ATI Maternity FULL BANK
Diaghragm and spermicide - ANSWER a dome shaped cup with flexible rim made of silicone that fits snugly over the cervix
when should you replace a diaphragm? when should you refit it? - ANSWER every
2 years refit for 20% weight fluctuation, after abdominal or pelvic surgery, and after every pregnancy, or 2nd term abortion
when should someone insert a diaphragm prior to sex and how long does it have to stay in place after sex? - ANSWER up to 6 hours before
must stay in place 6 hours after but no longer than 24 hours
side effects of combined oral contraceptives - ANSWER chest pain
SOB
leg pain from possible clot
headache
eye problems from a stroke
hypertension
women who have these should not take combined oral contraceptives - ANSWER h/o thromboembolic disorders stroke
breast or estrogen-related cancers
smoking (if over 35 years old)
what are adverse effect of injectable progestins? what should you do for this adverse
effect? - ANSWER decrease in bone mineral density
give patient calcium and vitamin D
what should you avoid after giving an injectable progestin? - ANSWER massaging injection site following administration because its IM
what can an IUD increase the risk of? - ANSWER pelvic inflammatory disease
uterine perforation (change in string length, use ultrasound to figure it out)
ectopic pregnancy
what should a client report to the provider if she has an IUD? - ANSWER abdominal pain or pain with intercourse
fever chills
a change in string length
Infertility - ANSWER an inability to conceive despite engaging in unprotected sexual intercourse for a prolonged period of time or at least 12 months hysterosalpingography - ANSWER dye used to assess the latency of the fallopian tubes
what should a nurse check prior to beginning a hysterosalpingography ? - ANSWER
h/o allergies to iodine and seafood
what's the first thing that will happen when a family is having difficulty conceiving? - ANSWER semen analysis because male infertility is usually the reason for the difficulty and its least expensive and least invasive
Presumptive signs of pregnancy - ANSWER amenorrhea
fatigue
N/V
urinary frequency breast changes quickening uterine enlargement
Positive signs of pregnancy - ANSWER fetal heart sounds
visualization of fetus by ultrasound fetal movement
GTPAL - ANSWER Gravida, Term, Preterm, Abortions, Living
how much weight should a normal weight pregnant mother gain? - ANSWER 25 to 35 lbs
how much weight should a pregnant woman gain in the first trimester? - ANSWER 2.2 to 4.4 lbs
how much weight should a pregnant woman gain in the 2nd and 3rd trimester? - ANSWER 1 lb per week
underweight mothers should gain how much weight? - ANSWER 28-40 lbs
overweight mothers should gain how much weight? - ANSWER 15-25 lbs
how much should a pregnant woman's calorie intake increase in the 2nd trimester? - ANSWER 340 calories per day
how much should a pregnant woman's calorie intake increase in the 3rd trimester? - ANSWER 462 calories per day
women who are at a childbearing age should have how much folic acid per day? - ANSWER 400 mcg
women who are pregnant should have how much folic acid per day? - ANSWER 600 mcg how much fluids should a pregnant mother take? - ANSWER 8-10 glasses of water
or milk
how much caffeine can a pregnant woman take? - ANSWER no more than 200 mcg
what should a client have if she is getting an ultrasound done? - ANSWER FULL BLADDER TO PUSH THE UTERUS UP TOWARDS THE SURFACE OF THE ABDOMEN
Biophysical profile score 8 to 10 - ANSWER normal, low risk of chronic fetal asphyxia (suffocation)
biophysical profile score of 4 to 6 - ANSWER abnormal, suspect chronic fetal asphyxia
biphyscial profile score less than 4 - ANSWER abnormal, strongly suspect chronic fetal asphyxia
what are disadvantages of a non stress test? - ANSWER high rate of false nonreactive results with fetal movement response blunted by sleep cycles of the fetus
fetal immaturity maternal medications
nicotine use disorder
Reactive NST results - ANSWER At least two accels of FHR with fetal movement of 15bpm lasting at least 15 seconds or more for 20 mins
Nonreactive NST - ANSWER does not demonstrate at least two qualifying accelerations in a 20 minute window
what further assessment should occur if a NST comes back nonreactive? - ANSWER do a CST or a BPP
why are CST not used often? - ANSWER it uses oxytocin to stimulate contractions and it can be difficult to stop and can lead to preterm labor
Negative CST - ANSWER indicates that within a 10 minute period, with 3 contractions, there are NO LATE DECELS of the FHR
THIS IS GOOD, YOU WANT A NEGATIVE CST
Positive CST - ANSWER persistent and constant late decels with 50% or more of the contractions
THIS IS NOT GOOD BECAUSE IT CAN MEAN PLACENTAL INSUFFICIENCY
when is an amniocentesis performed? - ANSWER After 14 weeks gestation
what can an amniocentesis diagnose? - ANSWER alpha-fetoprotein (AFP) level for
fetal abnormalities
Diaghragm and spermicide - ANSWER a dome shaped cup with flexible rim made of silicone that fits snugly over the cervix
when should you replace a diaphragm? when should you refit it? - ANSWER every
2 years refit for 20% weight fluctuation, after abdominal or pelvic surgery, and after every pregnancy, or 2nd term abortion
when should someone insert a diaphragm prior to sex and how long does it have to stay in place after sex? - ANSWER up to 6 hours before
must stay in place 6 hours after but no longer than 24 hours
side effects of combined oral contraceptives - ANSWER chest pain
SOB
leg pain from possible clot
headache
eye problems from a stroke
hypertension
women who have these should not take combined oral contraceptives - ANSWER h/o thromboembolic disorders stroke
breast or estrogen-related cancers
smoking (if over 35 years old)
what are adverse effect of injectable progestins? what should you do for this adverse
effect? - ANSWER decrease in bone mineral density
give patient calcium and vitamin D
what should you avoid after giving an injectable progestin? - ANSWER massaging injection site following administration because its IM
what can an IUD increase the risk of? - ANSWER pelvic inflammatory disease
uterine perforation (change in string length, use ultrasound to figure it out)
ectopic pregnancy
what should a client report to the provider if she has an IUD? - ANSWER abdominal pain or pain with intercourse
fever chills
a change in string length
Infertility - ANSWER an inability to conceive despite engaging in unprotected sexual intercourse for a prolonged period of time or at least 12 months hysterosalpingography - ANSWER dye used to assess the latency of the fallopian tubes
what should a nurse check prior to beginning a hysterosalpingography ? - ANSWER
h/o allergies to iodine and seafood
what's the first thing that will happen when a family is having difficulty conceiving? - ANSWER semen analysis because male infertility is usually the reason for the difficulty and its least expensive and least invasive
Presumptive signs of pregnancy - ANSWER amenorrhea
fatigue
N/V
urinary frequency breast changes quickening uterine enlargement
Positive signs of pregnancy - ANSWER fetal heart sounds
visualization of fetus by ultrasound fetal movement
GTPAL - ANSWER Gravida, Term, Preterm, Abortions, Living
how much weight should a normal weight pregnant mother gain? - ANSWER 25 to 35 lbs
how much weight should a pregnant woman gain in the first trimester? - ANSWER 2.2 to 4.4 lbs
how much weight should a pregnant woman gain in the 2nd and 3rd trimester? - ANSWER 1 lb per week
underweight mothers should gain how much weight? - ANSWER 28-40 lbs
overweight mothers should gain how much weight? - ANSWER 15-25 lbs
how much should a pregnant woman's calorie intake increase in the 2nd trimester? - ANSWER 340 calories per day
how much should a pregnant woman's calorie intake increase in the 3rd trimester? - ANSWER 462 calories per day
women who are at a childbearing age should have how much folic acid per day? - ANSWER 400 mcg
women who are pregnant should have how much folic acid per day? - ANSWER 600 mcg how much fluids should a pregnant mother take? - ANSWER 8-10 glasses of water
or milk
how much caffeine can a pregnant woman take? - ANSWER no more than 200 mcg
what should a client have if she is getting an ultrasound done? - ANSWER FULL BLADDER TO PUSH THE UTERUS UP TOWARDS THE SURFACE OF THE ABDOMEN
Biophysical profile score 8 to 10 - ANSWER normal, low risk of chronic fetal asphyxia (suffocation)
biophysical profile score of 4 to 6 - ANSWER abnormal, suspect chronic fetal asphyxia
biphyscial profile score less than 4 - ANSWER abnormal, strongly suspect chronic fetal asphyxia
what are disadvantages of a non stress test? - ANSWER high rate of false nonreactive results with fetal movement response blunted by sleep cycles of the fetus
fetal immaturity maternal medications
nicotine use disorder
Reactive NST results - ANSWER At least two accels of FHR with fetal movement of 15bpm lasting at least 15 seconds or more for 20 mins
Nonreactive NST - ANSWER does not demonstrate at least two qualifying accelerations in a 20 minute window
what further assessment should occur if a NST comes back nonreactive? - ANSWER do a CST or a BPP
why are CST not used often? - ANSWER it uses oxytocin to stimulate contractions and it can be difficult to stop and can lead to preterm labor
Negative CST - ANSWER indicates that within a 10 minute period, with 3 contractions, there are NO LATE DECELS of the FHR
THIS IS GOOD, YOU WANT A NEGATIVE CST
Positive CST - ANSWER persistent and constant late decels with 50% or more of the contractions
THIS IS NOT GOOD BECAUSE IT CAN MEAN PLACENTAL INSUFFICIENCY
when is an amniocentesis performed? - ANSWER After 14 weeks gestation
what can an amniocentesis diagnose? - ANSWER alpha-fetoprotein (AFP) level for
fetal abnormalities
