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

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 ANSWERS๐Ÿ”ฐ โœ”โœ”Total number of
pregnancies
What is para? - ** VERIFIED ANSWERS๐Ÿ”ฐ โœ”โœ”Total number of viable
pregnancies (at lease 20 weeks gestation)
Describe Naegele's Rule? - ** VERIFIED ANSWERS๐Ÿ”ฐ โœ”โœ”Used to determine
the expected date of delivery (EDD)
How is the EDD determined? - ** VERIFIED ANSWERS๐Ÿ”ฐ โœ”โœ”Naegele's Rule:
(First day of last period+ 7 days) - 3 months
What are the signs of pregnancy? - ** VERIFIED ANSWERS๐Ÿ”ฐ
โœ”โœ”Presumptive, Probable, Positive
What is a presumptive sign of pregnancy? - ** VERIFIED ANSWERS๐Ÿ”ฐ
โœ”โœ”N&V, breast changes, fatigue, urinary frequency
What is a probable sign of pregnancy? - ** VERIFIED ANSWERS๐Ÿ”ฐ
โœ”โœ”Goodell's sign, Chadwick's sign, Hegar's sign, positive pregnancy test
What is a positive sign of pregnancy? - ** VERIFIED ANSWERS๐Ÿ”ฐ โœ”โœ”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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NUR 230 Exam 1 with correct

answers

What is gravida? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Total number of pregnancies What is para? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Total number of viable pregnancies (at lease 20 weeks gestation) Describe Naegele's Rule? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Used to determine the expected date of delivery (EDD) How is the EDD determined? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Naegele's Rule: (First day of last period+ 7 days) - 3 months What are the signs of pregnancy? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Presumptive, Probable, Positive What is a presumptive sign of pregnancy? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” N&V, breast changes, fatigue, urinary frequency What is a probable sign of pregnancy? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Goodell's sign, Chadwick's sign, Hegar's sign, positive pregnancy test What is a positive sign of pregnancy? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 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 ๐Ÿ”ฐ โœ”โœ” 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 ๐Ÿ”ฐ โœ”โœ” -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 ๐Ÿ”ฐ โœ”โœ” 1-2 servings a day What foods are rich in iron? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” -Red meat -Dark leafy greens -Beans -Poultry What are ways in which the mother can avoid heartburn? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” -Good posture -Avoid spicy foods -Eat small meals At how many weeks can you see the fetus on an ultrasound? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 6 weeks

-Softens the cervix -Develops the breast in prep for lactation What is the effect of Progesterone on the body? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Smooth muscle relaxer What are things to teach the mother during pregnancy? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” -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 ๐Ÿ”ฐ โœ”โœ” The dropping of the baby into the pelvis, occurs at 36 weeks What is quickening? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” the initial awareness of mother usually occurs at 16-22 weeks What is HpL? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” An insulin antagonist. It increases blood glucose in pregnancy What is HcG? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 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 ๐Ÿ”ฐ โœ”โœ” Hemorrhage What should the mother do after the removal of a molar pregnancy? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 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 ๐Ÿ”ฐ โœ”โœ” 37- weeks What is considered a "preterm" pregnancy? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 20- less than 37 weeks What is a viable pregnancy? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Ability to live outside of the uterus: 22-24 weeks What is Vena Cava syndrome? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 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 ๐Ÿ”ฐ โœ”โœ” 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 ๐Ÿ”ฐ โœ”โœ” Systolic is 30mg above baseline. Swollen hands and edema What is placenta previa? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Abnormal implantation of the placenta in the lower uterus. No pain but bright vaginal bleeding. When does labor begin? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” With the first uterine contraction. What are the different ways that uterine contractions are assessed? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” -Frequency -Intensity -Duration

What is it called when the cervix are sewed up due to an incompetent cervix? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Cerclage What is the drug of choice for preeclampsia? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Mag Sulfate What needs to be monitored when a patient is on Mag sulfate? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” RR, reflexes, and LOC What are the signs and symptoms of preeclampsia? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Elevated BP and proteinuria. May cause decreased profusion to the placenta Latent phase - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 3cm of dilation. Contractions are about 3-30 minutes apart and last about 30-40 seconds. Active phase - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 4-7cm of dilation. Contractions are about 2-5min apart and last about 40-60 seconds. Transition phase - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 8-10cm of dilation. Contractions are about 1.5-2 minutes apart and last about 60-90 seconds. When is "POOF" done? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” Late decelerations What are the 4 stages of labor? - ** VERIFIED ANSWERS ๐Ÿ”ฐ โœ”โœ” 1. Labor

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