Final Exam - Maternity

Question 1

3 Phases of Abuse

Answer 1

Tension building
Acute battering
Honeymoon

Question 2

Autosomal recessive

Answer 2

Both parents must have the gene to pass it on

Ex: CF, PKU, sickle cell, Tay-Sachs

Question 3

Autosomal dominant

Answer 3

One affected parent can pass the mutation on to an offspring

Ex: Huntington’s, Marfan

Question 4

X-linked recessive

Answer 4

Disorders associated with altered genes on the X chromosome; if a male inherits an X-linked altered gene, he will express the condition because he only has one X chromosome. Females have 50/50 chance because they have 2 X chromosomes that could inherit the disease

Ex: hemophilia, color blindness, Duchenne’s

Question 5

X-linked dominant

Answer 5

present if heterozygous female carriers demonstrate s/s of the disorder; all daughters and none of the sons of an affected male have the condition, while both male and female offspring of an affected woman have a 50% chance of inheriting and presenting with the condition

Ex: vitamin D-resistant rickets, fragile X syndrome

Question 6

Risks associated with an amniocentesis

Answer 6

abdominal wall hematoma, needle site discomfort, and miscarriage

Question 7

Appropriate weight gain for BMI

Answer 7

28-40 lbs
1st trimester: gain at least 5 lbs
2&3 trimester: 1 lb/wk

Question 8

Appropriate weight gain for BMI 18.5-24.9

Answer 8

25-35 lbs
1st trimester: 3.5-5
2&3 trimester: 1 lb/wk

Question 9

Appropriate weight gain for BMI 25-29.9

Answer 9

15-25 lbs
1st trimester: 2 lbs
2&3 trimester: 2/3 lb/wk

Question 10

Appropriate weight gain for BMI 30 or more

Answer 10

11-20 lbs

Question 11

Minimizing n/v discomforts during pregnancy

Answer 11

• Eat crackers or dry toast 30 minutes to 1 hour before getting out of bed
• Avoid an empty stomach
• Drink fluids in between meals

Question 12

Minimizing urinary frequency discomforts during pregnancy

Answer 12

• Empty bladder frequently

- Kegel exercises

Question 13

Minimizing UTIs during pregnancy

Answer 13

Decreased risk with good hygiene, avoid bubble baths, wearing cotton underwear, avoid tight-fitting pants, drink plenty of water

Question 14

Minimizing heart burn during pregnancy

Answer 14

• Eat small, frequent meals

- Sit up for 30 minutes after meals

Question 15

Minimizing constipation during pregnancy

Answer 15

• Drink plenty of fluids
• eat diets high in fiber
• exercise regularly

Question 16

Minimizing hemorrhoid discomforts during pregnancy

Answer 16

• warm sitz baths
• witch hazel pads
• topical ointments

Question 17

Minimizing backaches during pregnancy

Answer 17

• exercise regularly
• pelvic tilt exercises
• side lying positions

Question 18

Minimizing shortness of breath during pregnancy

Answer 18

• good posture

- sleep with extra pillows

Question 19

Minimizing varicose veins and lower extremity edema during pregnancy

Answer 19

• Rest with legs elevated
• avoid constricting clothing
• don’t sit with legs crossed
• sleep in left lateral position

Question 20

Minimizing gingivitis, nasal stuffiness, and epistaxis during pregnancy

Answer 20

• gently brush teeth
• good dental hygiene
• use humidifier

Question 21

Minimizing braxton hicks contractions during pregnancy

Answer 21

• change positions

- walking

Question 22

Minimizing supine hypotension during pregnancy

Answer 22

Lie in side lying or semi sitting position with knees slightly flexed

Question 23

What are the hallmark symptoms of preeclampsia?

Answer 23

hypertension and proteinuria

Question 24

Treatment for preeclampsia

Answer 24

• bed rest
• antihypertensives
• mag sulfate
• prepare for delivery