RN Maternal newborn ati proctored
exam.LATEST VERSION 2025 REVISED
100% CORRECT | GRADED A+ | GUARANEED
PASS!!
When is Rhogam given?
- ANSWER-o Given at 28 weeks and also within 72 hours of deliveryo Also given after
abortion, ectopic pregnancy, amniocentesis
What is gravidity? Example.
- ANSWER-Number of pregnancies
Nulligravida: never been pregnant Primigravida: first
pregnancy
What are presumptive signs of pregnancy? -
ANSWER-Perceived by the woman
Signs: amenorrhea, fatigue, nausea, vomiting
Urinary frequency, uterine enlargement
Breast changes (darkened areolae, enlarged Montgomery glands Quickening
Define quickening. When does it occur?
- ANSWER-Quickening is the term used to describe when the mother first detects fetal
movements, usually at 18 to 20 weeks of gestation in a primigravida and 16 to 18 weeks of
gestation in a multigravida.
What are probable signs of pregnancy?
- ANSWER-Perceived by the examiner
Signs: Abdominal enlargement, positive pregnancy test, fetal outline felt by examiner
Braxton Hicks contractions, Ballottement Hegar's sign,
Goodell's sign, Chadwick's sign
What are Braxton Hicks contractions?
- ANSWER-false labor contractions that can begin as early as the sixth month of pregnancy;
painless, irregular, and usually relieved by walking or changing position
- if contractions increase in intensity and frequency (true contractions) with regularity, notify
provider
What is ballottement?
- ANSWER-Light tap of examining finger on cervix causes fetus to rise in amniotic fluid & then
rebound to original position (16-18 wks); used to diagnose pregnancy
rebound of unengaged fetus
,RN Maternal newborn ati proctored
exam.LATEST VERSION 2025 REVISED
100% CORRECT | GRADED A+ | GUARANEED
PASS!!
Hegar's sign
- ANSWER-softening and compressibility of lower uterus
Goodell's sign
- ANSWER-softening of the cervix
Chadwick's sign –
ANSWER-Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a
result of increased vascular congestion.
What are positive signs of
pregnancy?
- ANSWER-Fetal heart
sounds
Fetal movement felt by
examiner
Ultrasound visualization
of fetus
During what week of pregnancy is the
fetal heartbeat detectable?
- ANSWER-10 weeks; using a
doppler device
How early can a fetus be visualized
using an ultrasound?
- ANSWER-4-
5weeks
What is the least effective method of contraception?
- ANSWER-Coitus interruptus (withdrawal)
Advantage: possible choice for monogamous couples
No protection against STIs
Usually influenced by male partner's control
What is the rhythm method?
- ANSWER-Also known as the "calendar method"
Abstinence during fertile periods
,RN Maternal newborn ati proctored
exam.LATEST VERSION 2025 REVISED
100% CORRECT | GRADED A+ | GUARANEED
PASS!!
Woman records her menstrual cycle by calculating her fertile period most useful when
combined with basal body temperature or cervical mucus method
How is the fertile period calculate?
- ANSWER-Record the number of days in each menstrual cycle for atleast 6 cycles (From
beginning of first period to beginning of next period)
Subtract 18 days from the number of days in the woman's shortest cycle (start of the fertile
period)
Subtract 11 days from the number of days in the longest cycle (end of the fertile period)
Example:
Shortest cycle: 26-18 = 8th
day
Longest cycle: 30-11=19th
day
Fertile period: days 8-19; avoid
intercourse
When does ovulation
occur?
- ANSWER-14 days before the onset of the
menstrual cycle
How long is the sperm and ovum viable?
- ANSWER-sperm: 48-72 hours; takes 24 hours to fertilize an egg ovum: 24 hours
(after ovulation)
How is basal body temperature used as a natural contraceptive method?
- ANSWER-Temperature can drop slightly at the time of ovulation
Monitored by measuring oral temp prior to getting out of bed each morning
What is the cervical mucus method of contraception?
- ANSWER-Spinnbarkeit sign; the ability of the mucus to stretch between the fingers is
greatest during ovulation
Begin examining mucus from the last day of the of the menstrual cycle; mucus is obtained
from the vaginal introitus Do not douche prior to assessment
What is the spinnbarkeit sign?
, RN Maternal newborn ati proctored
exam.LATEST VERSION 2025 REVISED
100% CORRECT | GRADED A+ | GUARANEED
PASS!!
- ANSWER-The time of the month when mucus can stretch between fingers is the greatest.
Cervical mucous is thin and flexible to allow for sperm viability and motility. It means you
are ovulating.
What can the cervical mucus method diagnose?
- ANSWER-Self evaluation of cervical mucus can be helpful in determining the start of
ovulation while breastfeeding, noting the commencement of menopause, and planning a
desired pregnancy
What are the advantages of male condoms?
- ANSWER-Protects against STIs
Involves the male in the birth control method Readily
accessible
What are the disadvantages of male condoms?
- ANSWER-Can reduce spontaneity of intercourse
High rate of noncompliance
Penis must be erect to apply
Withdrawing the penis while still erect can interfere with sexual intercourse
What type of lubricants can be used for latex condoms?
- ANSWER-ONLY water-soluble; this is to avoid condom breakage
What is a female condom (FC2)?
- ANSWER-Vaginal sheath made of nitrile, a nonlatex synthetic rubber, with flexible rings on
both ends; coated with silicone oil lubricant; 17cm long
Expensive (18.95)
Flexible inner closed ring inserted into vagina prior to intercourse and anchored around the
cervix to hold condom in place
wider external second ring (open ring) remains outside the vagina and covers the labias
Can be inserted standing, sitting, squatting, lying down Removed and
thrown away after sex
What is the diaphragm and spermicide form of contraception?
- ANSWER-Dome-shaped cup with a flexible rim made of silicone that fits snugly over the
cervix with spermicidal cream or gel applied on dome and around the rim Available in
different sizes; client should be properly fitted with a diaphragm by a provider (requires a
prescription)
exam.LATEST VERSION 2025 REVISED
100% CORRECT | GRADED A+ | GUARANEED
PASS!!
When is Rhogam given?
- ANSWER-o Given at 28 weeks and also within 72 hours of deliveryo Also given after
abortion, ectopic pregnancy, amniocentesis
What is gravidity? Example.
- ANSWER-Number of pregnancies
Nulligravida: never been pregnant Primigravida: first
pregnancy
What are presumptive signs of pregnancy? -
ANSWER-Perceived by the woman
Signs: amenorrhea, fatigue, nausea, vomiting
Urinary frequency, uterine enlargement
Breast changes (darkened areolae, enlarged Montgomery glands Quickening
Define quickening. When does it occur?
- ANSWER-Quickening is the term used to describe when the mother first detects fetal
movements, usually at 18 to 20 weeks of gestation in a primigravida and 16 to 18 weeks of
gestation in a multigravida.
What are probable signs of pregnancy?
- ANSWER-Perceived by the examiner
Signs: Abdominal enlargement, positive pregnancy test, fetal outline felt by examiner
Braxton Hicks contractions, Ballottement Hegar's sign,
Goodell's sign, Chadwick's sign
What are Braxton Hicks contractions?
- ANSWER-false labor contractions that can begin as early as the sixth month of pregnancy;
painless, irregular, and usually relieved by walking or changing position
- if contractions increase in intensity and frequency (true contractions) with regularity, notify
provider
What is ballottement?
- ANSWER-Light tap of examining finger on cervix causes fetus to rise in amniotic fluid & then
rebound to original position (16-18 wks); used to diagnose pregnancy
rebound of unengaged fetus
,RN Maternal newborn ati proctored
exam.LATEST VERSION 2025 REVISED
100% CORRECT | GRADED A+ | GUARANEED
PASS!!
Hegar's sign
- ANSWER-softening and compressibility of lower uterus
Goodell's sign
- ANSWER-softening of the cervix
Chadwick's sign –
ANSWER-Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a
result of increased vascular congestion.
What are positive signs of
pregnancy?
- ANSWER-Fetal heart
sounds
Fetal movement felt by
examiner
Ultrasound visualization
of fetus
During what week of pregnancy is the
fetal heartbeat detectable?
- ANSWER-10 weeks; using a
doppler device
How early can a fetus be visualized
using an ultrasound?
- ANSWER-4-
5weeks
What is the least effective method of contraception?
- ANSWER-Coitus interruptus (withdrawal)
Advantage: possible choice for monogamous couples
No protection against STIs
Usually influenced by male partner's control
What is the rhythm method?
- ANSWER-Also known as the "calendar method"
Abstinence during fertile periods
,RN Maternal newborn ati proctored
exam.LATEST VERSION 2025 REVISED
100% CORRECT | GRADED A+ | GUARANEED
PASS!!
Woman records her menstrual cycle by calculating her fertile period most useful when
combined with basal body temperature or cervical mucus method
How is the fertile period calculate?
- ANSWER-Record the number of days in each menstrual cycle for atleast 6 cycles (From
beginning of first period to beginning of next period)
Subtract 18 days from the number of days in the woman's shortest cycle (start of the fertile
period)
Subtract 11 days from the number of days in the longest cycle (end of the fertile period)
Example:
Shortest cycle: 26-18 = 8th
day
Longest cycle: 30-11=19th
day
Fertile period: days 8-19; avoid
intercourse
When does ovulation
occur?
- ANSWER-14 days before the onset of the
menstrual cycle
How long is the sperm and ovum viable?
- ANSWER-sperm: 48-72 hours; takes 24 hours to fertilize an egg ovum: 24 hours
(after ovulation)
How is basal body temperature used as a natural contraceptive method?
- ANSWER-Temperature can drop slightly at the time of ovulation
Monitored by measuring oral temp prior to getting out of bed each morning
What is the cervical mucus method of contraception?
- ANSWER-Spinnbarkeit sign; the ability of the mucus to stretch between the fingers is
greatest during ovulation
Begin examining mucus from the last day of the of the menstrual cycle; mucus is obtained
from the vaginal introitus Do not douche prior to assessment
What is the spinnbarkeit sign?
, RN Maternal newborn ati proctored
exam.LATEST VERSION 2025 REVISED
100% CORRECT | GRADED A+ | GUARANEED
PASS!!
- ANSWER-The time of the month when mucus can stretch between fingers is the greatest.
Cervical mucous is thin and flexible to allow for sperm viability and motility. It means you
are ovulating.
What can the cervical mucus method diagnose?
- ANSWER-Self evaluation of cervical mucus can be helpful in determining the start of
ovulation while breastfeeding, noting the commencement of menopause, and planning a
desired pregnancy
What are the advantages of male condoms?
- ANSWER-Protects against STIs
Involves the male in the birth control method Readily
accessible
What are the disadvantages of male condoms?
- ANSWER-Can reduce spontaneity of intercourse
High rate of noncompliance
Penis must be erect to apply
Withdrawing the penis while still erect can interfere with sexual intercourse
What type of lubricants can be used for latex condoms?
- ANSWER-ONLY water-soluble; this is to avoid condom breakage
What is a female condom (FC2)?
- ANSWER-Vaginal sheath made of nitrile, a nonlatex synthetic rubber, with flexible rings on
both ends; coated with silicone oil lubricant; 17cm long
Expensive (18.95)
Flexible inner closed ring inserted into vagina prior to intercourse and anchored around the
cervix to hold condom in place
wider external second ring (open ring) remains outside the vagina and covers the labias
Can be inserted standing, sitting, squatting, lying down Removed and
thrown away after sex
What is the diaphragm and spermicide form of contraception?
- ANSWER-Dome-shaped cup with a flexible rim made of silicone that fits snugly over the
cervix with spermicidal cream or gel applied on dome and around the rim Available in
different sizes; client should be properly fitted with a diaphragm by a provider (requires a
prescription)
