Maternal-Newborn ATI Study Guide –
High-Yield Exam Prep
Types of barrier methods - ---✔✔✔ANSWER----condoms, diaphragms
A client must be fitted every ___ years for a diaphragm. - ---
✔✔✔ANSWER----2
Reasons clients will have to be refitted for diaphragm: - ---✔✔✔ANSWER--
---Every 2 years
-Gained 15 pounds (7 kg)
-had full term pregnancy
-had 2nd term abortion
What must be used in addition will diaphragms? - ---✔✔✔ANSWER----
spermicide
A diaphragm must remain in place for ___ hours after intercourse. - ---
✔✔✔ANSWER----6
,True or False: Spermicide must be used with diaphragm for each act of intercourse.
- ---✔✔✔ANSWER----True
Side effects of hormonal methods (oral, patch, Nuva Ring) of contraception: - ---
✔✔✔ANSWER----chest pain, SOB, leg pain (possible clot), headache, eye
problems, HTN
Hormonal methods risks - ---✔✔✔ANSWER-----blood clots, leading to a
stroke or PE
-HTN
Smokers should not take: - ---✔✔✔ANSWER----hormonal contraceptives
Contraindications of hormonal contraceptives: - ---✔✔✔ANSWER----hx of
blood clots, stroke, cardiac problems, breast/estrogen related cancers, smoker
Depo-provera - ---✔✔✔ANSWER----injectable progestin
Depo-provera can cause: - ---✔✔✔ANSWER----decreased bone mineral
density
Education for client receiving Depo injection: - ---✔✔✔ANSWER----
receive adequate intake of calcium and vitamin D
,IUDs increase the risk of: - ---✔✔✔ANSWER----pelvic inflammatory
disease, uterine perforation, and ectopic pregnancy
Clients who had IUDs must be on the look out for: - ---✔✔✔ANSWER----
increase in string length, foul smelling vaginal discharge, pain w/ intercourse,
fever, chills
Definition of infertility - ---✔✔✔ANSWER----the inability to conceive after
trying for 12 months
Workup after determining infertility: - ---✔✔✔ANSWER-----Sperm
analysis on male (done 1st)
- Woman tested if male comes out negative
The nurse must ensure that the client receiving a test with dye does not have hx or
allergy to __ or ___. - ---✔✔✔ANSWER----iodine or seafood
Presumptive signs of pregnancy - ---✔✔✔ANSWER----amenorrhea,
fatigue, nausea, vomiting, urinary frequency, breast changes, quickening
Probable signs of pregnancy - ---✔✔✔ANSWER----abdominal
enlargement, hegar sign (softening of uterus), chadwick's sign (bluish color of
cervix, Goodell's sign (softening of cervical tip), ballottement (rebound of
, unengaged fetus), braxton hicks contractions, positive pregnancy test, fetal outline
felt by examiner
Positive signs of pregnancy - ---✔✔✔ANSWER----hearing fetal heart
sounds, see baby with ultra sounds, feeling of movement in uterus
Presumptive signs can: - ---✔✔✔ANSWER----be explained for problems
other than pregnancy
Positive signs of pregnancy are: - ---✔✔✔ANSWER----very distinct
Naegele's rule - ---✔✔✔ANSWER----subtract 3 months, add 7 days, add 1
year
***Easier way: Add 9 months, add 1 week***
GTPAL - ---✔✔✔ANSWER----G- gravitity (# of times woman has been
pregnant, including the current pregnancy)
T- pregnancies of 38 wks or more
P- pregnancies of less than 38 wks
A- abortions/miscarriages
L- living children
weight gain range for pregnant woman who is a normal weight - ---
✔✔✔ANSWER----25-35 pounds
High-Yield Exam Prep
Types of barrier methods - ---✔✔✔ANSWER----condoms, diaphragms
A client must be fitted every ___ years for a diaphragm. - ---
✔✔✔ANSWER----2
Reasons clients will have to be refitted for diaphragm: - ---✔✔✔ANSWER--
---Every 2 years
-Gained 15 pounds (7 kg)
-had full term pregnancy
-had 2nd term abortion
What must be used in addition will diaphragms? - ---✔✔✔ANSWER----
spermicide
A diaphragm must remain in place for ___ hours after intercourse. - ---
✔✔✔ANSWER----6
,True or False: Spermicide must be used with diaphragm for each act of intercourse.
- ---✔✔✔ANSWER----True
Side effects of hormonal methods (oral, patch, Nuva Ring) of contraception: - ---
✔✔✔ANSWER----chest pain, SOB, leg pain (possible clot), headache, eye
problems, HTN
Hormonal methods risks - ---✔✔✔ANSWER-----blood clots, leading to a
stroke or PE
-HTN
Smokers should not take: - ---✔✔✔ANSWER----hormonal contraceptives
Contraindications of hormonal contraceptives: - ---✔✔✔ANSWER----hx of
blood clots, stroke, cardiac problems, breast/estrogen related cancers, smoker
Depo-provera - ---✔✔✔ANSWER----injectable progestin
Depo-provera can cause: - ---✔✔✔ANSWER----decreased bone mineral
density
Education for client receiving Depo injection: - ---✔✔✔ANSWER----
receive adequate intake of calcium and vitamin D
,IUDs increase the risk of: - ---✔✔✔ANSWER----pelvic inflammatory
disease, uterine perforation, and ectopic pregnancy
Clients who had IUDs must be on the look out for: - ---✔✔✔ANSWER----
increase in string length, foul smelling vaginal discharge, pain w/ intercourse,
fever, chills
Definition of infertility - ---✔✔✔ANSWER----the inability to conceive after
trying for 12 months
Workup after determining infertility: - ---✔✔✔ANSWER-----Sperm
analysis on male (done 1st)
- Woman tested if male comes out negative
The nurse must ensure that the client receiving a test with dye does not have hx or
allergy to __ or ___. - ---✔✔✔ANSWER----iodine or seafood
Presumptive signs of pregnancy - ---✔✔✔ANSWER----amenorrhea,
fatigue, nausea, vomiting, urinary frequency, breast changes, quickening
Probable signs of pregnancy - ---✔✔✔ANSWER----abdominal
enlargement, hegar sign (softening of uterus), chadwick's sign (bluish color of
cervix, Goodell's sign (softening of cervical tip), ballottement (rebound of
, unengaged fetus), braxton hicks contractions, positive pregnancy test, fetal outline
felt by examiner
Positive signs of pregnancy - ---✔✔✔ANSWER----hearing fetal heart
sounds, see baby with ultra sounds, feeling of movement in uterus
Presumptive signs can: - ---✔✔✔ANSWER----be explained for problems
other than pregnancy
Positive signs of pregnancy are: - ---✔✔✔ANSWER----very distinct
Naegele's rule - ---✔✔✔ANSWER----subtract 3 months, add 7 days, add 1
year
***Easier way: Add 9 months, add 1 week***
GTPAL - ---✔✔✔ANSWER----G- gravitity (# of times woman has been
pregnant, including the current pregnancy)
T- pregnancies of 38 wks or more
P- pregnancies of less than 38 wks
A- abortions/miscarriages
L- living children
weight gain range for pregnant woman who is a normal weight - ---
✔✔✔ANSWER----25-35 pounds
