Exam 1 part 1

Question 1

even when planned the mother/father may experience a sense of surprise conception actually occurred
May have thoughts of abortion and feel guilty about it

Answer 1

Ambivalence

Question 2

turning in on ones self

Answer 2

introversion

Question 3

identified 4 major tasks that a pregnant woman undertakes to maintain her intactness and that of her family and at the same time incorporating her new child into the family system

Answer 3

reva rubin

Question 4

4 tasks of Rubin

Answer 4

Ensuring a safe passage for herself and child
Ensuring social acceptance of the child by significant others
Attaching or binding in to the child
Giving oneself to the demands of being a mother

Question 5

Lederman’s & dimensions of maternal role development

Answer 5

Accepting the pregnancy
Identification with motherhood role
Relationship with own mother
Reordering relationship with husband or partner
Preparation for labor
Prenatal fear of loss of control in labor
Prenatal fear or loss of self-esteem

Question 6

Life crisis age 0-1 1/2

Answer 6

trust vs mistrust

Question 7

life crisis age 1 1/2-3

Answer 7

autonomy vs doubt

Question 8

life crisis age 3-5

Answer 8

initiative vs guilt

Question 9

life crisis age 5-12

Answer 9

industry vs inferiority

Question 10

life crisis age 12-18

Answer 10

identity vs confusion

Question 11

life crisis age 18-40

Answer 11

intimacy vs isolation

Question 12

life crisis age 40-65

Answer 12

generatively vs self-absorption

Question 13

life crisis age 65+

Answer 13

integrity vs despair

Question 14

men experience similar discomforts and symptoms as pregnant partners

Answer 14

Couvade syndrome

Question 15

When fathers explore all aspects of the pregnancy, childbirth, parenting
Emotional, technical, and physical

Answer 15

Explorers

Question 16

When fathers are task-orientated (coaches, direct women’s diet/rest)
Detach from emotional aspects

Answer 16

Mangers

Question 17

When fathers sit back and just observe

Might be present but prefer not to participate

Answer 17

Observers

Question 18

when fathers remove oneself from whole situation (its a woman’s domain) more cultural influence here

Answer 18

Removers

Question 19

Health and illness are determined by supernatural forces

May gain comfort from prayer, healing rituals and faith healing

Answer 19

magico-relgious belief

Question 20

illness caused by virus, bacteria, fungi or damage to the body
Expect medical intervention

Answer 20

scientific biomedical belief

Question 21

Illness os a result of when natural balance or harmony is disturbed
Holistic approaches

Answer 21

Holistic health belief

Question 22

Expected behavior of pregnant women during childbearing period

Answer 22

prescriptive behaviors

Question 23

Activities which are limited during childbearing period

Answer 23

restrictive behaviors

Question 24

Restrictions believed to have serious supernatural consequences

Answer 24

Taboos

Question 25

secreted by ovaries-Corpus Luteum- placenta

Answer 25

estrogen

Question 26

Increase early in pregnancy then decreases then increases again Increases blood flow to the uterus Changes the sensitivity of the reparatory system to carob dioxide Develops mammary tissue and increases prolactin Soften cervix

Answer 26

Estrogen

Question 27

Secreted by the corpus luteum in the first 5 weeks then by the placenta

Answer 27

Progesterone

Question 28

Causes relaxation of the smooth muscles of the uterus and the gastrointestinal tract It relaxes the smooth muscle of the urinary tract which enlarges the ureters and increases the bladder capacity Prepares breast for lactation (lobules and Acini)

Answer 28

Progesterone

Question 29

Secreted by the troblastic tissue surrounding the embryo and maintains function of corpus luteum then the chorionic villi (placenta) take over

Answer 29

Human Chorionic Gonadotropin hCG

Question 30

Detectable 7 days in maternal serum/10 days in urine maintains the corpus luteum in early pregnancy by producing progesterone and doubles every 2 days Pregnancy hormone

Answer 30

hCG

Question 31

secreted by the placenta soon after implantation and gradually rises Peaks at 36 weeks

Answer 31

Human Placental Lactogen hPL

Question 32

Decreases maternal glucose metabolism Increases maternal circulating free fatty acids Insulin antagonist

Answer 32

hPL

Question 33

inhibits uterine activity, diminishes contraction strength Softens cervix Aids in remodeling collagen (pelvic structure)

Answer 33

Relaxin

Question 34

Secreted by the anterior pituitary

Answer 34

prolactin

Question 35

lactation hormone

Answer 35

prolactin

Question 36

labs that are decreased during pregnancy

Answer 36

Hemoglobin Hematocrite Both can because because of hemodilution Fibroinolysis

Question 37

labs that increase during pregnancy

Answer 37

``` Fibrinogen Coagulation factors Both Protect mother from hemorrhage RBC WBC ```

Question 38

Salivary glands more active

Answer 38

ptyalism

Question 39

softening of the cervix and uterus | usually an elastic feel

Answer 39

Goodells sign

Question 40

softening of the ishmus

Answer 40

Hegar's sign

Question 41

palpate the fetal head and gently bouncing it and feeling it rebound this is considered a probable sign of pregnancy

Answer 41

Ballotment sign

Question 42

irregular, inconstant, painless contractions

Answer 42

braxton hicks contractions

Question 43

Cyanosis of the cervix due to increase vascularity and edema

Answer 43

chadwicks sign

Question 44

painless dilation of the cervix prior to full term usually in the 2nd trimester cerclage needed

Answer 44

incompetent cervix

Question 45

separation of rectus abdomens muscle

Answer 45

diastasis recti

Question 46

the mask of pregnancy

Answer 46

cholasma

Question 47

silvery or reddish slightly depresses streaks

Answer 47

striae gravidarum

Question 48

how much folic acid is needed

Answer 48

0.4 mg daily

Question 49

natural childbirth methodes

Answer 49

Dick-reed

Question 50

psychoprophylaxis method

Answer 50

lamaze

Question 51

husband coached childbirth

Answer 51

bradley

Question 52

1st trimester

Answer 52

weeks 1-14

Question 53

2nd trimester

Answer 53

weeks 15-27

Question 54

3rd trimester

Answer 54

weeks 28-40

Question 55

how often are office visits until 28 weeks

Answer 55

every 4 weeks

Question 56

how often are office visits until 36 weeks

Answer 56

2 weeks

Question 57

how often are office vistas until delivery

Answer 57

every week

Question 58

Ways to estimate gestational age

Answer 58

Nageles rule Fundal height Ultrasound

Question 59

How to use Nageles rule

Answer 59

First day of LMP Subtract 3 months Add 7 days