100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
N164 Maternity Final Exam Questions And Accurate Answers $9.99   Add to cart

Exam (elaborations)

N164 Maternity Final Exam Questions And Accurate Answers

 2 views  0 purchase
  • Course
  • N164 Maternity
  • Institution
  • N164 Maternity

N164 Maternity Final Exam Questions And Accurate Answers...

Preview 4 out of 39  pages

  • September 26, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • N164 Maternity
  • N164 Maternity
avatar-seller
Braxton
N164 Maternity Final Exam Questions And Accurate Answers



GTPAL vs GP



Gravidity/Term birth/ Preterm/Abortions and miscarriages/ Living Children



GTPAL: #pregnancies/ #pregnancies ending in term births at 37 weeks+/ #pregnancies
that ended in preterm births ie 20 weeks 0 days to 36 weeks 6 days/ #pregnancies that
ended in miscarriage-spontaneous abortion or elective termination-therapeutic
abortion-before 20 weeks/ #children currently living



G/P: the # of pregnancies the woman has head (including the present one)/ the # of
pregnancies that have reached 20 weeks or more



- if full acronym is GTPAL, then P includes T + P (ignore A & L)

How to calculate gestational age



count backwards from the EDD (assume EDD is exactly week 40)

Past

How to calculate EDD



Naegele's rule: take LMP, subtract 3 months and add seven days + 1 year

Cervical exam (dilation, effacement)



Dilation: thinning of cervix (up to 10 cm)



Effacement: shortening and thinning of cervix (up to 100%

,Station:

Cervical exam: what is station?



the relationship of the presenting fetal part to an imaginary line drawn b/w maternal
ischial spines + a measure of degree of descent of presenting part through the birth
canal



above spines is & below spines is + +0= engagement- aligned with R & L maternal ischial
spines

+2 = pushing starts

+3 = baby is crowning

+4 to +5= birth is imminent

Presumptive signs of pregnancy

subjective and reported by the woman

amenorrhea, fatigue, breast changes, N/V, quickening (could be flatulence), uterine
enlargement

Probable signs of pregnancy

Objective and reported by the examiner

-Goodell's sign, Hegar's sign, Chadwick's sign, ballottement; Braxton-Hicks
contractions; + pregnancy test

Positive signs of pregnancy

only the presence of a fetus can explain these findings



fetal heart sounds, visualization of the fetus, fetal outline and movement movement
palpated by an experienced examiner; US visualization

Physiologic adaptation of pregnancy - CV



- Blood volume increases 45% to 50% to meet needs of woman and fetus

,- Physiologic anemia is caused by hemodilution (ratio 75% plasma: 25% RBCs



- Increase in clotting factors to protect against blood that will be lost during birth (but in
2nd and 3rd trimesters may increase risk of thrombophlebitis)

Physiologic adaptation of pregnancy- Resp



- Mild hyperventilation with decreased PaCO2 and increased PaO2-- state of respiratory
alkalosis



- diaphragm elevates and is displaced by 4cm= more room for the baby, may cause SOB



- inc. estrogen relaxes rib cage and inc. vascularization in upper respiratory tract



- BMR inc 10-20% due to utero-placental-fetal demand for O2

Physiologic adaptation of pregnancy- Renal

bladder irritability, nocturia, urinary frequency; may experience proteinuria

- by term gestation, there is an increase in total body water of 6.5-8.5 L

- selective reabsorption to maintain Na and H2O balance; esp Na to help expand fluid
volume

- physiologic/dependent edema: req no tx; as pregnancy progresses, capacity of
kidneys to excrete water is less efficient

Physiologic adaptation of pregnancy- Integ



- chloasma: mask of pregnancy



- linea nigra: vertical line replaces linea alba



- striae gravidarum: stretch marks

, - angiomatas: vascular spiders caused by inc. estrogen



- palmar erythema: redness in palms



- pruritis gravidarum: mild itching, usually over abd

Physiologic adaptation of pregnancy- MS



- dec. abd muscle tone



stretch during 3rd trimester-- may lead to diastasis recti abdominis (abd muscles
separate)



-center of gravity shifts



Lordosis (inc. lumbosacral curve) + exaggerated anterior flexion to compensate--> leads
to aching, numbness, and weakness of UEs



Waddling gait



Relaxin and progesterone loosen ligaments of pubic symphysis and sacroiliac joints

Physiologic adaptation of pregnancy- Neuro



hypothalamic-pituitary neurohormonal changes:



nerve compression/ vascular stasis= sensory changes in legs



lordosis= pain bc nerve compression

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Braxton. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79373 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$9.99
  • (0)
  Add to cart