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CNUR 301 Exam Questions and Answers| Already Passed
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CNUR 301 Exam Questions andAnswers| Already Passed
Prenatal care visits - ✔✔- A mom should seek prenatal care as soon as they want to get pregnant
or they think they may be pregnant
- Q 4-6 weeks until 28 weeks gestation
- 28-36 weeks, q 2-3 weeks
- >36 weeks, q 1-2 weeks
Fetal movement counting - ✔✔<6 in 2 hours - contact doctor or go to hospital
Calculate EDD - ✔✔Obtain first day of LMP (last menstral period)
Subtract 3 months
Add 7 days and 1 year
This is mom's due date
OR
add 7 days to LMP and count forward 9 months
GPTPAL - ✔✔G: Gravida -Total # of pregnancies including current pregnancy
P: Para- Total # of pregnancies carried and DELIVERED to a viable age
o (>20 weeks)
T: Term - # of term births (≥ 37 wks gestation)
P: Premature - # of premature births
,o (≥ 20 weeks gestation <37 weeks)
A: Abortion - # of therapeutic or spontaneous abortions
o (<20 weeks gestation)
L: # of living children
Leopold's Maneuvers - ✔✔A series of four maneuvers designed to provide a systematic
approach whereby the examiner may determine fetal presentation and position.
1st Maneuver - Fundal Grip
o Assess which fetal part is in the fundus by placing hands on top of the fundus.
2nd Maneuver - Umbilical Grip
o Assess which parts are on the side of the uterus by placing the hands on the side of the
uterus 3rd Maneuver- Pawlick's Grip
o Grasp the lower abdomen with the thumb and fingers just above the symphysis pubis to assess what
part of the fetus is presenting
4th Maneuver- Pelvic Grip
o Place both hands on the lower abdomen and assesses engagement
If the presenting part has descended deeply, only a small portion of it may be outlined
Isoimmunization - ✔✔If fetal Rh-positive blood leaks into the Rh-negative mother's circulation,
her body may respond by making antibodies to destroy the Rh-positive erythrocytes.
To prevent: 28weeks: ALL Rh negative woman are given 300 ug of anti-D IgG IM (WinRho)
Indirect Coombs' test (DAT) - ✔✔indicates if a woman (or infant) has been sensitized (exposed) to
Rh positive blood
Kleihauer-Betke Test - ✔✔measures fetal hemoglobin transferred from fetus to
maternal bloodstream.
Monozygotic - ✔✔developed from a single fertilized ovum, as identical twins
, monochorionic - ✔✔multiple pregnancy with one chorionic sac
monoamniotic - ✔✔multiple pregnancy with one amniotic sac
dizygotic twins - ✔✔fraternal twins
Dichorionic - ✔✔multiple pregnancy with two chorionic sacs
diamniotic - ✔✔multiple pregnancy with two amniotic sacs
Twin-twin transfusion syndrome - ✔✔monozygotic twin pregnancy with single placenta
and arteriovenous shunt within the placenta
donor twin - ✔✔the twin that loses nutrients during twin-twin transfusion, often small for
gestational age
recipient twin - ✔✔receives nutrients passed from donor twin, often normal or large for
gestational age
o Polycythemic, circulatory overload to hydrops (kinda like fetal edema)
o Heart failure, hyperbilirubinemia à kernicterus
Biophysical profile - ✔✔- Score out of 10
- Based on:
§ NST (nonstress test)
§ Breathing Movement
§ Body Movement
§ Muscle Tone
§ Amniotic Fluid Volume
- 8-10: Baby is healthy; 5-7: Retest in 12-24 hours; 4 or less: fetus' @ risk.
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