Maternal Newborn Nursing

Question 1

signs of pregnancy

Answer 1

Presumptive
Probable
Positive

Question 2

Presumptive signs

Answer 2

Changes experience by the woman that make her think she is pregnant.

Question 3

Presumptive signs

Answer 3

Amenorrhea, fatigue, nausea & vomiting, urinary frequency,

Breast changes, quickening, uterine enlargement, linea nigra, chloasma and striae gravidarum

Question 4

Probable signs

Answer 4

Changes that make the examiner suspect a woman is pregnant, primarily related to physical changes of the uterus

Question 5

Probable signs

Answer 5

Cervical changes, hegars signs, Chadwick’s signs, goodell’s sign, ballotment, Braxton kicks, positive pregnancy test, fetal outline felt by the examiner.

Question 6

What are Hegars’ sign

Answer 6

Softening and compressibility of the lower uterus

Question 7

What is Chadwick sign?

Answer 7

Deepened violet bluish color of vaginal mucosa secondary to increased vascularity of the area.

Question 8

What is the goodell’s sign?

Answer 8

Softening of the cervical tip.

Question 9

What are positive signs?

Answer 9

Signs that can only be explained by pregnancy.
Fetal heart rate detected by electronic device ( Doppler transducer) at 10 to 12 weeks and by a no electronic device (feta scope) at 20 weeks.
Active fetal movements and outline of the fetus via radiography or ultrasound.

Question 10

What are the medication that can cause false positive or false negative results?

Answer 10

Anticonsulvants, diuretics, and tranquilizers.

Question 11

What is gravida?

Answer 11

Is the number of pregnancies.

Question 12

What is nulligravida?

Answer 12

A woman who has never been pregnant.

Question 13

What is primigravida?

Answer 13

A woman in her first pregnancy.

Question 14

What is multigavida?

Answer 14

A woman who has two or more pregnancies.

Question 15

What is parity?

Answer 15

Number of pregnancies in which the fetus reaches viability (ability to survive outside the womb approximately 20 to 24 weeks or more than 5000 g or 2 lbs) regardless whether the fetus is born alive or not.

Question 16

What is nullipara?

Answer 16

No pregnancy belong the stage of viability.

Question 17

What is primapara?

Answer 17

Has completed one pregnancy to stage of viability.

Question 18

What is multipara?

Answer 18

Has completed two or more pregnancies to safe of viability.

Question 19

What is GTPAL?

Answer 19

Gravidity
Term births ( 38 weeks or more)
Preterm births (from viability up to 37 weeks)
Abortions / miscarriages ( prior to viability)
Living children

Question 20

What is an indirect Coombs test?

Answer 20

Determines if the client is sensitized to Rh- positive blood.

Question 21

Prenatal care

Answer 21

Beings w/ initial assessment and continuous through out the pregnancy.
Visits:
Every month for the first 7 months
Every 2 weeks during the 8 month
Every week during the last month

Question 22

Measuring fundal height

Answer 22

Fundal height measure in centimeters should equal the week of gestation.
Client must empty bladder.
Measure from the level of the symphysis pubis to the upper border of the fundus.

Question 23

Nagele’s rule

Answer 23

Estimates the date of delivery
Add 7 days to the first day of the last menstrual period
Subtract 3 months
Add 1 year

Question 24

What is the purpose of Hgb electrophoresis test in prenatal care?

Answer 24

It identifies hemoglobinopathies ( sickle cell anemia and thalassemia)

Question 25

One hour glucose tolerance ( fasting not necessary)

Answer 25

Identifies hematuria ( blood in urine ) done at initial visit for at risk clients and at 24 to 28 weeks of gestation for all pregnant women ( > 149 mg/ dL requires follow up)

Question 26

Venereal disease research laboratory test

Answer 26

Syphillis screening mandated by law

Question 27

HIV testing

Answer 27

Recommends testing all pregnant clients unless the clients refuses.

Question 28

Toxoplasmosis screening

Answer 28

Screen a group of infections capable of crossing the placenta and adversely affecting the newborn.
Associated with consumption of infested undercooked meat & poor hand washing.
Effects:hydrocephaly, microcephaly, chronic retinitis, and seizures.

Question 29

Maternal serum alpha fetoprotein ( MSAFP)

Answer 29

Screening occurs bet. 15 to 22 wks of gestation.
Rule out Down Syndrome ( low level)
& neural tube defects ( high levels)

Question 30

What are the 3 types of ultrasound?

Answer 30

External abdominal
Transvaginal
Doppler

Question 31

What is an external abdominal ultrasound?

Answer 31

A noninvasive painless and safe procedure.
Useful in the first trimester.
The ultrasound transducer is moved over the clients abdomen to obtain an image.

Question 32

What is a transvaginal ultrasound?

Answer 32

An invasive procedure where a probe is inserted vaginally.

It doesn’t required a full bladder.

Question 33

What is supine hypotension ( vena cava syndrome)?

Answer 33

When a pregnant women lies flat on her back which causes the gravid uterus to compress the vena cava, resulting in decrease blood flow to the right atrium and decrease in blood pressure.

Question 34

Nonstress test ( NST)

Answer 34

Assessment of the fetal well being analyzes the response of the fetal heart rate to fetal movement.

Question 35

Normal (reactive) results of NST

Answer 35

Two or more accelerations of 15 beats per min lasting 15 sec. Over a 20 min period.

Question 36

Nonreactive NST

Answer 36

If criteria are not met within 40 minutes.

Question 37

Contraction stress test CST

Answer 37

Assess ability of the fetus to withstand stress of uterine contractions