NSG 3500 - Maternal: Exam 1
How many weeks does it take to determine the sex of the baby? - ANS 12 weeks
True or False: A patient with a spinal cord injury CANNOT deliver vaginally. - ANS False; A vaginal delivery is possible if at the T6 level
What education would you give a p...
How many weeks does it take to determine the sex of the baby? - ANS 12 weeks
True or False: A patient with a spinal cord injury CANNOT deliver vaginally. - ANS False; A
vaginal delivery is possible if at the T6 level
What education would you give a patient dealing with Pyrosis (Heartburn)? - ANS 1. Eat
small/frequent meals
2. Don't lay down for at least an hour
3. Avoid antacids as much as possible
What is Goodell's sign? What does it feel like? - ANS Softening of the cervix
Feels like as earlobe
What is Chadwick's sign? - ANS Blue/Purple tint to the cervix and mucosa
What is primigravida? - ANS A woman who is pregnant for the first time
At what point does a primigravida who is experiencing painless contractions need to be seen? -
ANS If they are 60 seconds apart
What is hyperemesis gravidarum? - ANS Excessive vomiting during pregnancy
What is a complication with hyperemesis gravidarum? - ANS Electrolyte imbalances leading to
compromise of organ systems
What is a molar pregnancy? - ANS A noncancerous tumor that develops in the uterus as a
result of a nonviable pregnancy
What is the treatment for a molar pregnancy? - ANS Surgery
What is an ectopic pregnancy? - ANS Fertilized egg that develops outside the uterus
When does gestational hypertension occur? - ANS May occur anytime between 20 weeks
gestation - 6 weeks after delivery
What is an amniocentesis? - ANS Sampling of amniotic fluid for genetic mapping and fetal lung
maturity
, What are some complications of an amniocentesis? - ANS 1. Premature labor
2. Infections
3. Fetal injury
4. Rupture of membranes
What does TORCH stand for? - ANS T: *toxoplasmosis*
O: *other parvo- b 19, varicella zoster*
R: *rubella*
C: *cytomeglovirus*
H: *herpes*
True or False: Amniotic fluid is alkaline - ANS True; Amniotic fluid is alkaline and urine is acidic
How many fetal movements should occur within a span of 2 hours? - ANS 10 movements
At how many weeks gestation do you test for gestational diabetes? - ANS Between 24-28
weeks
What is a normal blood sugar for a pregnant person? - ANS Less than 129
What blood sugar levels are indicative of gestational diabetes? - ANS Above 130
**If blood sugar is between 130-199 you need to retest; if blood sugar is above 200 there is no
need to retest**
What secondary test should be performed for a pregnant person who is believed to have
gestational diabetes? - ANS 3 hour glucose tolerance test
What position should the fetus be inside the pelvis? - ANS R/L occiput anterior
What is disseminated intravascular coagulation (DIC)? - ANS Body produces abnormal amount
of clotting factors that remain in the blood vessels
What treatment is indicated for DIC? - ANS IV heparin
What are s/s of DIC? - ANS 1. Petechiae (early sign)
2. Bleeding under the skin
3. Cardiovascular collapse
What is preeclampsia? - ANS Pregnancy induced hypertension
At what blood pressure do you treat with preeclampsia? - ANS 160/110
Why is magnesium administered with preeclampsia? - ANS 1. To protect the fetal brain
2. Lower risk for seizures
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