quiz 1 study guide Flashcards
Situation that requires pt to take in more calories?
20 y/o F who had a vaginal birth 5 months ago and is breastfeeding.
Pt having doubts about pregnancy, how should the nurse respond to s/o?
Ambivalent feelings are quite common for women early in pregnancy.
Indication for further teaching regarding non-stress test?
“I will have to lie on my back during the test”
**left side or sitting
positive signs for pregnancy.
Visualization of fetus by ultrasound
***positive = explained only by pregnancy
**fetal movement
**ausculation of heart sounds
Know therapeutic communication for genetic counseling. Nurse response:
“It is important to ask other family members for any info for insight into the
health history.”
warning signs of potential danger during pregnancy.
Call the clinic if experiencing facial edema.
**vaginal bleeding
Best method for preventing venous stasis?
Rest often with feet elevated.
**avoid sit / stand
**no crossing @ knee
cultural influences on a pt’s diet.
Identify the food preferences and methods of food preparation common to
the pt’s culture.
Nurse teaching?
fetal developmental milestones
“The baby’s heart beat is audible by a doppler’s stethoscope at 12 weeks of pregnancy.”
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.
Non-reactive test
***minimal accelerations is the key word
You are asked what Chadwick’s sign is. Response:
“This sign occurs normally in pregnancy when estrogen causes increased
blood flow in the cervix.”
(NGN) List physiological maternal changes during pregnancy IN ORDER.
a. Amenorrhea
b. Goodell’sSign
c. Quickening
d. Lightening
People who have two copies of the same abnormal autosomal dominant gene are generally
more severely affected by the disorder than people with one copy of the gene
Pt teaching before amniocentesis procedure?
Empty her bladder immediately prior to the procedure
Pt complains of feeling faint, dizzy, and agitated in her third trimester. Nursing intervention?
Have the pt lay on her left side and recheck her blood pressure in 5 minutes.
What cahge occurs during fetal period of development?
Maturation of organ systems
*development of genitals
Expected physiological change during third trimester of pregnancy?
Gradual Lordosis
***posture change
Pt is at 7 weeks gestation and has urinary frequency. How should the nurse respond?
It occurs during the first trimester and near the end of the pregnancy.
Obstetric code for 5th pregnancy w 2 spontaneous abortions, on infant at 32 weeks gestation, and one at 38 weeks gestation.
G5 T1 P1 A2 L2
Pt says boyfriend is feeling aches and pains of pregnancy w her. She thinks he is making fun of her.
Explain that her boyfriend may be experiencing couvade syndrome and that this is a normal finding seen with male partners.
Nurse explains function of placenta. What statement indicates further teahcing?
“The placenta helps maintain a stable temperature for my baby.”
.Pregnant pt is feeling heartburn. Most helpful suggestion?
Use Tums or Rolaids to obtain relief, as directed by the health care
provider.
What is causing the pt’s heartburn?
Increased progesterone production causes decreased motility of smooth muscle
Rationale for woman in first trimester to expect to visit her health care provider every 4 weeks?
The conditions of the expectant mother and fetus can be monitored
Hormone responsible for milk production after the birth of the placenta?
Prolactin
Why does nausea and vomiting occur during first trimester?
It may be due to changes in hormones
When should a pregnant women experience quickening?
This will occur between the fourth and fifth months of pregnancy
16 to 20 weeks
Curly hair and blue eyes?
Phenotype
Supplement to help prevent neural tube defects in the fetus?
Folic Acid
- 400mcg before pregnancy
- 600 mcg during
Fluttering movement in abdomen?
Quickening
*16 to 20 weeks
Normal limits for checking the umbilical cord for blood vessels?
2 arteries
** 1 vein
Know when implantation occurs for conception.
Implantation DOES NOT occur in 2-3 weeks.
**6 to 12 days after ovulation
What does a birth plan help parents accomplish?
Taking an active part in planning the birth experience
Know what the vernix caseosa is.
greasy layer that protects the fetal skin from amniotic fluid
What is the best explanation that the nurse can provide to a pt who is concerned that she has “psudoanemia” of pregnancy?
Providing factual information based on the physiologic mechanisms is the best option
Pt is concerned she has dark patches on her face.
Let the pt know that this is a common finding that occurs during pregnancy
A nurse is caring for a client who is scheduled for a maternal serum-alpha-fetoprotein test at 15 weeks of gestation
Screening test for spinal defects in the fetus
Secondary sexual characteristic?
Female breast development
.Pt says she feels the baby moving.
This is a presumptive sign of pregnancy
**think pregnancy
Know the information included in a biophysical profile.
Fetal breathing, fetal motion, amniotic fluid volume
Statement that indicates a need for further teaching?
“I should increase my calcium intake to 1,500 milligrams per day”
**its 1000 to 1200
Statement that indicates a need for further teaching?
“I will use only nonprescription medications while pregnant”
How much weight should a pt w/ BMI 26.5 gain during pregnancy?
15-25 lbs
**normal bmi is 18.5 to 24.9
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
Lower than normal for gestational age
A nurse is caring for an antepartum client whose lab findings indicate a negative rubella titer.
The client requires a rubella immunization following delivery
Results for contraction stress test come back negative for pt 38 weeks gestation.
There is no evidence of uteroplacental insufficiency
