PN Maternal Newborn Nursing ATI
Proctored Exam studyguide 2024
Contraceptive use -ANSWER a water soluble lubricant should be used with condoms
Oral contraceptive danger indications -ANSWER Shortness of breath can indicate
pulmonary embolism or myocardial infarction
IUD (intrauterine device) -ANSWER 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 -ANSWER Irregular vaginal bleeding
weight gain
breast changes
medroxyprogesterone -ANSWER clients should take calcium and vitamin D o prevent
loss of bone density
can cause irregular bleeding
Signs of pregnancy: Presumptive -ANSWER 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 -ANSWER 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 -ANSWER those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
, hCG blood / urine test -ANSWER 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 -ANSWER Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
Parity -ANSWER Number of pregnancies which fetus reached 20 weeks ( includes
stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
Viability -ANSWER Point at which a fetus can survive outside the womb.
GTPAL -ANSWER Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
Physiological changes -ANSWER stretch marks
hyperpigmentation
Supine hypotensive syndrome -ANSWER 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 -ANSWER increases 10 to 15/min around 32 weeks until term
FHR -ANSWER 110-160 beats/min
Cardiovasuclar changes -ANSWER Output increases
blood volume increases
heart rate increases
uterine changes -ANSWER 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
Proctored Exam studyguide 2024
Contraceptive use -ANSWER a water soluble lubricant should be used with condoms
Oral contraceptive danger indications -ANSWER Shortness of breath can indicate
pulmonary embolism or myocardial infarction
IUD (intrauterine device) -ANSWER 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 -ANSWER Irregular vaginal bleeding
weight gain
breast changes
medroxyprogesterone -ANSWER clients should take calcium and vitamin D o prevent
loss of bone density
can cause irregular bleeding
Signs of pregnancy: Presumptive -ANSWER 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 -ANSWER 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 -ANSWER those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
, hCG blood / urine test -ANSWER 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 -ANSWER Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
Parity -ANSWER Number of pregnancies which fetus reached 20 weeks ( includes
stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
Viability -ANSWER Point at which a fetus can survive outside the womb.
GTPAL -ANSWER Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
Physiological changes -ANSWER stretch marks
hyperpigmentation
Supine hypotensive syndrome -ANSWER 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 -ANSWER increases 10 to 15/min around 32 weeks until term
FHR -ANSWER 110-160 beats/min
Cardiovasuclar changes -ANSWER Output increases
blood volume increases
heart rate increases
uterine changes -ANSWER 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
