ATI
ATI PROCTORED OB MATERNAL
NEWBORN STUDY GUIDE
What conditions require a woman to be refitted for a diaphragm? - 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.
What is required when using a diaphragm during coitus? - Spermicide must be used with
every act of coitus, and more spermicide should be instilled each time withdrawal occurs.
How long must a diaphragm remain inserted after coitus? - The diaphragm must stay
inserted for 6 hours after the act of coitus.
What are common side effects of hormonal contraceptives (oral)? - Chest pain, shortness
of breath (SOB), leg pain (possible clot), headache, or eye problems (possible stroke or
hypertension).
What are contraindications for using hormonal contraceptives? - History of blood clots,
stroke, cardiac problems, smoking, breast or estrogen-related cancers.
What is Depo-Provera and what is a potential side effect? - Depo-Provera is an injectable
progestin that can cause decreased bone mineral density or loss of calcium.
What nursing action should be taken for a patient on Depo-Provera? - Ensure the patient
has adequate intake of calcium and vitamin D.
What risks are associated with an IUD? - Increased risk for pelvic inflammatory disease
(PID), uterine perforation, and ectopic pregnancy.
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,ATI
What symptoms should prompt a woman with an IUD to notify her PCP? - Change in
string length, foul-smelling vaginal discharge, pain with intercourse, fever/chills (possible
infection).
How is infertility defined? - Inability to conceive after engaging in unprotected sexual
intercourse for at least 12 months.
What are common factors associated with infertility? - Decreased sperm production,
endometriosis, ovulation disorders, tubal occlusions.
What should be checked before using dye in fallopian tubes for testing? - Ensure the
woman is not allergic to iodine or shellfish/seafood.
What are presumptive signs of pregnancy? - Amenorrhea, fatigue, nausea/vomiting,
urinary frequency, quickening/fluttering in stomach.
What are probable signs of pregnancy? - Abdominal enlargement, Hegar's Sign,
Chadwick's Sign, Goodell's Sign, ballottement, Braxton Hicks contractions, positive
pregnancy test, fetal outline.
What are positive signs of pregnancy? - Fetal heart sounds, fetal heartbeat detectable,
visualization of the baby via ultrasound, feeling fetal movement.
What is Naegele's Rule for calculating due date? - Last menstrual period minus 3 months
plus 7 days plus 1 year.
What is Cathy's Rule for calculating due date? - Last menstrual period plus 9 months plus
1 week.
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What is the definition of Gravida? - A woman who is pregnant.
What does Gravidity refer to? - The number of pregnancies a woman has had.
What is a Nulligravida? - A woman who has never been pregnant.
What is a Primigravida? - A woman who is pregnant for the first time.
What is a Multigravida? - A woman who is in at least her second pregnancy.
What does Parity refer to? - The number of births a woman has had after 20 weeks of
gestation, regardless of whether the fetus was born alive.
What is a Nullipara? - A woman who has not had a birth at more than 20 weeks of
gestation.
What is a Primipara? - A woman who has had one birth that occurred after 20 weeks of
gestation.
What is a Multipara? - A woman who has had two or more pregnancies that reached the
stage of fetal viability.
What does G in GTPAL stand for? - Gravidity, which is the number of times a woman
has been pregnant, including the current pregnancy.
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, ATI
What does T in GTPAL represent? - Term Births, which refers to how many babies were
delivered at term (38 weeks or more).
What does P in GTPAL indicate? - Preterm Births, which are births that occur before 38
weeks.
What does A in GTPAL stand for? - Abortion, which includes both spontaneous and
elective miscarriages.
What does L in GTPAL represent? - Living children, which refers to the number of
children currently alive.
How is fundal height measured during pregnancy? - Fundal height is measured from the
symphysis pubis to the top of the uterine fundus.
What is the significance of fundal height measurement during the second and third
trimesters? - It approximately equals the fetus's age in weeks, plus or minus 2 cm.
At what gestational age can the fundus be found halfway between the symphysis pubis
and the umbilicus? - At 16 weeks.
Where is the fundus located at 20 to 22 weeks of gestation? - Approximately at the
location of the umbilicus.
At 36 weeks, where is the fundus located? - At the xiphoid process.
What should be monitored when assessing fundal height in a supine position? - Monitor
for supine hypotension.
ATI
ATI PROCTORED OB MATERNAL
NEWBORN STUDY GUIDE
What conditions require a woman to be refitted for a diaphragm? - 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.
What is required when using a diaphragm during coitus? - Spermicide must be used with
every act of coitus, and more spermicide should be instilled each time withdrawal occurs.
How long must a diaphragm remain inserted after coitus? - The diaphragm must stay
inserted for 6 hours after the act of coitus.
What are common side effects of hormonal contraceptives (oral)? - Chest pain, shortness
of breath (SOB), leg pain (possible clot), headache, or eye problems (possible stroke or
hypertension).
What are contraindications for using hormonal contraceptives? - History of blood clots,
stroke, cardiac problems, smoking, breast or estrogen-related cancers.
What is Depo-Provera and what is a potential side effect? - Depo-Provera is an injectable
progestin that can cause decreased bone mineral density or loss of calcium.
What nursing action should be taken for a patient on Depo-Provera? - Ensure the patient
has adequate intake of calcium and vitamin D.
What risks are associated with an IUD? - Increased risk for pelvic inflammatory disease
(PID), uterine perforation, and ectopic pregnancy.
ATI
,ATI
What symptoms should prompt a woman with an IUD to notify her PCP? - Change in
string length, foul-smelling vaginal discharge, pain with intercourse, fever/chills (possible
infection).
How is infertility defined? - Inability to conceive after engaging in unprotected sexual
intercourse for at least 12 months.
What are common factors associated with infertility? - Decreased sperm production,
endometriosis, ovulation disorders, tubal occlusions.
What should be checked before using dye in fallopian tubes for testing? - Ensure the
woman is not allergic to iodine or shellfish/seafood.
What are presumptive signs of pregnancy? - Amenorrhea, fatigue, nausea/vomiting,
urinary frequency, quickening/fluttering in stomach.
What are probable signs of pregnancy? - Abdominal enlargement, Hegar's Sign,
Chadwick's Sign, Goodell's Sign, ballottement, Braxton Hicks contractions, positive
pregnancy test, fetal outline.
What are positive signs of pregnancy? - Fetal heart sounds, fetal heartbeat detectable,
visualization of the baby via ultrasound, feeling fetal movement.
What is Naegele's Rule for calculating due date? - Last menstrual period minus 3 months
plus 7 days plus 1 year.
What is Cathy's Rule for calculating due date? - Last menstrual period plus 9 months plus
1 week.
ATI
,ATI
What is the definition of Gravida? - A woman who is pregnant.
What does Gravidity refer to? - The number of pregnancies a woman has had.
What is a Nulligravida? - A woman who has never been pregnant.
What is a Primigravida? - A woman who is pregnant for the first time.
What is a Multigravida? - A woman who is in at least her second pregnancy.
What does Parity refer to? - The number of births a woman has had after 20 weeks of
gestation, regardless of whether the fetus was born alive.
What is a Nullipara? - A woman who has not had a birth at more than 20 weeks of
gestation.
What is a Primipara? - A woman who has had one birth that occurred after 20 weeks of
gestation.
What is a Multipara? - A woman who has had two or more pregnancies that reached the
stage of fetal viability.
What does G in GTPAL stand for? - Gravidity, which is the number of times a woman
has been pregnant, including the current pregnancy.
ATI
, ATI
What does T in GTPAL represent? - Term Births, which refers to how many babies were
delivered at term (38 weeks or more).
What does P in GTPAL indicate? - Preterm Births, which are births that occur before 38
weeks.
What does A in GTPAL stand for? - Abortion, which includes both spontaneous and
elective miscarriages.
What does L in GTPAL represent? - Living children, which refers to the number of
children currently alive.
How is fundal height measured during pregnancy? - Fundal height is measured from the
symphysis pubis to the top of the uterine fundus.
What is the significance of fundal height measurement during the second and third
trimesters? - It approximately equals the fetus's age in weeks, plus or minus 2 cm.
At what gestational age can the fundus be found halfway between the symphysis pubis
and the umbilicus? - At 16 weeks.
Where is the fundus located at 20 to 22 weeks of gestation? - Approximately at the
location of the umbilicus.
At 36 weeks, where is the fundus located? - At the xiphoid process.
What should be monitored when assessing fundal height in a supine position? - Monitor
for supine hypotension.
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