What is an intrauterine device (IUD)? Answer: A chemically
activate T shaped device that is placed in the uterus by the provider;
it releases a chemical substance that damages sperm in transit
- check for presence of IUD strings following each menstruation to
ensure the device is present or for length to check for migration
99% effective
EXAM STUDY GUIDE 2026 QUESTIONS WITH
FULL SOLUTIONS
◉ What is the diaphragm and spermicide form of contraception?
Answer: Dome-shaped cup with a flexible rim made of silicone that
fits snugly over the cervix with spermicidal cream or gel applied on
dome and around the rim
Available in different sizes; client should be properly fitted with a
diaphragm by a provider (requires a prescription)
Empty bladder prior to insertion
Requires proper insertion and removal to be effective
Interferes with spontaneity; inconvenient
◉ How often are diaphragms and cervical caps for contraception
replaced? Answer: Every 2 years; and refitted for a 20% weight
fluctuation, after abdominal or pelvic surgery and after every
pregnancy
◉ When can a diaphragm or cervical cap for contraception be
inserted into the vagina and how long can it stay in for? Answer: Can
be inserted up to 6 hours before intercourse and must stay in place 6
hours after intercourse
diaphragm: no more than 24 hours
,cervical cap: no more than 48 hours
◉ What are potential risks/complications associated with
diaphragm contraceptive use? Answer: Risk for allergic reaction
Not recommended for clients who have a hx of toxic shock syndrome
(TSS) or frequent/recurrent UTIs; prevented by proper hand
hygiene and removal of diaphragm promptly at 6 hour after sex
◉ what is another name for sexual intercourse? Answer: Coitus
◉ What forms of contraception protect against STIs? Answer:
Abstinence
Male condoms
Female condoms
◉ What to do with a diaphragm or cervical cap contraceptive
between each use? Answer: Wash with mild soap and warm water
Reapply spermicide to be effective
◉ What are the disadvantages of using a diaphragm or cervical cap
contraceptive? Answer: Risk of an allergic reaction
Risk of acquiring toxic shock syndrome
Does not protect against STIs
,◉ What is a cervical cap with spermicide contraceptive and
contraindications for it's use? Answer: Silicone rubber cap that fits
snugly around the base of the cervix; comes in 3 sizes
Not for women who have abnormal Pap test results or have a hx of
toxic shock syndrome
◉ What is a contraceptive sponge? Answer: a contraceptive device
made of polyurethane sponge that contains enough spermicide to be
effective for 24 hours after being inserted into the vagina
-it is designed to fit over the cervix and is one size fits all
-should be left in place for 6 hours after intercourse
-does not protect against STIs
◉ Define dysmenorrhea Answer: pain during or shortly before
menstruation; period cramps
◉ Define menorrhagia Answer: excessive (> 80 mL) or prolonged (>
7 d) regular menstrual bleeding
heavy prolonged menstrual flow with severe cramping
also known as hypermenorrhea
, ◉ What is an implantable progestin contraceptive? Answer: Surgical
procedure to subdermally implant and remove a single rod
containing etonogestrel on the inner side of upper arm; reversible
Effective continuous contraception for 3 years
Can be inserted immediately after abortion, miscarriage, birth, and
while breastfeeding; can be used by mothers who are breastfeeding
after 4 weeks postpartum
◉ What are the adverse effects of implantable progestin
contraceptive use? Answer: most common: irregular and
unpredictable menstruation (vaginal bleeding)
mood changes, headache, acne, depression, decreased bone density,
and weight gain (same as for progestin injections), breast changes
increased risk of ectopic pregnancy if pregnancy occurs
◉ What is the most effective contraceptive method secondary to
abstinence? Answer: Long acting reversible contraceptive (LARC)
methods such as implants and intrauterine devices (IUD)
◉ What is an intrauterine device (IUD)? Answer: A chemically
activate T shaped device that is placed in the uterus by the provider;
it releases a chemical substance that damages sperm in transit
- check for presence of IUD strings following each menstruation to
ensure the device is present or for length to check for migration
99% effective
