HURST Review: Maternity Nursing Questions and Answers Solved By Expert. Updated 2023 Downl, Exams of Nursing

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HURST Review:

Maternity

Nursing

Questions and

Answers Solved

By Expert.

Updated 2023

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 What is the name of the hormone that induces amenorrhea? - Correct answer progesterone  Progesterone makes your temperature - Correct answer increase after ovulation  Signs/Symptoms of Pregnancy: Presumptive signs include - Correct answer -amenorrhea

 -N/V

 -urinary frequency  -breast tenderness  Signs/Symptoms of Pregnancy - Presumptive Signs: What can be one of the first signs of pregnancy? - Correct answer urinary frequency  amenorrhea  N/V  breast tenderness  Signs/Symptoms of Pregnancy - Presumptive Signs: Why is breast tenderness is presumptive sign of

pregnancy? - Correct answer because of the excess hormones in the body  Probable signs of pregnancy include...

- Correct answer -positive pregnancy test  -Goodell's sign  -Chadwick's sign  -Hegar's sign  -uterine enlargement  -Braxton Hicks contractions  -pigmentation changes of skin  Signs/Symptoms of Pregnancy - Probable Signs: A positive pregnancy

test is based on the presence of - Correct answer hCG levels  Signs/Symptoms of Pregnancy - Probable Signs: There are other conditions that can increase hCG levels like - Correct answer hydatidiform (molar pregnancy) or some other medications  Signs/Symptoms of Pregnancy - Probable Signs: What is hydatidiform (molar pregnancy)? - Correct answer benign neoplasm of grape-like vesicles that can become malignant

 If a hydatidiform (molar pregnancy) is not malignant - Correct answer a D & C is required with close follow-up for 6 months to 1 year  Probable Signs: What is Goodell's sign? - Correct answer softening of the cervix during the second month  Probable Signs: What is Chadwick's sign? - Correct answer bluish color of the vaginal mucosa and cervix during the 4th week d/t vasocongestion  Probable Signs: What is Hegar's sign?

- Correct answer softening of the

lower uterine segment during the 2nd/3rd month  Probable Signs: Braxton Hicks contractions occur when and for what purpose? - Correct answer they occur throughout pregnancy and move blood through the placenta  Probable Signs: What skin pigmentation changes occur? - Correct answer -linea nigra  -facial chloasma  -abdomen striae  -darkening of the areola

 Positive signs of pregnancy include - Correct answer -fetal hearbeat  -fetal movement  -ultrasound  Signs/Symptoms of Pregnancy - Positive Signs: Fetal heartbeat can be heard with a doppler weeks - Correct answer 10 to 12  Positive Signs: Fetal heartbeat can be heard with a fetoscope weeks - Correct answer 17 to 20  Pregnancy Terms: Terms include - Correct answer -gravidity

 -parity  -viability  -TPAL  Pregnancy Terms: What is gravidity? - Correct answer the number of times someone has been pregnant  Pregnancy Terms: What is parity? - Correct answer the number of pregnancies in which the fetus reaches 20 weeks  Pregnancy Terms: What is viability? - Correct answer when an infant has the ability to live outside the uterus

 Pregnancy Terms: The age of viability is - Correct answer 24 weeks; anything less is NOT considered viable  Pregnancy Terms - TPAL: What does this acronym stand for? - Correct answer T - term  P - preterm  A - abortion (includes spontaneous and elective)  L - living children

 Pregnancy Terms - TPAL: Bleeding, cramping, backache...think - Correct answer miscarriage  Pregnancy Terms - TPAL: With an imminent miscarriage, the _________________ will begin to drop - Correct answer hCG level  Pregnancy Terms - TPAL: Most miscarriages occur before - Correct answer 20 weeks  Pregnancy Terms - Naegle's Rule for the EDD: Steps to calculate - Correct

answer 1. find the first day of the LMP  2. add 7 days  3. subtract 3 months  4. add 1 year  Pregnancy Terms - Naegle's Rule for the EDD: This rule is only accurate plus or minus - Correct answer 2 weeks  Trimesters of Pregnancy - First Trimester: This trimester is weeks - Correct answer 1 through 13

 First Trimester - Client Education/Teaching: During this trimester it is important to teach the client about - Correct answer - nutrition  -weight gain  -prenatal vitamin supplements  -exercise  -danger signs and potential complication of maternity  -common discomforts  -medications  -smoking  -primary healthcare provider visits  -ultrasounds

 First Trimester - Client Education/Teaching: Increase protein intake to - Correct answer 60 grams per day (40-45 is normal)  First Trimester - Client Education/Teaching: Regarding culture, consider nutritional influences such as - Correct answer - hot vs cold foods  -Kosher foods  -fasting  First Trimester - Client Education/Teaching: The client should expect to gain ___________________

pounds in the first trimester and will also be dependent on what the _______________________ is - Correct answer 1 to 4; starting BMI  First Trimester - Client Education/Teaching: What are the biggest complaints with iron? - Correct answer constipation and GI upset  First Trimester - Client Education/Teaching: Always take iron with __________ and why? - Correct answer vitamin C because it prevents GI upset and enhances absorption

 First Trimester - Client Education/Teaching: Folic acid prevents - Correct answer neural tube defects  First Trimester - Client Education/Teaching: What is the daily dose of folic acid? - Correct answer 400 mcg/day  First Trimester - Client Education/Teaching: What are some iron-rich foods? - Correct answer - liver  -spinach

 -lentils  -raisins  -fortified cereal  -dark chocolate  -dried fruit  First Trimester - Client Education/Teaching: Regarding exercise, NO _____________ - Correct answer high impact exercise  First Trimester - Client Education/Teaching: What are the best exercises to do? - Correct answer walking and swimming

 First Trimester - Client Education/Teaching: NO heavy exercise program, but can - Correct answer continue regular exercise program  First Trimester - Client Education/Teaching: When exercising, you do NOT want your heart rate to get above - Correct answer 140  First Trimester - Client Education/Teaching: If the HR goes over 140 bpm - Correct answer there will be decreased CO and decreased uterine perfusion

 First Trimester - Client Education/Teaching: We do not want these patients to get ________________ so NO ______________________ because these will

---

and can cause __________________

- Correct answer overheated; hot tubs or heating blankets; increase body temperature; birth defects  First Trimester - Client Education/Teaching: What are some danger signs and potential

complications of maternity? - Correct answer -sudden gush of vaginal fluid  -bleeding  -persistent vomiting  -severe H/A  -abdominal pain  -increased temps  -edema  -NO fetal movement  First Trimester - Client Education/Teaching: What is the most common complaint associated with poor outcomes? - Correct answer no fetal movement

 First Trimester - Client Education/Teaching: What are common discomforts during this trimester? - Correct answer - constipation  -ankle edema  -N/V  -breast tenderness  -urinary frequency  -tender gums  -fatigue  -heartburn  -increased vaginal secretions  -nasal congestion  -varicose veins  -hemorrhoids  -backache

 -leg cramps  First Trimester - Client Education/Teaching: What are you going to tell the pregnant person about taking medications? - Correct answer NO medication  First Trimester - Client Education/Teaching: What is smoking during pregnancy associated with? - Correct answer -small for gestational age  -low birth weight babies  -cleft lip or palate  -placental abruption

 First Trimester - Client Education/Teaching: The risk for placental abruption doubles with - Correct answer smoking  First Trimester - Client Education/Teaching: How often should a pregnant client visit the primary healthcare provider during the first 28 weeks? - Correct answer once a month  First Trimester - Client Education/Teaching: How often should a pregnant client visit the

primary healthcare provider during weeks 28-36 weeks? - Correct answer every 2 weeks (twice a month)  First Trimester - Client Education/Teaching: How often should a pregnant client visit the primary healthcare provider after 36 weeks? - Correct answer weekly until delivery  First Trimester - Client Education/Teaching: Before an ultrasound, what will you ask the client to do? - Correct answer drink water

 First Trimester - Client Education/Teaching: Why do you have the client drink water before an ultrasound? - Correct answer to distend the bladder and push the uterus up closer to the abdominal surface because it makes an easier to get a good picture  First Trimester - Client Education/Teaching: With an ultrasound before a procedure what do you have the client do? - Correct answer void