OB Maternal Newborn ATI Exam Study Guide
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
If non stress test is nonreactive, what other tests may be performed? - biophysical
profile, contraction stress test (CST)
During a contraction stress test, contractions are brought on by the use of: - pitocin
(oxytocin) or nipple stimulation
What is monitored during the contraction of a contraction stress test? - Fetal HR to see
if late deceleration occur
