Test 1

Question 1

Gravida

Answer 1

Woman who is pregnant

Question 2

Nulligravida

Answer 2

Women who has never been pregnant

Question 3

Primigravida

Answer 3

Woman who is pregnant for the first time

Question 4

Multigravida

Answer 4

Woman who has had two or more pregnancies

Question 5

Parity

Answer 5

of pregnancies in which fetus/fetuses reached viability (20 weeks) and BORN
Refers to # of pregnancies, NOT fetuses, whether born alive or stillborn

Question 6

Viability

Answer 6

20-24 weeks since LMP
Baby considered “alive” once movement felt (quickening)

Question 7

Nullipara

Answer 7

women who has never completed a pregnancy past 20 weeks

Question 8

Primipara

Answer 8

Woman who has completed one pregnancy with a fetus/fetuses who reached age of viability

Question 9

Multipara

Answer 9

Women who has completed 2 or more pregnancies to stage of fetal viability

Question 10

Grandmultipara

Answer 10

Women who has completed 5 or more pregnancies

Question 11

G/P Documentation

Answer 11

Gravida/Para
G = # of pregnancies INCLUDING current
P = # pregnancies terminating after 20 weeks gestation

Question 12

GTPAL

Answer 12

Gravida/Term-Preterm-Abortion-Living

G(ravida)= # pregnancies including current
T(erm) = # pregnancies terminating after 36 weeks gestation, must make it to 37
P(reterm)= # pregnancies terminating after 20-36 (and 6 days) weeks, BORN dead or alive
A(bortion) = # pregnancies terminating before 20 weeks gestation (incl. miscarriage)
L(iving) = # LIVING children AT THIS MOMENT

Question 13

Pregnancy

Answer 13

Anytime sperm and egg meet and fertilization occurs, even if there is no resulting embryo due to too little or too much DNA
Includes non-viable, ectopic and molar

Question 14

At 14 weeks gestation, where can you palpate the fundus?

Answer 14

Slightly above pubis symphasis

Question 15

Normal Fetal HR

Answer 15

110-160

Question 16

During the physical examination of a client beginning prenatal care, which initial action is most important for nurse to perform?

Answer 16

Ask client to empty bladder before pelvic examination

Question 17

What is fetal tachycardia most often associated with?

Answer 17

maternal fever

Question 18

Fetal Bradycardia is most common during

Answer 18

Fetal cord compression

Question 19

Vertex Position

Answer 19

Head down presentation

Question 20

Breech position

Answer 20

Feet down presentation

Question 21

Transverse Presentation

Answer 21

Large hard round mass on lateral side and large soft round mass on other
Baby is sideways

Question 22

T/F: Thyroid enlarges as much as 1/3 during pregnancy?

Answer 22

True

Question 23

What findings are considered normal with a rise in estrogen/progesterone in pregnancy?

Answer 23

Linea Nigra
Spider Nevi
Cholasma

Question 24

Normal Cardiac Changes in Pregnancy

Answer 24

Extra vascular volume of 1500mL by term
Systolic murmur
S3

Question 25

When does the fundal height approximately match gestation weeks?

Answer 25

1st and 3rd trimister

Question 26

When does the uterus become an abdominal organ?

Answer 26

2nd trimester

Question 27

What are aminoinfusions used to treat?

Answer 27

Variable deceleration

Question 28

How long do fetuses sleep every hour?

Answer 28

20 minutes

Question 29

What causes early decelerations?

Answer 29

head compression, increase ICP

Question 30

What is the most common cause of late decelerations?

Answer 30

placental insufficiency

Question 31

What does internal fetal monitoring require?

Answer 31

Rupture Membranes Presenting Part engaged in pelvis Cervical dilation

Question 32

Variable Decelerations are caused by?

Answer 32

Cord Compression

Question 33

When evaluating an external monitor tracing of a woman in active labor whose labor is being induced, the nurse notes that the FHR begins to decelerate at onset of contractions and returns to baseline before each contraction ends. What should the nurse do?

Answer 33

Document finding in patient record

Question 34

What influences external fetal monitoring? What is the most accurate way to assess fetal heart rate?

Answer 34

Changes in both maternal/fetal position Most accurate way is internal

Question 35

What is an ominous sign on an external fetal monitoring strip?

Answer 35

late decelerations

Question 36

Intervention for persistent late decelerations

Answer 36

Commonly caused by placental insufficiency - repositioning - Turn off pitocin - O2 -Fluid BOlus -Notify Provider

Question 37

You notice a decrease in fetal heart rate that starts AFTER peak of contraction. What is this tracing and what are the appropriate interventions?

Answer 37

Late Decels Reposition patient Turn off pitocin O2 Fluid Bolus Call Provider

Question 38

The Pancreas forms in the foregut during the 5th and 8th week of gestation A client with poorly controlled gestational diabetes asks the nurse what effects of her condition will be on the fetus. What is the best response by the nurse?

Answer 38

Macroscopic Fetus Decreased lung maturation

Question 39

Function of chorionic villi

Answer 39

O2 and CO2 transport to and from maternal blood stream

Question 40

What effect does maternal hypertension have?

Answer 40

Reduces maternal-placental blood flow, accelerates lung maturity

Question 41

Amniotic Fluid Function

Answer 41

Maintain warmth prevent contractures aid in lung maturity aid in renal maturity

Question 42

When do heart anomalies occur during development?

Answer 42

3rd and 6th week

Question 43

Which answer is correct regarding the umbillical cord?

Answer 43

1 umbilical vein intervilous space where there is an exchange of oxygen and nutrients and CO2 and waste 2 arteries

Question 44

What maternal position produces optimal fetal circulation?

Answer 44

side lying

Question 45

Common Teratogens

Answer 45

Cytomegalovirus CMV Ionizing Radiation Carbamazepine Lead Hyperthermia Isotertinoin

Question 46

Regarding the placenta...

Answer 46

Includes cord and transfers oxygen and nutrients, eliminates waste and Co2 Grows until 20 weeks Calcifies with age, hypertension and uncontrolled diabetes Inner lining amnion, outer chorion