| A woman in false labor arrives at the hospital. when she reaches the labor and delivery floor, she asks the nurse to place a special knife she has brought from home under the mattress of her bed. This is an example of which of the following? | to be answered |
| A woman in false labor arrives at the hospital. when she reaches the labor and delivery floor, she asks the nurse to place a special knife she has brought from home under the mattress of her bed. This is an example of which of the following? | to be answered |
| Psychological Tasks of Pregnancy: 1st trimester:
Tasks:
Focus of Management: | Tasks: accepting the pregnancy
Focus of management: mother |
| Psychological Tasks of Pregnancy: 2nd trimester:
Tasks:
Focus of management: | Tasks: Accepting the baby
Focus of management: Fetus |
| Psychological Tasks of Pregnancy: 3rd trimester:
Tasks:
Focus of management: | Tasks:
Focus of management: |
| rebound of fetus on examiner's hand/when lower uterine segment is sapped on a bimanual examination the fetus can be felt to rise against abdominal wall | Ballotement |
| What type of pregnancy sign is ballotement: | probable |
| False labor contraction/periodic uterine tightening: | Braxton Hicks |
| What type of pregnancy sign is Braxton Hicks? | Probable |
| Bluish discoloration of the cervix, vagina and labia | Chadwick's sign |
| What type of pregnancy sign is Chadwick's sign? | probable |
| Also called sympathetic pregnancy, is a proposed condition in which an expectant father or other parent experiences some of the same | Cauvade syndrome |
| Refers to rapid, often exaggerated changes in mood, where strong emotions or feelings | to be answered |
| She begins to imagine how she will fell at the birth, when the physician or midwife announces, "It's a boy!" or "It's a girl!" | Fantasy |
| General Feeling of tiredness | to be answered |
| Signs of pregnancy are those that are least indicative of pregnancy; taken as single entities, they could easily indicate other conditions | Presumptive |
| Before there are beliefs that lifting your arms over your head while pregnant will cause | Cord twist |
| Before there are beliefs that watching a lunar eclipse will cause? | deformities |
| Stretch marks in pregnancy: | Striae gavidarum |
| What type of pregnancy sign is striae gravidarum? | Presumptive |
| what hormone increases during pregnancy that causes melasma? | to be answered |
| A client's menstrual period is two weeks late. She has been feeling tired and has had episodes of nausea in the morning.
What classification of pregnancy symptoms is this client experiencing? | Presumptive |
| During physical exam, the physician notates that the pregnant client has a positive Chadwick's sign. What client findings would be noted for this symptom? | The cervix has a bluish, purple discoloration |
| The nursing instructor is teaching a class on the nutritional needs of the pregnant client.
the instructor determines the session is successful when the students correctly choose which supplement as being known to prevent up to 70% of CNS birth defects? | folic acid |
| Pregnancy tests (both urine and blood) measure levels of which hormone to validate the existence of pregnancy? | HCG |
| A client at 36 weeks' gestation comes in for her weekly primary care provider visit. She tells the nurse, "I am having contractions, but they are irregular and go away when I rest. Do you think I am going into labor?" The best response by the nurse would be: | "These are called Braxton-Hicks contractions and are preparing your body for labor but are not 'true' labor contractions." |
| The nurse is taking care for a young couple who are expecting their first baby. They are experiencing the phenomenon known as couvade syndrome. What can the nurse explain to this family to help them understand this syndrome? | Couvade syndrome is when the partner begins to experience the same physical symptoms as the pregnant woman experiences. |
| A client is preparing to leave the clinic after her first prenatal visit. What is important for the woman to do before she leaves the office? | to be answered |
| A pregnant woman client is excited that she is beginning to feel her baby move within her. The nurse explains that these first fetal movements are known as: | quickening |
| The blood tests for a primigravida client indicate that the client is Rh- negative and her partner is Rh-positive. What is an appropriate nursing intervention for this client? | Arrange for Rho(D) immune globulin at 28 weeks' gestation. |
| The nurse is assessing a woman who is pregnant for the first time. Which of the following terms applies to this client? | Primigravida |
| A gravida woman in her second trimester has shared that she still enjoys a glass of wine about once a week with dinner. What response by the nurse is most appropriate? | "There is no amount of alcohol consumption in pregnancy that is considered safe for the fetus" |
| A nurse is reviewing the plan of care for a pregnant woman who is Rh negative. The nurse expects that the woman will undergo testing at the 28th week of gestation for Rh antibodies and provides teaching about which test? | Indirect Coombs' Test |
| A nurse is assessing a 25-year-old woman during a preconceptual visit. The nurse understands that anemia can be a problem that develops during pregnancy. There fore, she conducts which of the following to establish a baseline measure related to this condition? | to be answered |
| Why is a papanicolaou test done at the first prenatal visit? | It identifies abnormal cervical cells |
| When explaining what will occur during the first prenatal visit physical examination, a pregnant client asks why a Papanicolaou test is being done at this time. What should the nurse respond to the client? | It detects cancer cells of the cervix, vulva, or vagina. |
| Superior half of the pelvis is called | False pelvis |
| "female," pelvis has an inlet that is well rounded forward and backward and has a wide pubic arch. This pelvic type is ideal for childbirth | Gynecoid |
| "male," pelvis, the pubic arch forms an acute angle, making the lower dimensions of the pelvis extremely narrow. A fetus may have difficulty existing from this type of pelvis | android |
| An increase level of ALPHA-FETO PROTEIN (AFP) indicates | Neural tube defects |
| In performing OGTT, once patient has been NPO for 8-12 hours, how many time will we do blood extraction so check for glucose level? | 4 |
| In performing OGTT, what indicates positive result for the test? | 2 out of 4 results are abnormal |
| After administering the Tuberculosis screening of the tuberculin test, when should you come back to see results? | to be answered |
| Upon checking BP of a pregnant at 1st trimester, nurse assessed an increase in BP. What should the nurse do next? | Assess further for H-mole |
| What does GTPAL mean? | Gravida, Preterm, Term, Abortion, Live heads or births |
| A 50 year old female is 25 weeks pregnant with twins. She has 5 living children. Four of the 5 children were born at 39 weeks gestation and one child was born at 27 weeks gestation. Two years ago she had a miscarriage at 10 weeks gestation. What is her GTPAL? | GTPAL: 7 4 1 1 5 |
| A 27 year old female is currently 16 weeks pregnant. She has 2 year-old twins that were born at 39 weeks gestation and a 5 year-old who was born at 40 weeks gestation. She had no history of miscarriage or abortion what is her GTPAL? | GTPAL: 3 2 0 0 3 |
| A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year-old son born at 39 weeks' gestation, and a spontaneous abortion (miscarriage) 1 year ago at 4 weeks' gestation. Using the GTPAL method, the nurse would document her obstetric history as: | GTPAL: 4 1 1 1 3 |
| A 20 year old female is currently 8 weeks pregnant. She had a miscarriage at 32 weeks gestation two years ago. she has no living children. What is her GTPAL? | GTPAL: 2 0 0 1 0 |
| A 26 year old female is currently 26 weeks pregnant. She had a miscarriage at 10 weeks gestation five years ago. She has a three year old who was born at 39 weeks. What is her GTPAL? | GTPAL: 3 1 0 1 1 |
| When discussing the pelvis, the students should point out that the pelvis is often referred to as which component of labor? | Passage |
| Overlapping of skull bones along the suture lines; facilitates passage through the rigid pelvis; caused by the force of uterine contractions | Molding |
| Refers to settling of the presenting part of a fetus far enough into the pelvis that it rests at the level of the ischial spines, the midpoint of the pelvis. | engaged |
| refers to the setting of the presenting part of a fetus far enough into the pelvis that it rests at the level of the ischial spines, the midpoint of the pelvis | engaged |
| _______ sign- Globular shape of uterus | Calkin |
| What placental presentation shows the Maternal Side; Separation started at the edges | Duncan |
| Measure for women in second stage of labor; light massage | Effleurage |
| Which closes at 2 months | to be answered |
| What kind of attitude is the image below | Good flexion
good flexion instead of breech because what was asked was the attitude instead of the position |
| What position is this? | ROA
Right Occiput Anterior |
| What position is this? (three/four letters only) | ROP
Right Occiput Posterior |
| what station means engaged? | 0 |
| Enumerate the cardinal signs of labor: | DFIREERE:
Descent
Flexion
Internal Rotation
Extension
External Rotation
Expulsion |
| Indication if decreased fetal heart rate (FHR) at start of uterine contraction (UC). Returns to baseline at end of UC. | to be answered pero tagna nako fetal head compression |
| What position is born fastest? | Anterior positions |
| A nulliparous client at 37 weeks' gestation calls the labor and delivery unit starting she thinks she is in labor. The nurse predicts she is in true labor based on which answer to her assessment questions? | Contraction, regular and lasting longer and stronger |
| The body part of the fetus that has the widest diameter is the | head |
| The nurse is measuring a contraction from the beginning of the increment to the end of the decrement for the same contraction. the nurse would document this as which finding? | Duration of contraction |
| The chin is not touching the chest but is in an alert or "military position" | Moderate flexion |
| The obstetrician is examining a woman who is in early labor to determine the positioning of the fetus. The nurse knows that which of the following fetal attitudes would be the most advantageous for birth? | head flexed forward so much that the chin touches the sternum |
| Identify acme | the peak or highest point of intensity |
| Identify increment | The increasing intensity of a contration or contraction |
| Identify Resolution: | the gap or elapse between contractions (after the previous contraction until the start of next contraction) |
| identify Frequency: | The duration between contractions (from the start of a contraction until the start of another contraction) |
| Identify decrement: | The decreasing intensity of a contraction or contraction |
| A woman comes to the clinic complaining of irregular contractions lasting less than 30 seconds and occurring no more frequently than 5 times in 1 hour. She is afraid of losing the pregnancy. She is at 26 weeks of gestation with her first child. What is most likely happening to this woman? | Braxton Hicks Contraction |
| Which should not be given to a pregnant? | measles |
| A 34 weeks AOG pregnant mother asked the nurse how much she should be gaining weight in her current trimester? | 4 lbs per month |
| A pregnant client in her third trimester is diagnosed with supine hypotension syndrome. What would the nurse instruct the client to do? | Lie laterally, preferably on the left side |
| Which statement by the pregnant woman shows an understanding that she should avoid teratogens in the first trimester? | "I have to call my doctor to switch me from lithium to another drug for my bipolar disorder? |
| The use of what during pregnancy is potentially most harmful to the fetus? | alcohol |
| newborn was assessed with smooth philtrum, irritability, thin lips and flat mid face. | Fetal alcohol syndrome |
| Caused by intraerythrocytic protozoa of the genus Plasmodium transmitted to humans by the bite of an infected female Anopheles mosquito | malaria |
| A pregnant client complains to the nurse about the discomforts of pregnancy. Which of the following should the nurse asure her is a common discomfort of pregnancy? | Frequent urination |
| A pregnant patient is experiencing a vaginal discharge and wants to douche. What should the nurse instruct the patient about this health practice? | Avoid routine douching |
| All of the following activities should be avoided in pregnancy EXCEPT | Taking a bath |
| Which assessment indicates that the newborn was exposed to Cytomegalovirus during intrauterine life? | "blue berry-muffin" lesion |
| A pregnant patient is planning travel to a foreign country as part of a work assignment and needs immunizations. What should the nurse instruct the patient about immunizations while pregnant? | Live virus immunizations are contraindicated while pregnant |
| A pregnant client in her second trimester visits a health care center. She informs the nurse that at times she experiences difficulty breathing. What would the nurse identify as the most likely cause of the client's report? | Pressure on the diaphragm by the growing fetus |
| A woman reports constant redness and itching of her palms early in her pregnancy. she fears that she is suffering an allergic reaction and asks the nurse whether this is normal. What explanation should the nurse mention? | It is caused by increased estrogen levels and should disappear in time. |
| A client in her trimester of pregnancy visits the healthcare facility. The client informs the nurse that she has a pet cat at home and wants to know if it poses any threat to the fetus. Which response by the nurse would be most appropriate? | "You should not empty the cat's litter box" |
| A pregnant woman in the 36th week of gestation reports that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that his is an expected finding at this stage of pregnancy. Which intervention is appropriate for the nurse to suggest? | "Try elevating your legs when you sit." |
| Husband complained to the nurse that her wife, 10 weeks pregnant, is craving for dirt. Nurse should | check for serum iron levels |
| A pregnant client in her 12th week of gestation expresses a desire to continue her employment in a chemical factory. The nurse would question the woman about exposure to which of the following in the workplace? | Lead |
| Position to Relieve Varicosities are the following except: | Lithotomy position |
| A pregnant woman is flying across the country to visit her family. After teaching the woman about traveling during pregnancy, which statement indicates that the teaching was successful? | "I'll get up and walk around the airplane about every 2 hours." |
| A teratogen is any factor, chemical or physical, that adversely affects the fertilized ovum, embryo, or fetus. A fetus is extremely vulnerable to environmental injury during | First Trimester |
| Leukorrhea is a Vaginal discharge that occurs in response to | high estrogen levels |
| When questioned about alcohol consumption at her first prenatal visit, a client says that she drinks occasionally. What should the nurse urge her to do? | Abstain from alcohol completely during the remainder of her pregnancy |
| A woman in false labor arrives at the hospital. when she reaches the labor and delivery floor, she asks the nurse to place a special knife she has brought from home under the mattress of her bed. This is an example of which of the following? | Cultural belief |
| A pregnant client informs the nurse that she is used to exercising daily on the treadmill and usually feels exhausted when finished. What should the nurse advise the client about this form of exercise. | The client should never exercise to the point of exhaustion during pregnancy. |
| The patient informs the nurse that she wants to breastfeed and has many concerns because of stories she has heard from others. What would be the best response by the nurse? | I can sign you up for a breastfeeding class through the La Leche League |
| A couple is attending childbirth education classes that follow the Bradley method. The father demonstrates an understanding of his role according to this method when he does which of the following? | Provides a continuous presence in labor |
| Childbirth education is not just for primiparas because if a woman expecting her second or third child has waited several years between children, she usually appreciates refresher information as much as a primipara hungers for new information. | True |
| A pregnant patient informs the nurse, "I am not going to do those leg exercises anymore. Every time I do them, I get terrible leg cramps." How can the nurse educate the patient to continue her exercise program and alleviate leg cramps? | "When you are doing your leg exercises, you can prevent leg cramps by extending the heel and never pointing the toes." |
| A pregnant client informs the nurse that she often feels dizzy after doing floor exercises when rising. What does the nurse educate the client about the prevention of injury when exercising? | "This is called orthostatic hypotension. You should rise slowly when getting up from a supine position." |
| A pregnant woman asks you about the advantages of an alternative birthing center. You would explain to he that. | Birth is viewed as a wellness event. |
| A nurse is explaining to a client the focus of a preparation for childbirth class. Which of the following should be the focus of this type of class? | Psychological and physiological changes that occur with childbirth. |
| The following are common nonpharmacologic methods of pain relief can the nurse offer the client in labor, except. | Epidural anesthesia |
| The maternal health nurse is caring for a woman in early labor with 3 cm cervical dilation. Which statement will the nurse use when teaching the client consciously controlled breathing during contractions at this stage of labor? | Take slow, deep, full breaths" |
| At a routine prenatal visit, a client asks the nurse for information on the Bradley method of childbirth. Which of the following would the nurse identify as an active participant during childbirth using the Bradley method? | Father |
| Giving birth without healthcare provider supervision woman learns pregnancy care from reading books or articles found on the internet and then arranges to have her childbirth at home, perhaps accompanied by her family or friends. | Freebirthing |
| What might the nurse suggest for a woman who reports chronic back pain at the end of her pregnancy? | Pelvic rocking |
| The nurse is educating a pregnant woman and her partner to trace a pattern on her abdomen with her fingertips as a distraction method during contractions. What type of distraction method is this considered? | Effleurage |
| The nurse is caring for a laboring woman who prefers to use the Leboyer method of childbirth. Which action will the nurse take prepare the client's room? | Darkening the birthing room |
| A pregnant woman asks about the advantages of a hospital birth. Which information would the nurse most likely include in the response? | Security of knowing emergency equipment is on hand. |
| A nurse is teaching a pregnant client how to perform tailor sitting. She cautions the client to put one leg in front of the other and to not put one ankle on top of another to avoid which of the following potential complications? | Occluding blood supply to the lower legs |
| A mother of 4-year-old twin girls is expecting and asks the nurse if she can take her daughters to any classes to help prepare them for the birth of her new child. Which should the nurse recommend to this patient? | Sibling classes |
| A young patient tells the nurse that she wants to get pregnant and it would be her first pregnancy. In which type of classes should the nurse instruct this patient to enroll? | Preconception classes |
| also stretches the perineal muscles and can be useful position for second-stage labor as well and, like tailor sitting, should be practiced for about 15 minutes a day. For pelvic muscles to stretch, a woman should keep her feet flat on the floor and not raise on her tiptoes. Incorporating this into daily activities such as picking up toys from the floor reduces the amount of time a woman must devote to daily exercises. | Squatting |
| The nurse is educating the pregnant patient on exercises to strengthen pelvic and abdominal muscles in preparation for childbirth. The patient states, "I don't have time in my day to do any exercises." What is the best response by the nurse? | "These exercises don't require any specific equipment and can be incorporated into your daily activities." |
| The maternal health nurse is caring for a pregnant woman who expresses a desire to have a water birth. When discussing this option with the client, which disadvantage will the nurse identify? | Contamination of the water |
| The client in labor is being coach by her partner. During contractions the partner tells the client to close her eyes and imagine the waves on the beach reaching the shore. What type of distraction technique is the partner using? | Guided imagery |
| A client expresses a concern to the nurse about maintaining sexual responsiveness and preventing incontinence after giving birth. Which of the following exercises should the nurse most strongly recommend for these purposes? | Pelvic floor exercises |
