Exam 2

Question 1

First trimester

Answer 1

First day of LMP through 13 completed weeks

Question 2

Second trimester

Answer 2

14 weeks through 27completed weeks

Question 3

Third trimester

Answer 3

28 weeks through 40 completed weeks

Question 4

Main concern with adolescent pregnancy

Answer 4

Nutrition

Question 5

PRESUMPTIVE signs and symptoms of pregnancy

Answer 5

Amenorrhea
Fatigue
Nausea and vomiting
Urinary frequency
Breast change
Montgomery’s glands
Quickening
Uterine enlargement

Question 6

PROBABLE signs and symptoms of pregnancy

Answer 6

Abdominal enlargement
Hegar’s sign
Chadwick’s sign
Goodell’s sign
Ballottement
Braxton Hicks contractions
Positive pregnancy test
Fetal outline felt by examiner

Question 7

POSITIVE signs and symptoms of pregnancy

Answer 7

Fetal heart sounds
Visualization of fetus
Fetal movement palpated

Question 8

Gravidity definition

Answer 8

Number of pregancies

Question 9

Nulligravida definition

Answer 9

never been pregnant

Question 10

Primigravida definition

Answer 10

first pregnancy

Question 11

Multigravida definition

Answer 11

two or more pregnancies

Question 12

Parity definition

Answer 12

number of pregnancies in which the fetus or fetuses reach 20 weeks of pregnancy

Question 13

Nullipara definition

Answer 13

no pregnancy beyond the stage of viability

Question 14

Primipara definition

Answer 14

completed one pregnacy to stage of viability

Question 15

multipara definition

Answer 15

completed two or more pregnancies to stage of viability

Question 16

Viability definition

Answer 16

the point in time when an infant has the capacity to survive outside the uterus

Question 17

GTPAL

Answer 17

Gravidity
Term births
Preterm Births (from viability up to 37 weeks)
Abortions.miscarriages (prior to viability)
living children

Question 18

Normal fetal heart rate

Answer 18

110-160 bpm

Question 19

Naegele’s rule

Answer 19

Take the first day of the womans last menstrual cycle, subtract 3 months, and then add 7 days and 1 year

Question 20

Hyperemesis Gravidarum

Answer 20

Intractable nausea and vomiting during the first trimester

Question 21

First nursing intervention when dealing with diabeties and pregnancy

Answer 21

Nutrition

Question 22

How many weeks would be considered preterm labor?

Answer 22

after 20 weeks but before 37 weeks

Question 23

Signs and symptoms of magnesium toxicity

Answer 23

o Decreased respirations
o Absent DTR
o Decreased urine output 30 mL/hr
o Decreased levels of consciousness
o Cardiac dysrhythmias

Question 24

Nursing interventionsfor magnesium toxicity

Answer 24

o Immediately discontinue infusion
o Administer antidote calcium gluconate or calcium chloride
o Prepare for actions to prevent respiratory or cardiac arrest

Question 25

Most reliable indicator of fetal growth

Answer 25

Uterine size

Question 26

Recommended regular weight gain during pregnancy

Answer 26

25-35 lbs
2.4-4.4 lbs during the first trimester
1lb per week for the last two trimesters

Question 27

Women who are underweight and have low weight gain during pregnancy are at greater risk for what?

Answer 27

Preterm labor

Question 28

Normal fetal kick counts

Answer 28

o 10 movements in 2 hours is normal and reassuring, counts can be discontinued for the day
o 4 movements in 1 hour is reassuring

Question 29

When to report fetal kick counts to HCP?

Answer 29

o Fewer that 3 fetal movements in 2 hrs should be reported to the provider

Question 30

patients should track fetal movements how often for how long?

Answer 30

daily, for 1-2 hours