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NUR 230 Exam 1: Pregnancy and Childbirth - Key Concepts and Answers, Exams of Nursing

Anne Arundel Community CollegeNursing

A comprehensive overview of key concepts related to pregnancy and childbirth, including definitions, signs and symptoms, and important considerations for maternal health. It includes a series of questions and answers covering topics such as gravida and para, naegele's rule, signs of pregnancy, cardiovascular changes, and common pregnancy complications. Valuable for students in nursing programs or those interested in learning about the physiological and medical aspects of pregnancy.

Typology: Exams

2024/2025

Available from 12/21/2024

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NUR 230 Exam 1 with correct
answers
What is gravida? - ** VERIFIED ANSWERS🔰 ✔✔Total number of
pregnancies
What is para? - ** VERIFIED ANSWERS🔰 ✔✔Total number of viable
pregnancies (at lease 20 weeks gestation)
Describe Naegele's Rule? - ** VERIFIED ANSWERS🔰 ✔✔Used to determine
the expected date of delivery (EDD)
How is the EDD determined? - ** VERIFIED ANSWERS🔰 ✔✔Naegele's Rule:
(First day of last period+ 7 days) - 3 months
What are the signs of pregnancy? - ** VERIFIED ANSWERS🔰
✔✔Presumptive, Probable, Positive
What is a presumptive sign of pregnancy? - ** VERIFIED ANSWERS🔰
✔✔N&V, breast changes, fatigue, urinary frequency
What is a probable sign of pregnancy? - ** VERIFIED ANSWERS🔰
✔✔Goodell's sign, Chadwick's sign, Hegar's sign, positive pregnancy test
What is a positive sign of pregnancy? - ** VERIFIED ANSWERS🔰 ✔✔Hearing
fetal heart tones (12 wks), Visualization of the fetus (4 wks), palpating fetal
movement, and visualizing fetal movements: Ultrasound (18 wks)
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Download NUR 230 Exam 1: Pregnancy and Childbirth - Key Concepts and Answers and more Exams Nursing in PDF only on Docsity!

NUR 230 Exam 1 with correct

answers

What is gravida? - ** VERIFIED ANSWERS 🔰 ✔✔ Total number of pregnancies What is para? - ** VERIFIED ANSWERS 🔰 ✔✔ Total number of viable pregnancies (at lease 20 weeks gestation) Describe Naegele's Rule? - ** VERIFIED ANSWERS 🔰 ✔✔ Used to determine the expected date of delivery (EDD) How is the EDD determined? - ** VERIFIED ANSWERS 🔰 ✔✔ Naegele's Rule: (First day of last period+ 7 days) - 3 months What are the signs of pregnancy? - ** VERIFIED ANSWERS 🔰 ✔✔ Presumptive, Probable, Positive What is a presumptive sign of pregnancy? - ** VERIFIED ANSWERS 🔰 ✔✔ N&V, breast changes, fatigue, urinary frequency What is a probable sign of pregnancy? - ** VERIFIED ANSWERS 🔰 ✔✔ Goodell's sign, Chadwick's sign, Hegar's sign, positive pregnancy test What is a positive sign of pregnancy? - ** VERIFIED ANSWERS 🔰 ✔✔ Hearing fetal heart tones (12 wks), Visualization of the fetus (4 wks), palpating fetal movement, and visualizing fetal movements: Ultrasound (18 wks)

What are the effects of pregnancy on the cardiovascular system? - ** VERIFIED ANSWERS 🔰 ✔✔ There is extra fluid on board so the CO increases 10%-50%. The heart rate increases 10-15 bpm What is asked/done in first GYN appt? - ** VERIFIED ANSWERS 🔰 ✔✔ -Pap smear -STD's -Were they on birth control or antibiotics? -Currently taking any medications? -Currently using tobacco, alcohol, or illegal drugs?

  • Ask about resources (social, financial) -Any previous pregnancies How much should caffeine be decreased to? - ** VERIFIED ANSWERS 🔰 ✔✔ 1-2 servings a day What foods are rich in iron? - ** VERIFIED ANSWERS 🔰 ✔✔ -Red meat -Dark leafy greens -Beans -Poultry What are ways in which the mother can avoid heartburn? - ** VERIFIED ANSWERS 🔰 ✔✔ -Good posture -Avoid spicy foods -Eat small meals At how many weeks can you see the fetus on an ultrasound? - ** VERIFIED ANSWERS 🔰 ✔✔ 6 weeks

-Softens the cervix -Develops the breast in prep for lactation What is the effect of Progesterone on the body? - ** VERIFIED ANSWERS 🔰 ✔✔ Smooth muscle relaxer What are things to teach the mother during pregnancy? - ** VERIFIED ANSWERS 🔰 ✔✔ -No changing of cat litter -May take a tub bath unless they have a ROM -Should not eat raw meats What is lightning? - ** VERIFIED ANSWERS 🔰 ✔✔ The dropping of the baby into the pelvis, occurs at 36 weeks What is quickening? - ** VERIFIED ANSWERS 🔰 ✔✔ the initial awareness of mother usually occurs at 16-22 weeks What is HpL? - ** VERIFIED ANSWERS 🔰 ✔✔ An insulin antagonist. It increases blood glucose in pregnancy What is HcG? - ** VERIFIED ANSWERS 🔰 ✔✔ It maintains the corpus luteum until the placenta is functional. The hormone used on a pregnancy test. What is a risk for an ectopic pregnancy? - ** VERIFIED ANSWERS 🔰 ✔✔ Hemorrhage What should the mother do after the removal of a molar pregnancy? - ** VERIFIED ANSWERS 🔰 ✔✔ She should use protection for one year. Mother can get cancer at the time and it is detrimental to the fetus if she should get pregnant.

What is considered a "term" pregnacy? - ** VERIFIED ANSWERS 🔰 ✔✔ 37- weeks What is considered a "preterm" pregnancy? - ** VERIFIED ANSWERS 🔰 ✔✔ 20- less than 37 weeks What is a viable pregnancy? - ** VERIFIED ANSWERS 🔰 ✔✔ Ability to live outside of the uterus: 22-24 weeks What is Vena Cava syndrome? - ** VERIFIED ANSWERS 🔰 ✔✔ Dizziness related to the fetus pressing on the inferior vena cava. Re position the patient on her left side What is gestational diabetes? - ** VERIFIED ANSWERS 🔰 ✔✔ Insulin needs decrease in the first trimester and increase in the second and third. Baby can be born macrosomic meaning larger than 9 lbs Describe pregnancy induced Hypertension - ** VERIFIED ANSWERS 🔰 ✔✔ Systolic is 30mg above baseline. Swollen hands and edema What is placenta previa? - ** VERIFIED ANSWERS 🔰 ✔✔ Abnormal implantation of the placenta in the lower uterus. No pain but bright vaginal bleeding. When does labor begin? - ** VERIFIED ANSWERS 🔰 ✔✔ With the first uterine contraction. What are the different ways that uterine contractions are assessed? - ** VERIFIED ANSWERS 🔰 ✔✔ -Frequency -Intensity -Duration

What is it called when the cervix are sewed up due to an incompetent cervix? - ** VERIFIED ANSWERS 🔰 ✔✔ Cerclage What is the drug of choice for preeclampsia? - ** VERIFIED ANSWERS 🔰 ✔✔ Mag Sulfate What needs to be monitored when a patient is on Mag sulfate? - ** VERIFIED ANSWERS 🔰 ✔✔ RR, reflexes, and LOC What are the signs and symptoms of preeclampsia? - ** VERIFIED ANSWERS 🔰 ✔✔ Elevated BP and proteinuria. May cause decreased profusion to the placenta Latent phase - ** VERIFIED ANSWERS 🔰 ✔✔ 3cm of dilation. Contractions are about 3-30 minutes apart and last about 30-40 seconds. Active phase - ** VERIFIED ANSWERS 🔰 ✔✔ 4-7cm of dilation. Contractions are about 2-5min apart and last about 40-60 seconds. Transition phase - ** VERIFIED ANSWERS 🔰 ✔✔ 8-10cm of dilation. Contractions are about 1.5-2 minutes apart and last about 60-90 seconds. When is "POOF" done? - ** VERIFIED ANSWERS 🔰 ✔✔ Late decelerations What are the 4 stages of labor? - ** VERIFIED ANSWERS 🔰 ✔✔ 1. Labor

  1. Birth
  2. Expulsion of placenta
  3. Family/Newborn interaction