ATI Maternal Newborn Study Guide
Exam Questions & Answers
Types of barrier methods - ANSWERScondoms, diaphragms
A client must be fitted every ___ years for a diaphragm. - ANSWERS2
Reasons clients will have to be refitted for diaphragm: - ANSWERS-Every 2 years
-Gained 15 pounds (7 kg)
-had full term pregnancy
-had 2nd term abortion
What must be used in addition will diaphragms? - ANSWERSspermicide
A diaphragm must remain in place for ___ hours after intercourse. - ANSWERS6
True or False: Spermicide must be used with diaphragm for each act of intercourse. -
ANSWERSTrue
Side effects of hormonal methods (oral, patch, Nuva Ring) of contraception: - ANSWERSchest
pain, SOB, leg pain (possible clot), headache, eye problems, HTN
Hormonal methods risks - ANSWERS-blood clots, leading to a stroke or PE
-HTN
,Smokers should not take: - ANSWERShormonal contraceptives
Contraindications of hormonal contraceptives: - ANSWERShx of blood clots, stroke, cardiac
problems, breast/estrogen related cancers, smoker
Depo-provera - ANSWERSinjectable progestin
Depo-provera can cause: - ANSWERSdecreased bone mineral density
Education for client receiving Depo injection: - ANSWERSreceive adequate intake of calcium and
vitamin D
IUDs increase the risk of: - ANSWERSpelvic inflammatory disease, uterine perforation, and
ectopic pregnancy
Clients who had IUDs must be on the look out for: - ANSWERSincrease in string length, foul
smelling vaginal discharge, pain w/ intercourse, fever, chills
Definition of infertility - ANSWERSthe inability to conceive after trying for 12 months
Workup after determining infertility: - ANSWERS-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 ___. - ANSWERSiodine or seafood
Presumptive signs of pregnancy - ANSWERSamenorrhea, fatigue, nausea, vomiting, urinary
frequency, breast changes, quickening
, Probable signs of pregnancy - ANSWERSabdominal 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 - ANSWERShearing fetal heart sounds, see baby with ultra sounds,
feeling of movement in uterus
Presumptive signs can: - ANSWERSbe explained for problems other than pregnancy
Positive signs of pregnancy are: - ANSWERSvery distinct
Naegele's rule - ANSWERSsubtract 3 months, add 7 days, add 1 year
***Easier way: Add 9 months, add 1 week***
GTPAL - ANSWERSG- 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 - ANSWERS25-35 pounds
weight gain range for woman who is overweight - ANSWERS15-25 pounds
Weight gain range for woman who is underweight - ANSWERS28-40 pounds
Exam Questions & Answers
Types of barrier methods - ANSWERScondoms, diaphragms
A client must be fitted every ___ years for a diaphragm. - ANSWERS2
Reasons clients will have to be refitted for diaphragm: - ANSWERS-Every 2 years
-Gained 15 pounds (7 kg)
-had full term pregnancy
-had 2nd term abortion
What must be used in addition will diaphragms? - ANSWERSspermicide
A diaphragm must remain in place for ___ hours after intercourse. - ANSWERS6
True or False: Spermicide must be used with diaphragm for each act of intercourse. -
ANSWERSTrue
Side effects of hormonal methods (oral, patch, Nuva Ring) of contraception: - ANSWERSchest
pain, SOB, leg pain (possible clot), headache, eye problems, HTN
Hormonal methods risks - ANSWERS-blood clots, leading to a stroke or PE
-HTN
,Smokers should not take: - ANSWERShormonal contraceptives
Contraindications of hormonal contraceptives: - ANSWERShx of blood clots, stroke, cardiac
problems, breast/estrogen related cancers, smoker
Depo-provera - ANSWERSinjectable progestin
Depo-provera can cause: - ANSWERSdecreased bone mineral density
Education for client receiving Depo injection: - ANSWERSreceive adequate intake of calcium and
vitamin D
IUDs increase the risk of: - ANSWERSpelvic inflammatory disease, uterine perforation, and
ectopic pregnancy
Clients who had IUDs must be on the look out for: - ANSWERSincrease in string length, foul
smelling vaginal discharge, pain w/ intercourse, fever, chills
Definition of infertility - ANSWERSthe inability to conceive after trying for 12 months
Workup after determining infertility: - ANSWERS-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 ___. - ANSWERSiodine or seafood
Presumptive signs of pregnancy - ANSWERSamenorrhea, fatigue, nausea, vomiting, urinary
frequency, breast changes, quickening
, Probable signs of pregnancy - ANSWERSabdominal 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 - ANSWERShearing fetal heart sounds, see baby with ultra sounds,
feeling of movement in uterus
Presumptive signs can: - ANSWERSbe explained for problems other than pregnancy
Positive signs of pregnancy are: - ANSWERSvery distinct
Naegele's rule - ANSWERSsubtract 3 months, add 7 days, add 1 year
***Easier way: Add 9 months, add 1 week***
GTPAL - ANSWERSG- 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 - ANSWERS25-35 pounds
weight gain range for woman who is overweight - ANSWERS15-25 pounds
Weight gain range for woman who is underweight - ANSWERS28-40 pounds
