ch 12_ promoting fetal and maternal health - Sheet1

Question 1

What self-care needs should be emphasized during pregnancy?

Answer 1

Bathing, perineal hygiene, breast care, clothing, dental care.

Question 2

What myths about sexual activity during pregnancy should be replaced with facts?

Answer 2

There are no restrictions unless membranes are ruptured, vaginal bleeding occurs, or the provider advises against coitus.

Question 3

What adjustments might need to be made for sexual activity during pregnancy?

Answer 3

Adjustments to increase comfort during intercourse may be necessary.

Question 4

What is the recommended rule of thumb for exercise during pregnancy?

Answer 4

Healthy individuals should exercise 3x weekly for 30 minutes.

Question 5

What kind of exercise should be restricted during pregnancy?

Answer 5

Contact sports or activities with a risk of physical trauma.

Question 6

What benefit does moderate exercise provide during pregnancy?

Answer 6

Prevents circulatory stasis in the lower extremities.

Question 7

What sleep position is recommended during pregnancy?

Answer 7

Left-sided Sims position for optimal circulation.

Question 8

What position should be avoided during pregnancy to prevent supine hypotension syndrome?

Answer 8

Resting flat on the back.

Question 9

What types of jobs may require work accommodations during pregnancy?

Answer 9

Jobs involving toxic substance exposure, heavy lifting, excessive physical strain, or long standing/sitting periods.

Question 10

When is travel restricted during pregnancy?

Answer 10

Travel to malaria- or Zika-prone regions, or areas requiring vaccines, is restricted.

Question 11

What are common minor changes in the first trimester of pregnancy?

Answer 11

Breast tenderness, palmar erythema, nausea/vomiting, constipation, pyrosis, fatigue, muscle cramping, hypotension, varicosities, hemorrhoids, heart palpitations, frequent urination, abdominal discomfort, leukorrhea.

Question 12

What are common minor changes during the second and third trimesters of pregnancy?

Answer 12

Musculoskeletal discomfort, headache, dyspnea, ankle edema, Braxton-Hicks contractions.

Question 13

What is a teratogen?

Answer 13

Any factor, chemical, or physical, that adversely affects the embryo or fetus.

Question 14

What is TORCH, and what does it stand for?

Answer 14

A group of teratogenic maternal infections. T: Toxoplasmosis O: Other (HBV, chlamydia) R: Rubella C: Cytomegalovirus H: HSV

Question 15

What other infections may act as teratogens?

Answer 15

Malaria and syphilis.

Question 16

What are the preliminary signs of labor?

Answer 16

Lightening, increased energy, slight weight loss (due to increased urine production and falling progesterone), backache, Braxton-Hicks contractions, cervical ripening.

Question 17

What are the active signs of labor?

Answer 17

Uterine contractions (increased frequency/intensity), show (mucus plug expulsion), rupture of membranes.

Question 18

What is lightening?

Answer 18

Descent of the fetal presenting part (e.g., head) into the pelvis, signaling preliminary labor.

Question 19

What is the “show” in labor?

Answer 19

Expulsion of the mucus plug.

Question 20

What are Braxton-Hicks contractions?

Answer 20

Painless, irregular “false labor” contractions.

Question 21

What is ripening of the cervix?

Answer 21

Softening and thinning of the cervix in preparation for labor.

Question 22

What is supine hypotension syndrome?

Answer 22

A condition caused by lying flat on the back, compressing the inferior vena cava, reducing blood flow.