NURSING 327 ATI Proctored OB Maternal Newborn Study Guide BEST EXAM SOLUTION RATED A+

NURSING 327 ATI Proctored OB
Maternal Newborn Study Guide BEST
EXAM SOLUTION RATED A+


OB Maternal Newborn ATI Exam
Study Guide Video #1: Contraception & Infertility
 Diaphragms: client must be refitted for a diaphragm for the following conditions:
1. It’s been 2 years since she has been fitted
2. Gained more than 15 pounds (7kg)
3. Had a full-term pregnancy
4. Had a second term abortion
o When you use a diaphragm, you need to use spermicide with every
act of coitus (withdrawal of penis from vagina prior to ejaculation).
Every time you withdrawal, instill more spermicide.
o Diaphragm must stay inserted for 6hrs after act of coitus.
 Hormonal Contraceptives (Oral)
o Side effects: Chest pain, SOB, Leg pain (from a possible clot),
headache or eye problems (from a stroke or hypertension)
o Contraindications: Women with a history of blood clots, stroke,
cardiac problems, smoker, breast or estrogen related cancers (pill


NURSING 327 ATI Proctored OB
Maternal Newborn Study Guide BEST
EXAM SOLUTION RATED A+
1

,NURSING 327 ATI Proctored OB
Maternal Newborn Study Guide BEST
EXAM SOLUTION RATED A+
contains estrogen)
 Depo-Provera/Medroxyprogesterone
o Injectable progestin
o Can cause decreased bone mineral density or loss of calcium
 Nursing action: Ensure patient has adequate intake of calcium and
vitamin D
 IUD
o Increase risk for PID
o Can cause uterine perforation or ectopic pregnancy (increases risk for ectopic
pregnancy)
o Look out for/Notify PCP:
 Change in string length IUD is moving and not in the right place
 Foul smelling vaginal discharge
 Pain with intercourse
 Fever/Chills (infection)

Infertility is defined as an inability to conceive desire engaging in unprotected
sexual intercourse for a prolonged period of time or at least 12 months.

 Common factors associated with infertility include:


NURSING 327 ATI Proctored OB
Maternal Newborn Study Guide BEST
EXAM SOLUTION RATED A+
2

,NURSING 327 ATI Proctored OB
Maternal Newborn Study Guide BEST
EXAM SOLUTION RATED A+
o Decreased sperm production (Sperm analysis)
o Endometriosis
o Ovulation disorders
o Tubal occlusions If you test and use DYE (used in the fallopian
tubes), make sure the woman is not allergic to iodine or
shellfish/seafood




Video #2: Signs of Pregnancy

Presumptive: Can be defined by things/reasons other than pregnancy

 Amenorrhea  Can be anorexic or exercising too much
 Fatigue  Didn’t sleep well
 Nausea/Vomiting  Sick
 Urinary Frequency  UTI
 Quickening/Fluttering in stomach  Gas




NURSING 327 ATI Proctored OB
Maternal Newborn Study Guide BEST
EXAM SOLUTION RATED A+
3

, NURSING 327 ATI Proctored OB
Maternal Newborn Study Guide BEST
EXAM SOLUTION RATED A+
Probable: Changes that make the examiner suspect a woman is pregnant
(primarily related to physical changes of the uterus).

Abdominal enlargement: Related to changes in uterine size, shape, and position
Hegar’s Sign: Softening and compressibility of the lower
uterus Chadwick’s Sign: Deepend violet bluish color of
cervix and vaginal mucosa Goodell’s Sign: Softening of
cervical tip
Ballottement: Rebound of unengaged uterus
Braxton Hicks Contractions: False contractions that are painless,
irregular, and usually relieved by walking
Positive Pregnancy Test: Woman’s hormonal level may not be normal
Fetal Outline:
Positive: Very distinct
things.
 Fetal Heart Sounds
 Fetal Heartbeat can be heard
 Can see the baby with ultrasound
 Can feel movement in the uterus



NURSING 327 ATI Proctored OB
Maternal Newborn Study Guide BEST
EXAM SOLUTION RATED A+
4