NUR 102 Exam 1 Antepartum

Question 1

In the Respiratory changes in Antepartum, does O2 increase or decrease? what percentage?

Answer 1

Oxygen consumption Increases 20%

Question 2

What kind of breathing?

Answer 2

Abdominal to thoracic breathing

Question 3

How does the chest circumference change?

Answer 3

Chest circumference increases up to 6 cm.

Question 4

In Cardiovascular changes in Antepartum, what happens to blood volume?

Answer 4

Blood volume increases 40-60%

Question 5

In antepartum..Does RBC’s increase or decrease? how much?

Answer 5

RBC’s Increase by only 20-30%

Question 6

Are heart murmurs normal?

Answer 6

Yes they are!

Question 7

Does cardiac output increase or decrease? how much

Answer 7

Cardiac Output INCREASES up to 50% ( so the heart is working harder)

Question 8

Does peripheral vascular resistance increase or decrease?

Answer 8

It DECREASES ( Which is why they have dependent edema)

Question 9

What are the physical changes in Breasts?

Answer 9

• Increase in size
• Nipples are more erect
• Colustrum may be present by 4th month

Question 10

Does BMR go up or down in the 1st trimester?

Answer 10

It goes DOWN by 10%..but otherwise goes UP about 25&

Question 11

Why do pregnant women go into physiological anemia?

Answer 11

Because although Blood volume goes up 40-60%…RBC’s only go up to 20-30%! Not enough Hemoglobin:(

Question 12

What pysical changes in the uterus?

Answer 12

Wall softer & thicker
it becomes globular
capacity up to 5000mls
INCREASED Intra-abdominal pressure

Question 13

Endocrine changes in antepartum are what?

Answer 13

• Prolactin INCREASES
• Estrogen INCREASES
• Progesterone INCREASES
• Blood Glucose DECREASES (NORMALLY UNLESS..Gestational DM)

Question 14

What are the presumptive signs of pregnancy?

Answer 14

• No Periods (Amenorrhea)
• N & V
• Fatigue
• Increased Urination
• Breast changes
• Quickening (1st awareness of fetal movement; 18 weeks gestation)

Question 15

What are the probable signs of pregnancy?

Answer 15

• • Pregnancy Test
• Enlarged Abdomen
• Hegar’s sign “Softening of Uterus”
• Chadwick’s sign “Bluish-purple Vagina”
• Goodell’s sign “Softening of the Cervical Lip”
• Ballottment - “Fetus Rebounds”
• Braxton-Hicks Contractions

Question 16

What are the Positive Signs of pregnancy?

Answer 16

-FHT
-Fetal Movement
-Visible
-Felt By Examiner
Fetal Sonography

Question 17

What’s the 1st trimester of pregnancy?

Answer 17

First Day of LMP thru 12 completed weeks

Question 18

What’s the 2nd trimester of pregnancy?

Answer 18

13 weeks thru 27 completed weeks

Question 19

What’s the 3rd trimester of pregnancy?

Answer 19

28 weeks thru 40 completed weeks

Question 20

What’s the Nursing Role of the 1st Trimester?

Answer 20

• General Support
• Anticipatory Guidance
• Factual Information
• Discomforts
• Nutrition
• MD appointments
• Community resources
• Work & excercise
• Sexual Activity
• Reassure that some things won’t last