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N306 Final Study Guide Practice Questions
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N306 Final Study Guide Practice Questions
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N306 Final Study Guide PracticeQuestions
What hormone is tested to confirm pregnancy? - ANS-HCG (human chorionic
gonadotropin)
A woman comes into the clinical and is being treated for infertility with Clomiphene
Citrate. You are educating her on adverse reactions. You know education was
successful when - ANS-The woman states the adverse effects are hot flashes, breast
discomfort, headaches, and insomnia
Action: stimulates release of FSH and LH
Progesterone - ANS-Facilitates implantation and decreases uterine contraction
Estrogen - ANS-enlargement of breasts and uterus
hCG - Human Chorionic Gonadotropin Hormone - ANS-stims corpus lute to secrete
progesterone/estrogen
hPL (human placental lactose) - ANS-increases insulin resistance in mom and prepares
breasts for lactation
A woman comes into the emergency department and states that she thinks her water
just broke. What test should be done? - ANS-Nitrazine test
To determine if if was urine (acidic) or manic fluid (alkaline)
When is the fetus most vulnerable to teratogens? - ANS-In the first trimester
During organogenesis (4-8 weeks)
A woman states that she and her husband have been out of the country and they are
trying to get pregnant. The father tests positive for Zika. What would you educate them?
- ANS-Do not get pregnant for 6 months, lives in testes for 6 months
What are presumptive signs of pregnancy? - ANS-Amenorrhea
N/V
Breast changes
Urination frequency
, Quickening (fetal movement)
What are probable signs of pregnancy? - ANS-*Chadwick's sign*: blueish-purple vaginal
mucosa seen at 6-8 wks
*Goodell's sign*: softening of the cervix palpates at 8 wks
*Hegar's sign*: softening of the lower uterine segment at 6 wks
Melasma: brownish pigmentation on forehead
Linea negra: dark line from umbilicus to pubis
*Ballottement*: sharp upward pushing against the uterine wall with a finger inserted into
the vagina and will feel impact of the displaced fetus (16 wks)
Positive pregnancy test --> hCG in urine
McDonald's rule - ANS-Between 22-24 weeks fundal height in cm should match the
number of weeks
12 weeks: fundus clears symphysis
20 weeks: fundus at umbilicus
36 weeks: fundus at xiphoid
If a mother comes in and is group B strep positive. What should the nurse do? -
ANS-Give the mother antibiotic, ampicillin 1g Q4h
If a mother gives birth and is Hep B positive, what should the nurse do? - ANS-Give
hepatitis B globulin (HBIG) AND hepatitis vaccine (2 shots)
If the mother is negative only give the vaccine
What test is given to the mother if she is Rh negative to see if she is sensitized to her
babies blood? - ANS-Coombs test --> if it positive she has been sensitized and needs
Rhogam
What does the biophysical profile consist of? - ANS-FHR reactivity (NST)
Fetal movements
Tone
Breathing
Amniotic fluid volume
*a score of 2/10 or less prompts immediate delivery*
Chorionic villus sampling - ANS-Used for chromosomal analysis between 10-12 weeks
to detect feral abnormalities
Tests for metabolic disorders --> cystic fibrosis
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