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Maternity Nursing Pregnancy and Childbirth Test Questions And 100% Correct Answers
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Maternity Nursing Pregnancy and Childbirth Test QuestionsAnd 100% Correct Answers
What is the purpose of early prenatal care? - Answer To optimize the health of the
woman and fetus and to increase the odds that the fetus will be born healthy and to a
healthy mother.
What is the nurse's role during prenatal care? Anwer Prenatal teaching throughout
pregnancy, Screening every visit, monitor vitals, preform and complete assessments as
assigned by OBGYN, answer questions, report any abnormal commissions to doctor.
What is done on the first prenatal visit? -Answer The longest visit: data is collected for a
base line to compare the rest of the visits too. Confirm/Rule out pregnancy, identify risk
factors, establish due date, and educate regarding a health pregnancy
What information comprises the patient's reproductive history? - Answer Time of
menarche, characteristics of normal menstrual cycles, first day of last menstrual
period, pregnancy history in outcomes using GTPAL, and any complications occurred
during previous pregnancies.
Communicates the outcome of previous pregnancies - Answer Parity, or "para".
Includes any delivery after twenty weeks, living or stillborn. Counts multiples as one
single pregnancy.
All pregnancies a woman has experienced, whether carried to term, aborted or ended in
an ectopic pregnancy. - Answer Gravida
GTPAL - Answer Gravida
Term deliveries (at or beyond 38 weeks)
Preterm deliveries (20-37 weeks)
Abortions (number of pregnancies that ended before 20 weeks)
,Living Children
Never pregnant - Answer Nulligravida
First pregnancy - Answer Primigravida
What does the medical-surgical history include? - Answer Any significant medical
disease problem, i.e., heart disease or diabetes A list of all medications she is currently
taking, including over the counter medications and herbal remedies Risk factors related
to infectious diseases Immunization status Risk factors related to sexually transmitted
infections Family History What does the family history include? Family and medical
background: Health status - health status of the father of the baby, near relatives to the
woman and her partner. Family history of genetic disorders that testing or counseling
might be required. History only of cystic fibrosis and /or deafness may require testing
for genetics. The ethnicity of the female and relatives of the fetus is another essential
variable that ought not to be overlooked. sickle cell anemia and thalassemia are more
common in African American, Indian and Middle Eastern descent. Tay Sachs disease
carriers are more common in European Jews and French Canadians. Cystic fibrosis is
more common in Caucasians.
What is included in the social history? Answer focuses on the environmental factors that
may affect the pregnancy. These include things like: social support, housing in nutrition,
education, type of employment, presence of domestic violence or abuse, smoking,
alcohol, and illicit and over the counter drug use, and hobbies-exposure to gardening or
pet care can expose mother to toxoplasmosis which can harm the fetus.
List the laboratory assessments done during pregnancy and their purpose - Answer
CBC: reflects general health status of mother, inclusive of anemia that may reflect poor
nutritional status and therefore possibly poor pregnancy outcome.
HEMOGLOBIN ELECTROPHORESIS Test: done if woman is at risk either for sickle cell
anemia or thalassemia.
Blood type and antibody screen: identifies those who are at risk of developing antigen
incompatibility with fetal blood cells.
Screens for infection: hep B, HIV, syphilis, gonorrhea, chlamydia
Rubella Titer: gives info about mother's immunity to rubella. The rubella immunization
, cannot be given during pregnancy.
Pap Smear: assesses cervical CA
Urine Culture: bacteria in the urine which lead to a UTI and preterm labor
what is the most common way to calculate the estimated due date, and how is it done?
-Answer Nagele's Rule: add 7 days to the date of the first day of the last menstrual
period. Then subtract 3 months.
what are some "rule of thumb" measurements to estimate how far along in pregnancy is
during uterine palpation? -Answer Small pear = 7 weeks
Orange = 10 weeks
Grapefruit = 12 weeks
Between weeks 18 & 32, the fundal height in centimeters should equal the number of
weeks the pregnancy has progressed
What is included in the pregnancy risk assessment? - Answer Takes into account all
information gathered during hx, physical exam and lab tests. These risks can be
increased with factors such as negative attitude of the mother towards pregnancy,
seeking prenatal care late in the pregnancy, substance abuse, a history of
complications with previous pregnancies for poor outcomes, the presence of maternal
disease, inadequate living conditions, domestic violence or physical abuse,
under-education about the effects of tobacco and alcohol and the benefits of folic acid,
age, and whether or not the pregnancy was planned.
How often does a practitioner see a pregnant woman for prenatal visits? Answer once a
month from weeks 1 thru 32; between weeks 3236 biweekly; week 36 until delivery the
woman is seen weekly.
what examinations does a routine antenatal visit include? -Solution weight, blood
pressure, protein and sugar in the urine, fetal heart rate. Also ask about warning signs
of pregnancy, fetal movement, contraction, bleeding, and membrane rupture.
What are some factors that could account for the fundal height being larger than
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