Brainscape's Knowledge GenomeTM

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


See full index

IM 6 Test 1 > Antepartum Nursing > Flashcards

Antepartum Nursing Flashcards

1
Q

the recommended total weight gain during pregnancy is based on

A

BMI

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

little weight gain is made in the first trimester d/t

A

morning sickness

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

caloric intake should increase by

A

300-400 cal/day

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

folic acid dosage

A

400-800 (600) mcg/day

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

iron dosage

A

27 mg/day

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

Ca dosage

A

1000 mg/day

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

how much water should a pregnant woman drink

A

8-10 glasses/day

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

pregnant athletes and exercise

A

maintain training regimen but increase cal and protein

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

hispanic/asian 3rd trimester foods

A

women are hot so they eat cold foods

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

hispanic/asian postpartum foods

A

women are cold so they eat hot foods

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

preconception visit

A

complete hx and exam including health screening

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

potential health problems in pregnant women includs

A

chronic conditions/medications and social problems

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

contraception should stop X months before trying

A

2-3 months

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

depo can delay fertility for X months

A

several months to 1 year

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

fertility awareness family planning is

A

tracking when you ovulate based on temperature, discharge etc

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

3 types of drugs to ask patients about

A

Rx meds, OTC meds, Illicit drugs

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

seatbelts are worn

A

under the abdomen

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

dental health is necessary d/t X3

A

infections, bacteria, Ca storage

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

Presumptive signs of pregnancy X7

A

amenorrhea, fatigue, N/V, urinary frequency, breasts increase size/fullness, pronounced nipples, quickening

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

quickening

A

fetal movement

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

probable signs of pregnancy X7

A

uterine enlargement, Chadwick’s sign, Goodell’s sign, Hegar’s sign, ballottement, braxton hicks, positive pregnancy test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Hegar’s Sign

A

lower part of uterine segment becomes soft

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

ballottement

A

baby floats up and down when assessed

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

positive signs of pregnancy X3

A

fetal heart sounds, fetal movement, ultrasound visualization of the fetus

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

fetal heart sounds are detected at

A

10-12 weeks

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

cardiac movement can be seen on an ultrasound at

A

4-8 weeks

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

the amniotic sac can be detected at

A

4.5-5 weeks

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

hcg production begins at

A

implantation

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

hcg can be detected at

A

7-8 days after conception

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

high hcg levels indicate X4

A

multiples, ectopic pregnancy, molar pregnancies, genetic abnormalities

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

low hcg levels indicate X2

A

miscarriage, ectopic pregnancies

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

false positive/negative pregnancy tests are caused by X3

A

(medications), anticonvulsants, diuretics, tranquilizers

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

term baby

A

38-42 weeks

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

preemie baby

A

<37 weeks

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

post term baby

A

> 42 weeks

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

fertilization to delivery lasts approx

A

280 days

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

EDC

A

estimated date of confinement

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

EDD

A

estimated date of delivery

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

EDB

A

estimated date of birth

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

LMP

A

last menstrual period

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

naegele’s rule

A

LMP-3 months+7 days = EDD

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

gravida

A

number of pregnancies

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

nulligravida

A

never been pregnant

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

primigravida

A

1st time pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

multigravida

A

2+ pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

para

A

number of pregnancies that end at 20+ weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

nullipara

A

never been pregnant/carried a pregnancy to 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

primipara

A

delivered 1 pregnancy of 20+ weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

multipara

A

delivered 2+ pregnancies of 20+ weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

GTPAL(M)

A

gravida, para, term, pre-term, abortions, living, multiple gestations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

multiple gestations are counted as pregnancies or number of babies

A

pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

estrogen affects breasts how

A

stimulates growth of mammary ductal tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

progesterone affects breasts how

A

promotes growth of lobes, lobules and alveoli

54
Q

breast changes

A

tender, full, tingling sensation, increase in weight, size firmness and appearance

55
Q

nipple changes during pregnancy

A

increase in size and become erect, areolas darken, sebaceous glands secrete to lube the nipples

56
Q

hormone of pregnancy

A

progesterone

57
Q

placenta takes over production of progesterone at X

A

6-7 weeks

58
Q

round ligament pain

A

connective tissues soften in preparation for delivery

59
Q

pattern of uterine growth helps confirm

A

EDD

60
Q

braxton hicks begin at

A

16

61
Q

braxton hicks are

A

irregular contractions

62
Q

X and X increase in the cervix

A

vascularity and water content

63
Q

Chadwick’s sign

A

bluish/purple cervix

64
Q

Goodell’s sign

A

cervix softens in preparation of delivery

65
Q

mucus plug

A

hypertrophy of cervical glands causes leukorrhea

66
Q

cervical mucus is rich in X and prevents X

A

rich in immunoglobulins and blocks ascent of bacteria into the uterus

67
Q

during pregnancy the vaginal rugae become

A

prominent

68
Q

pH of vagina during pregnancy

A

becomes acidic

69
Q

new vaginal pH prevents X leading to X

A

prevents bacterial growth and increases the growth of yeast infections

70
Q

heart enlarges X%

A

10-15%

71
Q

normal heart rhythm in mid to late pregnancy

A

systolic heart murmur

72
Q

blood volume increases by

A

40-50%

73
Q

plasma volume increases by

A

40-60%

74
Q

RBC increase by

A

20-30%

75
Q

why is physiologic anemia normal in pregnancy

A

plasma volume increases double RBC increases

76
Q

physiologic anemia is treated by

A

increased iron intake

77
Q

cardiac output increases b

A

30-50%

78
Q

diastolic BP in 1st trimester

A

slight decrease

79
Q

how does supine positioning affect BP

A

uterus compresses IVC and aorta

cardiac output decreases by 24-30% leading to decreased BP

80
Q

how are variscocities formed in pregnancy

A

uterus weighs on IVC and iliac veins partially obstructing venous return and increasing venous pressure below the uterus

81
Q

why are pregnant women at risk for thrombi

A

blood is in a hypercoaguability state to prevent hemorrhaging during delivery

82
Q

oxygen consumption increases by

A

20%

83
Q

lung capacity decreases by

A

4%

84
Q

pregnant women are in slight respiratory X to promote X

A

slight respiratory alkalosis to promote transport of CO2 from fetus to mom

85
Q

an enlarged uterus displaces the X leading to X chest circumference and a shift from X to X breathing

A

displaces the diaphragm leading to increased chest circumference and a shift from abdominal to thoracic breathing

86
Q

X and X decrease airway resistance

A

progesterone and prostaglandins

87
Q

X increases vascular engorgement

A

estrogen

88
Q

pregnant women common have X s/s

A

URI s/s

89
Q

diastolic BP decreases 10-12 at

A

24-32 weeks

90
Q

moms pulse should increase by X at X weeks

A

10-20 BPM at 32 weeks

91
Q

hyperemia

A

bleeding gums

92
Q

ptyalism

A

increased saliva

93
Q

esophagus changes in pregnancy

A

decreased sphincter tone results in GERD

94
Q

stomach/intestines change how during pregnancy

A

decreased tone/motility may result in delayed emptying time and constipation

95
Q

bile changes during pregnancy

A

thickens - predisposing pregnant women to gall stones

96
Q

hyperemesis gravidarum

A

excessive morning sickness

97
Q

hyperemesis gravidarum creates a risk of

A

dehydration and electrolyte imbalances

98
Q

renal pelvis changes

A

dilates

99
Q

ureter changes

A

elongates and dilates

100
Q

renal plasma increases by

A

50-80%

101
Q

GFR increases by

A

50%

102
Q

common UA changes in pregnancy X2

A

glycosuria and proteinuria (slight)

103
Q

progesterone affects the bladder how

A

decreases tone leading to urinary stasis and UTI’s

104
Q

linea nigra

A

dark vertical line from umbilicus to mons pubis

105
Q

melasma

A

mask of pregnancy

106
Q

striae gravidarum aka

A

stretch marks

107
Q

lordosis

A

shift in center of gravity

108
Q

diastasis recti

A

midline abdominal muscle separates during 3rd trimester

109
Q

oxytocin is used for X2

A

uterine contraction and milk ejection

110
Q

relaxin inhibits

A

uterine activity

111
Q

fundus

A

top of uterus

112
Q

fundus at 10-12 weeks

A

symphysis pubis

113
Q

fundus at 16 weeks

A

between symphysis and umbilicus

114
Q

fundus at 20 weeks

A

umbilicus

115
Q

lightening occurs at

A

36-40 weeks

116
Q

what is lightening

A

dropping from the lungs to the pelvis

117
Q

leopold’s maneuver

A

external palpation of the uterus to determine the presenting part, degree of descent into pelvis and the PMI

118
Q

how to perform leopold’s X4

A

ID fetal part located in fundus, determine location of fetal back, determine presenting part in pelvis, determine location and attitude of fetal head

119
Q

visits from conception to 28 weeks

A

Q 4 weeks

120
Q

visits from 29-36 weeks

A

q 2 weeks

121
Q

visits from 37 weeks to birth

A

weekly

122
Q

visits from 40-42 weeks on

A

biweekly

123
Q

when does quickening occur in primigravida

A

18-22 weeks

124
Q

when does quickening ocur in multigravida

A

14-16 weeks

125
Q

1st trimester psychosocial

A

uncertainty or ambivalence

126
Q

maternal feelings towards first kid

A

worries about added responsibilities and being a good parent

127
Q

paternal feelings of new kid

A

new roles, increasing $$ and sharing mom’s attention with the infant

128
Q

maternal feelings towards second kid

A

how it will affect existing chil

129
Q

2nd trimester feelings towards baby

A

fetus becomes primary focus and physical evidence of pregnancy occurs

130
Q

3rd trimester feelings towards baby

A

negative body image and resentment towards baby, vulnerable and increasing dependence on partner

131
Q

is intercourse safe during pregnancy

A

yes if there are not ocomplications

132
Q

1 risk of adolescent pregnancies

A

HTN

IM 6 Test 1 (5 decks)

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