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Maternal Newborn ATI Study Guide Questions and Answers with Complete Solutions Types of barrier methods ✔Ans✔ condoms, diaphragms A client must be fitted every ___ years for a diaphragm. ✔Ans✔ 2 Reasons clients will have to be refitted for diaphragm: ✔Ans✔ -Every 2 years -Gained 15 pounds (7 kg) -had full term pregnancy -had 2nd term abortion What must be used in addition will diaphragms? ✔Ans✔ spermicide A diaphragm must remain in place for ___ hours after intercourse. ✔Ans✔ 6 True or False: Spermicide must be used with diaphragm for each act of intercourse. ✔Ans✔ True Side effects of hormonal methods (oral, patch, Nuva Ring) of contraception: ✔Ans✔ chest pain, SOB, leg pain (possible clot), headache, eye problems, HTN Hormonal methods risks ✔Ans✔ -blood clots, leading to a stroke or PE -HTN Smokers should not take: ✔Ans✔ hormonal contraceptives Contraindications of hormonal contraceptives: ✔Ans✔ hx of blood clots, stroke, cardiac problems, breast/estrogen related cancers, smoker Depo-provera ✔Ans✔ injectable progestin Depo-provera can cause: ✔Ans✔ decreased bone mineral density Education for client receiving Depo injection: ✔Ans✔ receive adequate intake of calcium and vitamin D IUDs increase the risk of: ✔Ans✔ pelvic inflammatory disease, uterine perforation, and ectopic pregnancy Clients who had IUDs must be on the look out for: ✔Ans✔ increase in string length, foul smelling vaginal discharge, pain w/ intercourse, fever, chills Definition of infertility ✔Ans✔ the inability to conceive after trying for 12 months Workup after determining infertility: ✔Ans✔ -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 ___. ✔Ans✔ iodine or seafood Presumptive signs of pregnancy ✔Ans✔ amenorrhea, fatigue, nausea, vomiting, urinary frequency, breast changes, quickening Probable signs of pregnancy ✔Ans✔ 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 ✔Ans✔ hearing fetal heart sounds, see baby with ultra sounds, feeling of movement in uterus Presumptive signs can: ✔Ans✔ be explained for problems other than pregnancy Positive signs of pregnancy are: ✔Ans✔ very distinct Naegele's rule ✔Ans✔ subtract 3 months, add 7 days, add 1 year ***Easier way: Add 9 months, add 1 week***

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