ati book shit maternal exam 1

Question 1

when does ovulation occur

Answer 1

14 days before next menstrual cycle

Question 2

how to calculate fertile period

Answer 2

subtract 11 days from # of days from longest cycle (ex. shortest cycle: 26-18 =8th day
longest cycle: 30-11= 19th day
fertile period= days 8-19

Question 3

what is basal body temp

Answer 3

temp of body at rest

Question 4

what happens to basal body temp prior to ovulation

Answer 4

temp slightly drops and rises

Question 5

how to get basal body temp

Answer 5

take temp immediately after waking before doing ANYTHING

Question 6

what is considered first fertile day when using basal body temp

Answer 6

first day temp drops or elevates

Question 7

how many consecutive days of temp changes is fertility extended using basal body temp

Answer 7

3 days

Question 8

what method should basal body temp be used with for increased effectiveness

Answer 8

calendar method

Question 9

billings method is

Answer 9

using cervical mucous to determine ovualtion

Question 10

what happens to cervical mucous following ovulation

Answer 10

becomes thin and flexible from estrogen and progesterone (allows sperm viability and motility)

Question 11

spinnbarkeit sign is

Answer 11

the ability for mucus to stretch between fingers

Question 12

when is spinnbarkeit sign greatest

Answer 12

during ovulation

Question 13

how long does fertile period last using billings method

Answer 13

4 days after last day of thin slippery cervical mucus

Question 14

what should you educate pt not to do before billings test

Answer 14

douche

Question 15

do natural skin condoms protect against STI’s?

Answer 15

no because they have small pores

Question 16

why are polyurethane condoms less effective than latex condoms

Answer 16

easily slip and lose shape

Question 17

what do condoms not protect against

Answer 17

hpv
hsv
syphilis

Question 18

contraceptive that is dome shaped cup w flexible rim that fits over cervix

Answer 18

diaphragm

Question 19

when should diaphragm be replaced

Answer 19

every 2 yrs

Question 20

when should diaphragm be refitted

Answer 20

EVERY PREGNANCY
after 20% weight fluctuation
abdominal/pelvic surgery

Question 21

when should diaphragm be placed

Answer 21

up to 6 hrs before sex

Question 22

how long should diaphragm stay in place after sex

Answer 22

6 hrs after

Question 23

diaphragm should not stay inside for more than?

Answer 23

24 hrs

Question 24

what should you do before inserting diaphragm to reduce urethra pressure

Answer 24

pee

Question 25

what should u do with diaphragm after every use

Answer 25

wash with mild soap and water

Question 26

hormonal contraceptive that contains estrogen and progestin is called

Answer 26

combined oral contraceptives

Question 27

how do combined oral contraceptives prevent pregnancy

Answer 27

thicken cervical mucus to block semen alter uterine decidua (uterine tissue) to prevent implantation

Question 28

when should regular menstrual cycles occur w combined oral contraceptive use

Answer 28

last 7 days

Question 29

when should pt be educated to take combined oral contraceptive if nausea occurs

Answer 29

bedtime

Question 30

what do oral combined contraceptives increase the risk of

Answer 30

-thromboembolisms -strokes -heart attacks -htn -gallbladder disease -liver tumors

Question 31

what conditions do combined oral contraceptives exacerbate

Answer 31

fluid retention conditions: -migraine -epilepsy -asthma -kidney/heart disease

Question 32

what can be used as emergency contraceptive up to 5 days after unprotected sex (not plan b)

Answer 32

copper IUD

Question 33

transdermal contraceptive patches can have what effect on glucose

Answer 33

impaired glucose tolerance (dm pts) increases risk of dm

Question 34

what is medroxyprogesterone

Answer 34

injectable progestin

Question 35

when is medroxyprogesterone given

Answer 35

im or subq every 11-13 weeks

Question 36

how long are copper iuds effective

Answer 36

10 years

Question 37

how long are hormonal iuds effective

Answer 37

3-5 yrs

Question 38

can irregular spotting occur with medroxyprogesterone

Answer 38

yes

Question 39

can weight fluctuations occur with medroprogesterone

Answer 39

yes

Question 40

medroprogesterone pt should increase intake of what

Answer 40

calcium (prevents bone density loss)

Question 41

what should iud pt check for after menstruation

Answer 41

iud strings

Question 42

should u refer a pt who had rubella 3 months before preg to genetic counselor

Answer 42

no

Question 43

what gender is easiest to assess for inferility and will be assessed first by provider

Answer 43

men

Question 44

what surgery is done for eptopic pregnancy

Answer 44

salpingectomy

Question 45

can a pt who had salpingectomy still ovulate

Answer 45

yes ovaries werent removed

Question 46

can an eptopic pregnancy increase the risk for eptopic pregnancies

Answer 46

yes

Question 47

can a pt w seafood allergy undergo hysterosalpingography?

Answer 47

no because of the dye

Question 48

what can high lvls of hcg indicate

Answer 48

multifetal pregnancy eptopic pregnancy hydatidiform mole pregnancy genetic abnormality

Question 49

low hcg lvls can indicate

Answer 49

miscarriage

Question 50

what meds can affect preg test results

Answer 50

anticonvulsants diuretics tranquilizers

Question 51

what trimester do rapid physical changes occur during preg

Answer 51

2nd trimester

Question 52

what happens to pulse rate around 32 weeks

Answer 52

increases 10-15/min

Question 53

how to do nipple stimulated contraction test

Answer 53

pt rubs 1 nipple for 2 mins and stops when they feel a contraction (repeat after 5 min rest period)

Question 54

how oxytocin stimulated contracted test is done

Answer 54

give iv oxytocin to induce contractions

Question 55

what is the risk of oxytocin stimuated contraction tests

Answer 55

preterm labor (contractions are hard to stop)

Question 56

contraindications of oxytocin stimulated contractiont test

Answer 56

placenta previa multiple gestations previous c section

Question 57

how to do non stress test

Answer 57

pt pushes button when they feel contraction and doc watches w doppler & tocotransducer

Question 58

when can amniocentisis be performed

Answer 58

after 14 weeks

Question 59

when can alpha fetoprotein be measured from amniotic fluid

Answer 59

15-20 weeks

Question 60

afp can detect what

Answer 60

neural tube defects chromosomal disorders

Question 61

high afp indicates

Answer 61

neural tube defects

Question 62

low afp indicates

Answer 62

chromosomal disorders (I.e down syndrome)

Question 63

causes of bleeding during 1st trimester

Answer 63

spontaneous abortion eptopic pregnancy

Question 64

causes of bleeding during 2nd trimester

Answer 64

gestational trophoblastic disease

Question 65

causes of bleeding during 3rd trimester

Answer 65

placenta previa abruptio placentae vasa previa

Question 66

bloody discharge, regular uterine contractions and cervical dilation/effacement indicates

Answer 66

preterm labor

Question 67

uterine contractions/cervical changes that happen between 20-36 wks and 6 days indicate

Answer 67

preterm labor