Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternal Child Nursing (Exam 2) > Antaomy & Physiology or Pregnancy > Flashcards

Antaomy & Physiology or Pregnancy Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

Gravide

A

Pregnant Women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Gravidity

A

Pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Viability

A

Capacity to live outside uterus (22-25 wks gestation or 500g weight)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How many wks is viability obtained?

A

22- 25

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How many grams is viability obtained?

A

500 g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Multigravide

A

2 or more pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Nulligravida

A

Never pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Primigravida

A

Pregnant 1st time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A woman who has never been pregnant is called a

A

Nulligravita

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A woman who is 22wks pregnant with her 2nd child (1st child born at term is called a

A

Multipara

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A woman pregnant with her 2nd child at 38 wks (1st child born at 38wks) is classified as

A

G2 P2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Children: 4 pregnancies
Born alive 3 (all at term)
Pregnant with 1 now
All pervious living

A

G4 T3 P0 A0 L3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is parity?

A

of pregnancies that have reached viability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Twin or toilets only constitute as how many parity?

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Multipara is defined as?

A

completion of 2 or more pregnancies to 20 wks or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Nullipara

A

No completion of pregnancy to viability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Primipara

A

One pregnancy that has reached viability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Postdate or postterm

A

> 42 wks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Preterm

A

> 20 wks but <37 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Term

A

38-42 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

GTPAL

A 
1st digit – Total # pregnancies
2nd digit - # term 
3rd digit - # preterm
4th digit - # abortions (spontaneous or elective)
5th digit - # currently living.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What does Human chorionic gonadotropin (hCG) mark?

A

Pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What do high levels of hCG usually indicate?

A

Ectopic pregnancy
Abnormal gestation
DS
Multiple gestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What test detects hCG in urine?

A

OTC pregnancy test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What kind of drugs can sometimes give false + results for pregnancy tests?

A

Anticonvulsant and Tranquilizer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What kind of drugs can sometimes give false - results for pregnancy tests?

A

Diuretics and phenergan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are presumptive signs of pregnancy perceived by the mother?

A

Amenorrhea
Fatigue
N&V
Breast Changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What are probable signs of pregnancy noticed by examiner?

A

Hegar sign (softening of lower uterine segment)
Ballotment (Floating the fetal head) - uterine mass could cause
Pregnancy tsts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What are some signs of pregnancy that are only + with the presences of a fetus?

A

Hearing FHT’s
Visualization of fetus – via x-ray or u/s
Palpating fetal movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is Leopold’s Maneuvers?

A

Palpation of fetus & utero to determine fetal position and presentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

A presumptive sign of pregnancy would be

A

Nausea and vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

When does the Hegar Sign occur?

A

6 wks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What happens to the uterus during pregnancy?

A

Enlarges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

When is the uterus palpated above the symphysis pubis?

A

12 - 14 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

When is the uterus palpated at the umbilicus?

A

22-24

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

When is the uterus palpated at the xiphoid?

A

Term

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

When does lightening occur?

A

38-40wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What is Braxton Hicks Sign?

A

Perceived uterine contractions after 4 months.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What do Braxton Hicks sign do?

A

Facilitate placental blood flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What does uteroplacental blood flow do?

A

Helps uterus to grow
Helps fetoplacental unit to grow.
Help meet fetal needs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Decreased perfusion occurs due to what?

A

HTN
IUGR
DM
multiple gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What is the goodell sign?

A

Softening of cervical tip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

When does the goodell sign appear?

A

occurs at about 6 wks in unscarred cervix.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What happens to friability?

A
  • increases due to increased vascularity. Spotting can occur with vaginal exams or sexual intercourse.
45
Q

What enhances blood flow to the placenta?

A

Braxton Hicks contractions

46
Q

What are two changes related to the presence of the fetus?

A

Ballottement and Quickening

47
Q

What is ballottement?

A

+movement of unengaged fetus palpable between 16-18 wks.

48
Q

What is quickening

A

feeling of fetal movement, can be mistaken for peristalsis or “flutter”.

49
Q

When does quickening usually occur?

A

18=20 wks in nullipara

Around 16wks in multipara

50
Q

What is chadwicks sign?

A

– Increased vascularity = violet-bluish color of vaginal mucosa and cervix.

51
Q

When does the chadwick sign occur

A

6 wks

52
Q

What is leukorrhea?

A

White or gray mucous discharge with faint musty odor.

53
Q

What is operculum (mucus plug)?

A

leukorrhea and acts as cervical barrier against bacteria during pregnancy.

54
Q

What is significant about vaginal mucous?

A

more acidic during pregnancy (pH 3.5-6.0; normal 4.0-7.0). Protects against some pathogens but harbors others.

55
Q

What is significant about pelvic congestion?

A

– increase blood flow, pelvic sensitivity & also cause edema, varicosities of vulva, & hemorrhoids.

56
Q

What happens to the nipples and areola during pregnancy?

A

Become darker

57
Q

What is the role of montgomery’s tubercles?

A

(sebaceous glands around areola) Keep the nipple lubricated for breastfeeding

58
Q

When does progressive breast enlargement occur?

A

2nd and 3rd trimester

59
Q

On negative effect of altered vaginal pH in pregnancy is

A

Susceptibility to vaginal infections

60
Q

Why does slight cardiac hypertrophy occur during pregnancy?

A

Increased blood volume and increased CO

61
Q

What does the rising of the diaphragm do to the heart?

A

Pushes heart up to the left

PMI usually at 4th ICS

62
Q

When can a murmur be heard in the mother during pregnancy?

A

Murmur (Sз) heard after 20 wks.

63
Q

When does the mothers pulse increase?

A

2nd trimester

64
Q

How should a nurse take a maternal blood pressure?

A
  • brachial BP highest sitting, lowest lateral recumbent, intermediate supine.
65
Q

BP is never elevated above normal levels unless ___.

A

PIH (pregnancy induced HTN)

66
Q

What is an intervention a nurse can perform to reduce mother’s BP?

A

Turn on left side

67
Q

What is Supine Hypotensive Syndrome?

A

SBP falls more than 30mm/Hg suddenly.

68
Q

What usually causes Supine Hypotensive Syndrome?

A

Usually from lying on back and compressing vena cava.

69
Q

What does an enlarging fetus rests on iliac veins & inferior vena cava do?

A

increased venous pressure & decreased blood flow to legs.

70
Q

What do the findings of an increased venous pressure & decreased blood flow to legs.

A

These findings contribute to dependent edema of legs, varicosities of legs & vulva, & hemorrhoids.

71
Q

What does the blood volume increase to?

A

1500 mL

72
Q

What does the increased blood volume serve?

A

volume serves to supply uterus & fetus with O2 & provides extra fluid volume at delivery for potential blood losses.

73
Q

When is a pregnant woman considered anemic?

A

If Hgb 11 g/dl or less or Hct drops to 32% or less woman considered truly anemic.

74
Q

What is significant about clotting factors in pregnant women?

A

Clotting factors increase during higher risk for blood clots.

75
Q

What does fibrinolytic activity do during pregnancy?

A

depressed as a protective mechanism – helps prevention of hemorrhage after birth = increases risk of thrombus formation.

76
Q

How much blood is lost during vag delivery?

A

500mL

77
Q

How much blood is lost during c-section?

A

1000mL

78
Q

A cardiac finding that should concern the nurse in a pregnant client is

A

Elevated diastolic BP

79
Q

What happens to the upper respiratory tract due to estrogen?

A

It becomes more vascular.

80
Q

What happens to nasal passages and sinuses?

A
  • become engorged & bleed easily, the voice can change, increases in respiratory tract infections can occur.
81
Q

During late pregnancy is the right or left renal pelvis and ureter more dilated?

A

Right because heavy uterus tilted slightly to right by sigmoid colon

82
Q

The bladder tone decreases and increases bladder capacity up to ______ ml

A

1500

83
Q

What must the kidneys handle?

A

manage increase metabolic and circulatory demands of pregnancy.

84
Q

How can renal function be improved?

A

Renal function improves if lying in lateral recumbent position d/t increased renal perfusion = increased urinary output & decreased edema.

85
Q

What drug should pregnant women avoid?

A

Diuretics

86
Q

What can diuretics cause in pregnant women?

A

risk of hypovolemia & altered tissue perfusion.

87
Q

When is proteinuria normal?

A

not normal until labor begins and/or after birth.

88
Q

What can proteninuria indicate?

A

Proteinuria along with HTN can indicate PIH & ^ risk for adverse outcomes.

89
Q

What causes elevated glycosuria?

A

(2+ or greater) = extreme stress & maternal diabetes.

90
Q

What intervention can a nurse do if glucosiura is 2+ or greater?

A

Dip stick the urine and call Dr.

91
Q

What is linea nigra

A

darkly pigmented line from the symphysis pubis to top of fundus.

92
Q

What should a pregnant woman NOT do to get rid of excess fluid in her legs?

A

Take diuretics

93
Q

What is angiomas (vascular spiders)

A

slightly raised, pulsating end-arterioles usually found on the neck, thorax, face, & arms. Increased estrogen.

94
Q

What is palmar erythema

A

pinkish mottling over palms of hands.

95
Q

What is mild pruritus (pruritus gravidarium)

A
  • itch associated with rash.
96
Q

What is Epulis?

A

red, raised nodule on gums that bleeds easily.

Avoiding trauma to gums & use soft toothbrush.

97
Q

The best technique to manage epulis is…

A

Soft toothbrush

98
Q

What is significant about spinal curvature (lordosis)?

A

increases in late pregnancy - forward shift in center of gravity secondary to large abdomen.

99
Q

Hypocalcemia

A

causes muscle cramps or tetany

100
Q

Morning sickness

A

4-6 wks & usually decreases at 12 wk

101
Q

What is morning sickness caused by?

A

Increased hCG

102
Q

More hCG = what

A

less risk for miscarriage

103
Q

What is pica?

A

food cravings such as clay, is, laundry starch.

104
Q

Is pica harmful?

A

Not normally harmful if woman has adequate nutrition otherwise

105
Q

What is ptyalism?

A

excessive salivation r/t pregnancy
Gums bleed easily
Use soft toothbrush

106
Q

An expected GI finding in the pregnant client is

A

Heartburn

107
Q

What does progesterone do to GI?

A

decreases GI tone & motility - increases pyrosis (heartburn) & constipation.

108
Q

What does oxytocin stimulate?

A

contractions during pregnancy, stimulates let-down or milk ejection reflex in response to infant sucking.
Can be given exogenously.

Maternal Child Nursing (Exam 2) (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions