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Maternal OB > quiz 1 study guide > Flashcards

quiz 1 study guide Flashcards

1
Q

Situation that requires pt to take in more calories?

A

20 y/o F who had a vaginal birth 5 months ago and is breastfeeding.

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2
Q

Pt having doubts about pregnancy, how should the nurse respond to s/o?

A

Ambivalent feelings are quite common for women early in pregnancy.

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3
Q

Indication for further teaching regarding non-stress test?

A

“I will have to lie on my back during the test”

**left side or sitting

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4
Q

positive signs for pregnancy.

A

Visualization of fetus by ultrasound

***positive = explained only by pregnancy

**fetal movement
**ausculation of heart sounds

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5
Q

Know therapeutic communication for genetic counseling. Nurse response:

A

“It is important to ask other family members for any info for insight into the
health history.”

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6
Q

warning signs of potential danger during pregnancy.

A

Call the clinic if experiencing facial edema.

**vaginal bleeding

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7
Q

Best method for preventing venous stasis?

A

Rest often with feet elevated.

**avoid sit / stand
**no crossing @ knee

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8
Q

cultural influences on a pt’s diet.

A

Identify the food preferences and methods of food preparation common to
the pt’s culture.

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9
Q

Nurse teaching?
fetal developmental milestones

A

“The baby’s heart beat is audible by a doppler’s stethoscope at 12 weeks of pregnancy.”

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10
Q

Be able to interpret the results of a nonstress test. HR 120 bpm w/ minimal accel. 2 variable decels during fetal movement, lasting 20 sec ea.

A

Non-reactive test

***minimal accelerations is the key word

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11
Q

You are asked what Chadwick’s sign is. Response:

A

“This sign occurs normally in pregnancy when estrogen causes increased
blood flow in the cervix.”

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12
Q

(NGN) List physiological maternal changes during pregnancy IN ORDER.

A

a. Amenorrhea
b. Goodell’sSign
c. Quickening
d. Lightening

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13
Q

People who have two copies of the same abnormal autosomal dominant gene are generally

A

more severely affected by the disorder than people with one copy of the gene

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14
Q

Pt teaching before amniocentesis procedure?

A

Empty her bladder immediately prior to the procedure

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15
Q

Pt complains of feeling faint, dizzy, and agitated in her third trimester. Nursing intervention?

A

Have the pt lay on her left side and recheck her blood pressure in 5 minutes.

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16
Q

What cahge occurs during fetal period of development?

A

Maturation of organ systems

*development of genitals

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17
Q

Expected physiological change during third trimester of pregnancy?

A

Gradual Lordosis

***posture change

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18
Q

Pt is at 7 weeks gestation and has urinary frequency. How should the nurse respond?

A

It occurs during the first trimester and near the end of the pregnancy.

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19
Q

Obstetric code for 5th pregnancy w 2 spontaneous abortions, on infant at 32 weeks gestation, and one at 38 weeks gestation.

A

G5 T1 P1 A2 L2

20
Q

Pt says boyfriend is feeling aches and pains of pregnancy w her. She thinks he is making fun of her.

A

Explain that her boyfriend may be experiencing couvade syndrome and that this is a normal finding seen with male partners.

21
Q

Nurse explains function of placenta. What statement indicates further teahcing?

A

“The placenta helps maintain a stable temperature for my baby.”

22
Q

.Pregnant pt is feeling heartburn. Most helpful suggestion?

A

Use Tums or Rolaids to obtain relief, as directed by the health care
provider.

23
Q

What is causing the pt’s heartburn?

A

Increased progesterone production causes decreased motility of smooth muscle

24
Q

Rationale for woman in first trimester to expect to visit her health care provider every 4 weeks?

A

The conditions of the expectant mother and fetus can be monitored

25
Q

Hormone responsible for milk production after the birth of the placenta?

A

Prolactin

26
Q

Why does nausea and vomiting occur during first trimester?

A

It may be due to changes in hormones

27
Q

When should a pregnant women experience quickening?

A

This will occur between the fourth and fifth months of pregnancy

16 to 20 weeks

28
Q

Curly hair and blue eyes?

A

Phenotype

29
Q

Supplement to help prevent neural tube defects in the fetus?

A

Folic Acid

  • 400mcg before pregnancy
  • 600 mcg during
30
Q

Fluttering movement in abdomen?

A

Quickening

*16 to 20 weeks

31
Q

Normal limits for checking the umbilical cord for blood vessels?

A

2 arteries

** 1 vein

32
Q

Know when implantation occurs for conception.

A

Implantation DOES NOT occur in 2-3 weeks.

**6 to 12 days after ovulation

33
Q

What does a birth plan help parents accomplish?

A

Taking an active part in planning the birth experience

34
Q

Know what the vernix caseosa is.

A

greasy layer that protects the fetal skin from amniotic fluid

35
Q

What is the best explanation that the nurse can provide to a pt who is concerned that she has “psudoanemia” of pregnancy?

A

Providing factual information based on the physiologic mechanisms is the best option

36
Q

Pt is concerned she has dark patches on her face.

A

Let the pt know that this is a common finding that occurs during pregnancy

37
Q

A nurse is caring for a client who is scheduled for a maternal serum-alpha-fetoprotein test at 15 weeks of gestation

A

Screening test for spinal defects in the fetus

38
Q

Secondary sexual characteristic?

A

Female breast development

39
Q

.Pt says she feels the baby moving.

A

This is a presumptive sign of pregnancy

**think pregnancy

40
Q

Know the information included in a biophysical profile.

A

Fetal breathing, fetal motion, amniotic fluid volume

41
Q

Statement that indicates a need for further teaching?

A

“I should increase my calcium intake to 1,500 milligrams per day”

**its 1000 to 1200

42
Q

Statement that indicates a need for further teaching?

A

“I will use only nonprescription medications while pregnant”

43
Q

How much weight should a pt w/ BMI 26.5 gain during pregnancy?

A

15-25 lbs

**normal bmi is 18.5 to 24.9

44
Q

A pt, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is

A

Lower than normal for gestational age

45
Q

A nurse is caring for an antepartum client whose lab findings indicate a negative rubella titer.

A

The client requires a rubella immunization following delivery

46
Q

Results for contraction stress test come back negative for pt 38 weeks gestation.

A

There is no evidence of uteroplacental insufficiency

Maternal OB (8 decks)

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