OB Maternal Newborn ATI Exam Study Guide
Video #1: Contraception & Infertility
Diaphragms: client must be refitted for a diaphragm for the
... [Show More] following
conditions:
1. It’s been 2 years since she has been fitted
2. Gained more than 15 pounds (7kg)
3. Had a full-term pregnancy 4. Had a second term abortion o
When you use a diaphragm, you need to use spermicide with
every act of coitus
(Withdrawal of penis from vagina prior to ejaculation). Every time
you withdrawal, instill more spermicide.
o Diaphragm must stay inserted for 6hrs after act of coitus.
Hormonal Contraceptives (Oral) o Side effects: Chest pain, SOB, Leg
pain (from a possible clot), headache or eye problems
(from a stroke or hypertension) o Contraindications: Women
with a history of blood clots, stroke, cardiac problems, smoker,
breast or estrogen related cancers (pill contains estrogen)
Depo-Provera/Medroxyprogesterone o Injectable progestin
o Can cause decreased bone mineral density or loss of calcium
Nursing action: Ensure patient has adequate intake of
calcium and vitamin D
IUD
o Increase risk for PID o Can cause uterine perforation or ectopic
pregnancy (increases risk for ectopic pregnancy) o Look out
for/Notify PCP:
Change in string length IUD is moving and not in the right
place
Foul smelling vaginal discharge
Pain with intercourse
Fever/Chills (infection)
Infertility is defined as an inability to conceive desire engaging in
unprotected sexual intercourse for a prolonged period of time or at least 12
months.
Common factors associated with infertility include:
o Decreased sperm production (Sperm analysis) o Endometriosis
o Ovulation disorders
o Tubal occlusions If you test and use DYE (used in the fallopian
tubes), make sure the woman is not allergic to iodine or
shellfish/seafood
Video #2: Signs of Pregnancy
Presumptive: Can be defined by things/reasons other than pregnancy
Amenorrhea Can be anorexic or exercising too much
Fatigue Didn’t sleep well
Nausea/Vomiting Sick
Urinary Frequency UTI
Quickening/Fluttering in stomach Gas
Probable: Changes that make the examiner suspect a woman is pregnant
(primarily related to physical changes of the uterus).
Abdominal enlargement: Related to changes in uterine size, shape,
and position
Hegar’s Sign: Softening and compressibility of the lower uterus
Chadwick’s Sign: Deepend violet bluish color of cervix and vaginal
mucosa
Goodell’s Sign: Softening of cervical tip
Ballottement: Rebound of unengaged uterus
Braxton Hicks Contractions: False contractions that are painless,
irregular, and usually relieved by walking
Positive Pregnancy Test: Woman’s hormonal level
may not be normal Fetal Outline:
Positive: Very distinct things.
Fetal Heart Sounds
Fetal Heartbeat can be heard
Can see the baby with ultrasound [Show Less]