Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/, Exams of Nursing

Download Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/ and more Exams Nursing in PDF only on Docsity! Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 A woman who have birth 2 hours ago has a temperature of 37.9 *C. Select all of the immediate nursing actions A) Have pt drink 2 glasses of fluid over the next hour B) Explain to the patient that she needs to rest and assist her into a comfortable position C) Medicate pt with 500 mg of acetaminophen as per orders D) Call the patient's physician or midwife to report the elevated temp - ansA & B Reasoning: A mild temperature elevation within a few hours of birth can be related to dehydration and exhaustion. Acetaminophen is given if temperature remains elevated after the woman has been hydrated and rested. The physician or midwife is notified if temperature remains elevated after initial interventions. 3 hours after a vaginal delivery, the client complains of increased perineal pain. What should the nurse do first? A) Administer analgesia as ordered B) Assess the perineum C) Perform perineal care D) Apply ice to perineum - ansB A woman gave birth to a 3200 g baby girl with an estimated gestational age of 40 weeks. The baby is 1 hour of age. In preparation of giving the baby an injection of Vitamin K, the nurse will: A) Explain to the parents the action of the medication and answer their questions B) Remove neonate from the room so parents will not be distressed by seeing the injection C) Completely undress the neonate to identify the injection site D) Replace needle with a 21 gauge ⅝ needle - ansA Reasoning: It is important to always explain to parents wHat and why a procedure is being done on the newborn When assessing a placenta and umbilical cord at delivery, the nurse must know that the normal cord has: A) 1 vein and 2 arteries B) 2 veins and 1 artery C) 1 vein and 1 artery D) 2 veins and 2 arteries - ansA (AVA) When reviewing a potential cause for postpartum hemorrhage with the student nurse, the nurse is sure to include the finding of a(n) ____________ bladder - ansFULL/OVERDISTENDED Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 Reasoning: An overdistended bladder, which displaces the uterus above and to the right of the umbilicus, can cause uterine atony and lead to hemorrhage Maddy, a G3 P1 woman, gave birth 12 hrs ago to a 9lb 13 oz daughter. She experiences severe cramps with breastfeeding. The perinatal nurse best describes this condition as: A) Afterpains B) Uterine hypertonia C) Bladder hypertonia D) Rectus abdominis diastasis - ansA Reasoning Afterpains are intermittent uterine contractions that occur during the process of involution. Afterpains are more pronounced in patients w/ decreased uterine tone due to overdistension, which is associated w/ multiparity and macrosomia. Patients often describe the sensation as a discomfort similar to menstrual cramps What does GTPAL mean? - ansG: Gravida → # of times a woman has conceived including current pregnancy T: Term Births → # of times a woman has carried a pregnancy to at least 37 weeks and delivered P: Preterm Births → # of births a woman has delivered before 37 weeks gestation but after 20 weeks A: Abortions → # of times a woman has lost a pregnancy, whether it was elective or spontaneous (miscarriage), before 20 weeks gestation L: living children → live births The best way for the nurse to enhance parental confidence is to A) Have the parents watch a video tape of infant care, then discuss it with them B) Demonstrate skills on the newborn while providing care C) Encourage new parents to ask their friends about infant care D) Provide encouragement and positive feedback - ansD The nurse is teaching the parents of a female baby how to change a baby's diapers. Which of the following should be included in the teaching? A) Always wipe the perineum from front to back B) Remove any vernix caseosa from labia folds C) Put powder on buttocks every time the baby stools D) Weigh every diaper in order to assess for hydration - ansA Reasoning Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 Reasoning Incisional pain and abdominal distension often cause patients to adopt shallow breathing patterns haht can lead to decreased gas exchange and a reduced tidal volume. To facilitate adequate lung functions, patients should be taught how to perform pulmonary exercises. Expectoration of secretions and deep breathing help prevent common complications including atelectasis and pneumonia. Abdominal distension and gas pains are common after abdominal surgery and result from delayed peristalsis The nurse assesses the postpartum patient who has not had a bowel movement by the 3rd postpartum day. Which nursing intervention would be appropriate? A) Encourage the new mother to be patient, saying "it will happen soon" B) Obtain an order for a stool softener C) Decrease fluid intake D) Instruct patient to eat a low fiber diet - ansB When assessing the apical pulse of the neonate, the stethoscope should be placed at the A) First or second intercostal space B) Second or third intercostal space C) Third or fourth intercostal space D) Fourth or fifth intercostal space - ansC A postpartum woman, who gave birth 12 hours ago, is breastfeeding her baby. She tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response for this patient is: A) I understand your concern, but your baby will be okay until your milk comes in B) Your baby seems content, so you should not worry about him getting enough to heat C) Milk normally comes in around the third day. Prior to that, he is getting colostrum, which is high in protein and immunoglobulins which are important for your baby's health D) You can bottle feed until your milk comes in - ansC Reasoning This response provides info on the stages of milk production to help the woman understand her newborn's nutritional needs Keisha, a 26 year old, has come from preconception counseling and asks about caring for her cat as she has heard that she "should not touch the cat during pregnancy." the clinic nurse's best response is: A) It is best if someone other than you changes the cat's litter pan during pregnancy so that you have no risk of toxoplasmosis during pregnancy B) It is important to have someone else change the litter pan during pregnancy and also avoid consuming raw vegetables C) Have you had any "flu like" symptoms since you got your cat? If so, you may have already had toxoplasmosis and there is nothing to worry about D) Toxoplasmosis a concern during pregnancy, so it is important to have someone else change the cat's litter pan and also to avoid consuming uncooked meat - ansD Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 Reasoning Women need to be aware that Toxoplasma gondii, a single celled parasite, is responsible for the infection toxoplasmosis. The majority of individuals who become infected with toxoplasmosis are asymptomatic, although when peasant, s/s are described as "flu like" and include glandular pain and enlargement and myalgia. Severe toxoplasmosis infection may cause damage to the fetal brain, eyes, or other organs. Toxoplasmosis is usually acquired by consuming raw or poorly cooked meat that has been contaminated w/ Toxoplasma gondii. Toxoplasmosis may also be acquired through close contact w/ feces from an infected animal (usually cats) or soil that has been contaminated with Toxoplasma gondii Information provided by the nurse that addresses the function of the amniotic fluid is that the amniotic fluid helps the fetus to maintain a normal body temperature and also: A) Facilitates asymmetrical growth of fetal limbs B) Cushions the fetus from mechanical injury C) Promotes development of muscle tone D) Promotes adherence of fetal lung tissue - ansB A nurse is assigning care of postpartum patients to a licensed vocational nurse (LVN). Which postpartum patient is at the greatest risk for postpartum bleeding from uterine atony, and should not be delegated to an LVN's care? A) A breastfeeding postpartum patient B) A patient who delivered vaginally after a prolonged labor C) A primiparous patient D) A postpartum patient who began early ambulation - ansB The perinatal nurse defines each of the following as substances that adversely affects the growth and development of the embryo/fetus EXCEPT: A) Folic acid B) Tetracycline C) Rubella virus D) Varicella zoster - ansA How often can you give ice packs? - ansevery 2-4 hrs for the first 24 hrs The perinatal nurse teaches the postpartum woman that the most critical time to achieve effectiveness from the application of ice packs to the perineum is during the first 24 hours. A) True B) False - ansA Reasoning Can give ice packs every 2-4 hours during the 1st 24 hrs Every time the nurse enters the room of a postpartum patient who gave birth 3 hours ago, the patient asks something else about her birth experience. The nurse should: A) Answer questions quickly and try to divert her attention to other subjects B) Submit a referral to Social Services because of possible obsessive behavior Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 C) Contact the physician to warn him the patient might want to file a lawsuit, based on her preoccupation with the birth experience. D) Review the documentation of the birth experience and discuss it with her. - ansD The nurse should notify the physician immediately concerning which of the assessment findings? A) Musty odor to lochia 48 hours postpartum B) Firm uterus with steady trickle of blood 2 hours after delivery C) Three pea-sized clots passed 4 hours after delivery D) Scant amount of rubra lochia after cesarean delivery - ansB A woman delivered her third baby vaginally 18 hours ago. She has strong afterpains each time she breastfeeds the baby. To promote comfort the nurse should: A) Massage the client's fundus before the baby nurses B) Have the client perform Kegel exercises while she nurses the baby C) Have the client use a nipple shield when the baby nurses D) Administer an analgesic one hour before the baby will nurse - ansD The nurse is assessing a client's fundus and finds it firm, 2 centimeters above the umbilicus, and displaced to the right. What is the most appropriate intervention? A) Massage the fundus until firm B) Notify the physician C) Start a pad count D) Have the client void and reassess the fundus - ansD A perinatal nurse assesses a term newborn for respiratory functioning. The nurse knows that which of the following conditions is normal for newborns? Select all that apply. A) A respiratory rate of 60 to 80 breaths per minute B) A breathing pattern that is often shallow, diaphragmatic, and irregular C) Periodic episodes of apnea D) The neonate's lung sounds may sound moist during early auscultation - ansB, C, D Reasoning: Most fetal fluid is reabsorbed within the first few hours, but in some infants this process may take up to 24 hours and the lungs may sound moist for the first 24 hours. The newborn identification bands on an infant rooming-in with her mother are to be checked a minimum of: A) Once a shift B) Every two hours C) Every 4 hours D) Once a day - ansA A healthy, full-term baby is scheduled for a circumcision. Nursing actions prior to the procedure include which of the following? Select all that apply. A) Obtain written consent from mother B) Administer acetaminophen P.O. 1 hour before procedure per MD order C) Feed neonate glucose water 30 minutes before procedure D) Obtain neonates protime - ansB, C Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 also could be Location, Tone, Lochia the normal height of a first day postpartum woman is ___________. it should decrease ______ fingerbreadth per _________ - ansat the level of the umbilicus 1 day the tone should be __________. if found boggy the nurse would________ - ansFIRM MASSAGE what are the three types of lochia - ansrubra serosa alba what is the normal amount of lochia - ansFor first 24-48 hrs, you would expect patient to fully saturated a large maxi pad every few hours. It is heavier than a heavy period. After this, it will start to decreases over the next few weeks should not be absent in the first 3 weeks! Should not get heavier after it has gotten better what question is important to ask the woman when assessing the amount? - anshow many pads have you gone through per hour/day? has it increased? clots? what is the normal odor of lochia - ansfleshy odor what are the characteristics of lochia? - ans- should not be excessive in amount - should never have an offensive odor - should not contain large pieces of tissue - should not be absent during the first 3 weeks - should proceed from rubra to serosa to alba Lochia rubra - ansdark red and consists mainly of blood occurs from day 1-3 lochia serosa - anspinkish serum with mucus and debris usually occurs on day 3-10 lochia alba - anscreamy yelllowish brownish occurs after day 10 lochia should never be ________ in amount - ansexcessive lochia should never have a(n) ________ odor - ansfoul lochia should not contain ___________ __________ of tissue - anslarge pieces lochia should not be _________ during the first _____ weeks - ansabsent 3 Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 lochia should proceed from __________ to _________ to _________ - ansrubra serosa alba What are the characteristics of the cervix PP? - ansremains soft and flabby, appears bruised and may have some lacerations no longer does the external os have the pre-pregnant appearance - now appears as a jagged slit not a circle what are the characteristics of the vagina PP? - ans- may be edematous and bruised - rugae begin to appear when ovarian function returns - may teach the mom to do Kegels to increase the blood flow to the area and aid in healing when is the REEDA asessemnt done? - ansassessing episiotomy or lacerations what is REEDA? - ansR: redness E: edema or swelling E: ecchymosis or bruising D: drainage A: approximation how should the nurse assess the perineum? - ansby having the woman lay on her site with her top leg over the side, lift up the upper buttocks and examine visually, making sure to look for hematomas, hemorrhoids, s/s of infection, stages of healing, etc what are the measures to teach the mom in caring for the perineum - answipe from front to back assess for bleeding and s/s of ifnection ice packs for 2-4 hours for the first 24 hrs Peri bottle when changing pad and after voiding Sitz baths after the first 24 hours what are measures to relieve perineal discomfort? - ansice packs topical agents perineal care sitz baths what are measures to relieve hemorrhoidal discomfort? - anssitz baths topical anesthetic ointments witch hazel pads when does menstruation generally return? - ansnon breastfeeding: average = 3 months breastfeeding: 3-8 months depending on frequency and duration of breastfeeding return is prolonged for breastfeeding mom because of alterations in the gonadotropin-releasing hormone production why is the return of menstruation prolonged in breastfeeding moms? - ansreturn is prolonged for breastfeeding mom because of alterations in the gonadotropin-releasing hormone production Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 nurses teach moms that breastfeeding is NOT a reliable means of contraception? why is this? - ansmensuration and ovulation can still occur when breastfeeding, all dependent on frequency of it ovulation can return before menstruation happens what are the components of a breast exam? - ansallow mom to assess her own breasts, similar to doing a self breast exam - ask if feels any nodules, lumps - ask if nipples are sore, reddened, blistered, cracked - assess nipples for everted, flat, inverted what is the process of lactation - anssucking of infant stimulates the nerves beneath skin of the areaol to transmit messages to the hypothalamus hypothalamus sends messages to the pituitary gland - ANTERIOR PITUITARY stimulates PROLACTIN to be released which is the ultimate stimulation for milk production - POSTERIOR PITUITARY releases OXYTOCIN which stimulates the contraction of the cells around the alveoli in the mammary glands. This causes milk to be propelled through the duct system to the infant. this is the LET DOWN reflex. Felt as a tingling sensation breastfeeding care - ansno soap on nipples, wash in water wear supportive bra breastfeeding tips - most important is the "latch on". teach measures to assist w/ infant getting the nipple and areola in the mouth - teach different positions to hold the baby - no timing - relax to allow for let down - express colostrum on the nipples after feedign - remember drops of colostrum are the same as ounches of milk --> if wetting 6-10 diapers / day then must be getting enough to eat how do you know if baby is getting enough to eat? - ansshould be wetting 6-10 diapers per day how do you suppress lactation? - anskey is to teach the mother measures to decrease stimulation of the breasts - wear a tight fitting bra or binder - do not express milk from the breasts - take showers w/ back to the warm water - ice packs the anterior pituitary stimulates the release of ____________ which is responsible for __________ ______________ - ansprolactin Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 - give fluids - monitor temp - check labs - give tylenol as ordered BP could be slightly low, but may be normal for patient - give fluids the most common GI problem during postpartum is constipation, why? - ansdecreased peristalsis decreased fluids meds - iron fear from mom that it will cause pain or "rip her" episiotomy or laceration site what teaching is important to assist in decreasing constipation? - anshydration high fiber diet teach her that it will not rip her may be prescribed stool softener and/or laxative what is the most common problem associated with the urinary system PP? why be concerned? - ansdecreased sensation to void - this urinary retention can lead to UTIs, also overdistended bladder and thus PPH a primigravida delivered 2 hours ago. the woman states she would like to go to the bathroom. what should the nurse do? the woman is unable to void. what should the nurse do next? - ansassist the patient to the bathroom unable to void - put hand in basin of warm water - blow bubbles through a straw - listening to sounds of water - if she cannot void, may need to catheterize her who is more likely to experience afterbirth pains? - ansbreastfeeding moms (more oxytocin from nipple stimulation stimulates more contractions) mulitparous moms (more contractions needed to get uterus back to normal size) how do you relieve afterpains? - anspositioning (prone position) analgesia administered 1 hr before breastfeeding encourage early ambulation, monitor for dizziness and weakness what is the most common problem with rest and activity PP? - ansSleep Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 the excitement and exhiiration experienced by birth may make it difficult to sleep. they are tired and need rest. Allow times for uninterrupted sleep the PP patient wants to restart exercises, what should you tell them? - anshave patient ask her own doctor for specific exercises. Usually walking is safe may eventually do PP exercises. Just need to allow body to return to its prepreg state before straining it resumption of activities PP - ans- new mom should gradually increase activities and ambulation after birth - she should avoid heavy lifting, excessive stair climbing, strenuous activity - resume light housekeeping by 2nd week at home - delay returning to work until after 6 wk PP exam - encourage client to begin simple exercises while on the unit - inform her that increased lochia and pain may necessitate a change in activity PP mom just started exercising again, her pain increased to a 7 out of 10 and her lochia increased in amount, what should you tell her to do? - ansdecrease her activity perineal pain and what to do for it - anscaused from trauma during delivery, episiotomy, hemorrhoids sitz baths, tucks, sprays/foams, oral analgesics afterpain and what do you do for it - ansmore common in multigravidas and breastfeedign moms treat with MILD analgesics (NSAIDs, hcetaminophen), heating pad, lie on abdomen, discontinue use of oxytocin breast engorgement and what do you do for it? - answarm or cold packs, increase feedings, decrease stimulation, bind breasts gas distension and what do you do for it - ansno ice increase warm/hot fluids, increase walking, rocking chair, antiflatus drugs during shift assessment of the PP mom's peri pad, the nurse found it saturated w/ lochia rubra. What would be the priority nursing intervention? - ansassess her fundus what is the proper nutrition in PP moms? - ansmost moms are hungry and eager to eat. Start off slowly to avoid n/v diet should include - high in protein, Vit C, and fiber - increase in fluids Lactating moms need ~ 500-700 cal more for milk production Prenatal vitamins & iron supplements are often continued in PP period Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 what influences the responses of the mother to the birth of her infant? - ans- her parents own birth : parenting & nurturing - cultural background: only by understanding and respecting the values and beliefs of each woman can the nurse plan and meet the patient's needs - readiness for parenthood: emotional maturity, pregnancy planned or unplanned, financial status, job status - freedom from discomfort : physical condition - health of her newborn : physical condition, prematurity, congenital defects - opportunities for parent-infant interactions postpartum blues - anstransient period of depression - occurs first few days after delivery - mom may experience tearfulness, anorexia, difficulty sleeping, feeling of letdown usually resolves in 10-14 days bonding - ansinitial attraction felt by parents contact should occur ASAP and as frequently as possible allow tiem for attachment to occur with all members of the family Attachment - ansbond that endures over time occurs through naturally satisfying experiences reciprocity: mutually gratifying interaction among mother, infant, father what are the stages of the attachment process? - ans1) Enface 2) explore w/ fingertips 3) hands and palmar contact 4) whole arms (enfolds whole baby close to body) enface position - ansinfants face on same vertical plane as parent mutual gazing what is Claiming? - ansthe claiming process includes the identification fo the baby's specific features, relating them to other family members "those long toes are just like his dad's" what is this an example of? "those long toes are just like his dad's" - ansclaiming what are postpartum phases by rubin? - ans1) Taking in Phase 2) Taking Hold Phase 3) Letting Go Phase Taking In Phase - ansoccurs during day 1-3 following delivery Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 Nursing interventions - full resuscitation - reassess APGAR at 10 minutes You're assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 130, pink body and hands with cyanotic feet, weak cry, flexion of the arms and legs, active movement and crying when stimulated. What is your patient's APGAR score? - ansA: 1 P: 2 G: 2 A: 2 R: 1 Total: 8 You're assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 101, cyanotic body and extremities, no response to stimulation, no flexion of extremities, and strong cry. What is your patient's APGAR score? - ansA: 0 P: 2 G: 0 A: 0 R: 2 Total: 4 You're assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arm and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient's APGAR score? - ansA: 0 P: 2 G: 2 A: 1 R: 1 Total = 6 A newborn's five minute APGAR score is 5. Which of the following nursing interventions will you provide to this newborn? - ansSome resuscitation assistance - O2 - rubbing baby's back - reassess APGAR score Regarding the scenario in the question above, when would you reassess the APGAR? Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 A newborn's five minute APGAR score is 5. Which of the following nursing interventions will you provide to this newborn? - ans@ 10 minutes (so 5 minutes after last APGAR was done) You're assessing the five minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: pink body and hands with cyanotic feet, heart rate 109, grimace to stimulation, flaccid, and irregular cry. What is your patient's APGAR score? - ansA: 1 P: 2 G: 1 A: 0 R: 1 Total: 5 You're assessing the five minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 97, no response to stimulation, flaccid, absent respirations, cyanotic throughout. What is your patient's APGAR score? - ansA: 0 P: 1 G: 0 A: 0 R: 0 total = 1 A newborn's one minute APGAR score is 8. Which of the following nursing interventions will you provide to this newborn? - ansRoutine post delivery care Which of the following nursing interventions would protect the newborn from the most susceptible form of heat loss? A. Place the infant away from air currents B. Pre-warming the isolette C. Dry the infant thoroughly D. Removing wet linens from the isolette - ansC In assessing the newborn's apical pulse rate, the nurse knows that the upper range of normal is: A. 160 bpm B. 120 bpm C. 180 bpm D. 140 bpm - ansA Immediately following birth, the nurse assesses an infant's respiratory rate. Which of the following would be considered normal within the next two hours? A. 70 to 80 bpm B. 60 to 70 bpm C. 80 to 90 bpm D. 30 to 50 bpm - ansD Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 The nurse is making an initial assessment of the newborn. Which of the following data would be considered normal? A. Chest circumference 32.5cm, Head circumference 31.5cm B. Chest circumference 30cm, Head circumference 29cm C. Chest circumference 38cm, Head circumference 32.5cm D. Chest circumference 32.5cm, Head circumference 36cm - ansD The nurse teaches the parents of an infant who was recently circumcised to observe for bleeding. The teaching includes measures to implement if bleeding occurs; these include: A. Wrap the diaper tighter B. Change the Vaseline dressing and observe for one hour C. Apply gentle pressure to the site with gauze D. This is a normal finding - ansC Immediately following birth, a mother asks to breast-feed her newborn. Which of the following nursing interventions is appropriate if the newborn appears healthy? 1.Refuse the request and explain why. 2.Assist the mother to attempt breast-feeding. 3.Feed sterile water to evaluate swallowing first. 4.Aspirate stomach contents before the breast-feeding attempt. - ans2 An infant's mother states, "I feel so guilty that I was unable to breast-feed my baby." The nurse's response showing the most honesty and support for the mother is: a."You did your best. Your baby will not suffer much from the formula." b."You really will be able to meet your baby's needs with the formula. Tell me more about your feelings about your breast-feeding efforts." c."Breast-feeding is much better for your baby. Maybe you just didn't try hard enough of long enough to be successful with it." d."It's really not your fault. Some babies are just difficult to breast-feed. They usually end up being picky eaters later in life as well." - ansB A mother asks, "Is it true that breast milk will prevent my baby from catching colds and other infections?" The nurse should reply, "Current research indicates that: a.Your baby will have increased resistance to illness caused by bacteria and viruses, but she may still contract infections." b.You shouldn't have to worry about your baby's exposure to contagious diseases until she stops breast-feeding." c.Breast milk offers no greater protection to your baby than formula feedings." d.Breast milk will give your baby protection from all illnesses to which you are immune." - ansA Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 The cervix refers to the uppermost portion of the uterus. Select one: True False - ansFalse The average amount of menstrual flow is approximately 6 to 8 ounces. Select one: True False - ansTrue The external male reproductive structures are the testes, ductal system, and accessory glands. Select one: True False - ansFalse The seminal vesicles secrete an alkaline fluid. Select one: True False - anstrue The vagina has an acidic environment. Select one: True False - ansTrue The external female reproductive organs collectively are called the ________________ - ansvulva The ___________ is a canal that connects the external genitals to the uterus. - ansVagina _______________ is the normal, predictable physiologic process in which the endometrial lining is expelled. - ansMenstruation The ___________ produce sperm and synthesize testosterone - ansTestes The penis is composed mostly of ___________ tissue. - anserectile Most girls in the United States menstruate by the age 14. Select one: True False - ansFalse The diaphragm is an example of a barrier method of contraception. Select one: True False - ansTrue There are no diagnostic tests to reliably determine the existence of premenstrual disorder. Select one: True False - ansTrue Estrogen deficiency is commonly manifested by hot flashes and night sweats. Select one: Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 True False - ansTrue Bone loss accelerates in the third or fourth decade and declines rapidly after menopause. Select one: True False - ansFalse The absence of menses is called __________ - ansamenorrhea ____________ refers to a condition in which functioning endometrial tissue is found outside the uterine cavity. - ansEndometriosis Monitoring basal body temperature is an example of a _________ method of contraception. - ansbehavioral The cessation of regular menstrual cycles is termed _________ - ansmenopause The DEXA scan is a screening test for detecting ____________ - ansOsteoporosis The fetal stage is the first stage of fetal development during pregnancy. Select one: True False - ansFalse The respiratory system forms from the mesoderm. Select one: True False - ansfalse The chorion and amnion form the amniotic sac. Select one: True False - anstrue An individual's genome represents that person's genetic blueprint. Select one: True False - ansTrue Genes are made up of chromosomes. Select one: True False - ansFalse In the fetus, the ductus _________ connects the main pulmonary artery to the aorta. - ansarteriosus A person's observable outward characteristics are called his or her ____________ - ansphenotype A pictorial analysis of the number, form, and size of an individual's chromosomes is termed ___________ - anskaryotype Sickle cell disease is an example of an autosomal ____________ inherited disorder - ansrecessive Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 The ideal time for genetic counseling is __________ conception - ansbefore The postpartum period begins with the birth of the newborn. Select one: True False - ansFalse Lochia typically begins as lochia serosa. Select one: True False - ansFalse Cardiac output quickly returns to nonpregnant values after birth. Select one: True False - ansFalse The postpartum woman commonly exhibits bradycardia. Select one: True False - ansTrue Profuse diaphoresis is common during the early postpartum period. Select one: True False - ansTrue The uterus returns to its normal size through a process called _________ - ansinvolution Lochia ________ occurs from PP days 10-14 - ansalba refers to the uterine contractions that occur after birth. - ansAfterpains ___________or swelling of the breast tissue occurs usually 2 to 4 days after birth. - ansengorgement Fathers or partners go through three stages in their role development process: ___________, reality, and transition to mastery. - ansexpectations Lochia _______ lasts from about 1-3 days PP - ansRubra Lochia _______ lasts about 3-10 days PP - ansSerosa the ectoderm forms - ansCNS senses skin glands the mesoderm forms - ansskeletal, urinary, circulatory & reproductive organs The endoderm forms - ansrespiratory system liver pancreas digestive system A woman typically experiences tachycardia after delivery. Select one: Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 is the thick, tarry, sticky, dark green stool passed within the first 48 hours after birth. - ansMeconium What are the common uterotonic meds? - ans- oxytocin (pitocin) = 1st line - Misoprostol (cytotec) - Dinoprostone (Prostin E2) - Metherygonovine maleate (Methergine) - Prostaglandin, Carboprost (Hemabate) what is Oxytocin (Pitocin) - ansfirst line uterotonic med used to stimulate the uterus to contract to control bleeding IM or IV how is Oxytocin (Pitocin) given? - ansIM or IV Misoprostol (Cytotec), what is it? - ansuterotonic med stimulates uterus to contract to reduce bleeding caution with asthma, don't use with cardiopulmonary disease given vaginal/rectal suppository, or sometimes PO (to dissolve in mouth) what are the contraindications for Misprostol (Cytotec) - anscaution with asthma, don't use with cardiopulmonary disease How is Misoprostol (Cytotec) given? - ansIV What is Dinoprostone (Prostin E2)? - ansuterotonic med that relaxes muscles of cervix in prep for inducing labor must monitor for Hypotension Vaginal or rectal suppository how is Dinoprostone (Prostin E2) given? - ansvaginal or rectal suppository What is Methyergonovine Maleate (METHERGINE) - ansuterotonic med that stimulates the uterus to prevent and treat PPH due to atony or subinvolution IM Injection Contraindications; HTN what are the contraindications for Methyergonovine Maleate (METHERGINE)? - ansHTN How is Methyergonovine Maleate (METHERGINE) given? - ansIM injection What is Prostaglain, Carboprost (HEMABATE)? - ansuterotonic med that stimulates uterine contraction to treat PPH when not controlled by other meds Maternity Exam 1 Exam Study Guide 100% Verified Questions and Answers Latest Updated 2024/2025 Contraindications - active cardiac, pulmonary, renal or hepatic disease IM injection what are the contraindications for Prostaglain, Carboprost (HEMABATE)? - ansactive cardiac, pulmonary, renal, or hepatic disease how is Prostaglain, Carboprost (HEMABATE) given? - ansIM injection