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Maternal Newborn ATI Study Guide Exam/266 Questions and Answers
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Maternal Newborn ATI Study GuideExam/266 Questions and Answers
Types of barrier methods - -condoms, diaphragms
-A client must be fitted every ___ years for a diaphragm. - -2
-Reasons clients will have to be refitted for diaphragm: - --Every 2 years
-Gained 15 pounds (7 kg)
-had full term pregnancy
-had 2nd term abortion
-What must be used in addition will diaphragms? - -spermicide
-A diaphragm must remain in place for ___ hours after intercourse. - -6
-True or False: Spermicide must be used with diaphragm for each act of
intercourse. - -True
-Side effects of hormonal methods (oral, patch, Nuva Ring) of contraception:
- -chest pain, SOB, leg pain (possible clot), headache, eye problems, HTN
-Hormonal methods risks - --blood clots, leading to a stroke or PE
-HTN
-Smokers should not take: - -hormonal contraceptives
-Contraindications of hormonal contraceptives: - -hx of blood clots, stroke,
cardiac problems, breast/estrogen related cancers, smoker
-Depo-provera - -injectable progestin
-Depo-provera can cause: - -decreased bone mineral density
-Education for client receiving Depo injection: - -receive adequate intake of
calcium and vitamin D
-IUDs increase the risk of: - -pelvic inflammatory disease, uterine
perforation, and ectopic pregnancy
-Clients who had IUDs must be on the look out for: - -increase in string
length, foul smelling vaginal discharge, pain w/ intercourse, fever, chills
-Definition of infertility - -the inability to conceive after trying for 12 months
, -Workup after determining infertility: - --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 ___. - -iodine or seafood
-Presumptive signs of pregnancy - -amenorrhea, fatigue, nausea, vomiting,
urinary frequency, breast changes, quickening
-Probable signs of pregnancy - -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 - -hearing fetal heart sounds, see baby with
ultra sounds, feeling of movement in uterus
-Presumptive signs can: - -be explained for problems other than pregnancy
-Positive signs of pregnancy are: - -very distinct
-Naegele's rule - -subtract 3 months, add 7 days, add 1 year
***Easier way: Add 9 months, add 1 week***
-GTPAL - -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 - -25-35
pounds
-weight gain range for woman who is overweight - -15-25 pounds
-Weight gain range for woman who is underweight - -28-40 pounds
-During 1st trimester, a woman shouldn't gain more than: - -2-4 lbs (1-2 kg)
-Once past 1st trimster, weight gain is expected as ___ - -1 pound per week
-Expected extra calories per day for 2nd trimester - -340 extra cal per day
, -Expected extra calories per day for 3rd trimester - -450 extra calories per
day
-True or false: Mothers who are breastfeeding after pregnancy need extra
daily calories - -true
-Range for extra daily calories when breastfeeding - -300-400 cal/day
-Folic acid helps prevent: - -fetal neural tube defects
-Pregnant women should drink how much water per day? - -2-3 L
-Pregnant women should limit caffeine intake to ___ mg per day - -300 mg
-Sources of folic acid: - -dark, green leafy veggies, orange juice
-When client is having ultrasound, the bladder should be: - -full (helps
sounds waves resonate better)
-When client is having diagnostic test where belly is being poked
(amniocentesis), the bladder should be: - -empty
-Biophysical profile (BPP) - --score given between 0-10
-measures reactive heart, breathing, body movements, fetal tone, and
amniotic fluid volume
- each section is given score of 2 if normal and 0 if not normal
-Normal score for BPP - -between 8-10 (indicated healthy baby)
-Nonstress test - --non invasive
-measures fetal well being within the last trimester of pregnancy
-measures response of fetal heart rate to fetal movement (button given to
woman to press when she feels baby move and then HR is measured in
response to the movement)
-Non stress test is considered reactive if: - -Fetal HR accelerates during
movement
-True or false: Reactive non stress test is normal - -true
-Non stress test is considered non reactive if: - -fetal HR does not accelerate
adequately
-Is nonreactive non stress test good or bad? - -bad
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