Antepartum Normal Pregnancy

Question 1

During a NST (non-stress test) is it good to see a reactive test? Why?

Answer 1

A reactive test indicates a good result
-The test is done over 20min and within the 20min we want to see 2 accelerations (increase in heart rate at 15 bpm from the baseline) every 15 seconds
- accelerations indicate the fetus is reacting to activity

Question 2

During a NST (non stress test) is it good to see a non-reactive response? Why?

Answer 2

It is NOT good to see a non-reactive result
-this could indicate the fetus is under stress or is sleeping
-no accelerations (increase in FHR) not active fetus

Question 3

Why would someone who is pregnant receive a NST?

Answer 3

This test is usually done for patients who are high risk pregnancies
- this test is typically done with a BPP (biophysical profile)

Question 4

When measuring fetal kicks how would the patient measure

Answer 4

5 kicks per hour should at least be felt

Question 5

That medication should Rh- patients receive

Answer 5

Rogan

Question 6

What is it important that a mom who is Rh- need Rogan

Answer 6

The incompatibility of mixing (-) blood with (+) blood moms blood/body can attack the fetus

Question 7

If after delivery and baby blood type is (-) will mom need Rogan?

Answer 7

No mom will not need Rogan

Question 8

What does it mean if a patient is (presumptive) pregnant

Answer 8

This means it is subjective information s/s could mean something else

Question 9

What is the DEFINITIVE (positive) sign of pregnancy

Answer 9

-visualization of fetus by ultrasound or delivery
-fetal heart tones by ultrasound at 6-7weeks

Question 10

Define Nageles rule to determine a pregnant woman’s due date

Answer 10

First you need to know the last menstrual period (first day)

Then you would subtract 3 months from LMP

Then add 1 year and (+) 7 days

That will give you your expected due date

Question 11

If a patient thinks that she is pregnant what is that (subjective) term called

Answer 11

Presumptive

Question 12

What are some s/s of a presumptive pregnancy

Answer 12

Breast changes
Amenorrhea
N/V
Urinary frequency
Fatigue
Quickening (feeling movement)

Question 13

Define the Goodell sign

Answer 13

Softening of the cervix

Question 14

Define the Chadwick sign

Answer 14

Color change of the vaginal/cervix to a blueish purple color

Question 15

A patient is 8-19 weeks pregnant can fetal heart tones be detected on a Doppler?

Answer 15

Yes

Question 16

A patient is in her 1st trimester what are the s/s of a (probable) pregnancy

Answer 16

Gooddell sign
Chadwick sign
Hagar sign
Positive hCg test (can be faults positive)
Braxton hicks
Ballottement

Question 17

During the 1st trimester of pregnancy the patient experiences N/V when/ what will take over for symptoms to stop

Answer 17

The placenta will take over and symptoms should subside

Question 18

During the 2nd trimester of pregnancy the musculoskeletal will start to change. What type of pain will the patient feel?

Answer 18

Round ligament pain

Question 19

During the 3rd trimester of pregnancy what type of changes would you expect to see

Answer 19

Postural changes
Sleep/wake schedule changes
Frequently urination
Frequent prenatal visits

Question 20

When is it the best time to provide patient teaching

Answer 20

Before the event happens
Real time
Relevant information

Question 21

What are some s/s of preeclampsia that the nurse should monitor

Answer 21

Excessive headaches
Visual changes edema (face swelling)
Decreased urine output (30ml per hour)
RUQ pain
Blood pressure greater >than 140/90

Question 22

What is the ideal HGB level for a pregnant woman

Answer 22

11
Or greater than 11

Question 23

What are some education tips that you can give to your pregnant patient to promote healthy nutrition building blocks

Answer 23

Folic acid
Iron
Calcium
Vitamin A
Vitamin C
Vitamin D
Iodine

Question 24

What food education would you provide to a pregnant patient to avoid

Answer 24

AVOID raw foods like eggs, uncooked meats
Cold cut meats
Raw seafood
Soft unpasteurized cheese
Fish high in mercury like tuna and canned fish
Artificial sweetener (saccharin)
Alcohol
Weight loss pills

Question 25

What are some Teratogens pregnant women should avoid

Answer 25

Toxoplasmosis
Other infections like Hep B, chlamydia
Rubella
Cytomegalovirus
Herpes simplex virus
Radiation
Toxic meds
Environmental