ticket ins 353 Flashcards
formation of a viable zygote
conception
the union of a spermatozoal nucleus with an egg nucleus to form a primary nucleus of an embryo
fertilization
the formation and development of germ cells, oocytes and spermatocytes
gamestogenesis
the period of development in the uterus from conception until birth
gestation
a process that interferes with the normal process of ovulation, fertilization and implantation
contraception
What is the term for the innermost layer of the uterine wall , the lining where the fertilized ovum implants?
Endometrium
In order to place a catheter, the nurse must visualize the female urethra.
Which phrase best describes where the female urethral opening is located?
between the clitoris and the vaginal opening
Where, in the female anatomy, does fertilization typically occur?
Ampulla of fallopian tube
At approximately 3 weeks after conception, the fertilized ovum differentiates into THREE primary germ layers. All of the fetal tissues and organs develop from these three germ layers.
What is the middle germ layer called and what does this middle layer give rise to?
Mesoderm; bones, muscles, cardiovascular system
In a healthy pregnancy, maternal and fetal blood never mix.
Where in the placenta - on a microscopic level - does the transfer of oxygen and nutrients occur between mother and fetus?
Intervillous space
Increased vascularity in the vaginal mucosa and cervix which results in violet-bluish color
chadwick sign
The first recognition of fetal movements by the mother
quickening
The capacity to live outside of the uterus
viability
Approximate increase in blood volume during pregnancy, above nonpregnancy levels
1500ml or 40-50%
A pigmented line extending from the symphysis pubis to the top of the fundus
linea negra
The normal baseline heart rate in a full-term fetus is between 110 and 160 beats per minute.
110
160
During fetal monitoring, which monitor is able to detect and record the frequency, duration and intensity of contractions?
Intrauterine pressure catheter (IUPC)
The nurse observes the fetal monitor and notes that the fetal heart rate baseline is 135 beats/min, with moderate variability, no decelerations and occasional accelerations.
According to the Three-Tier FHR Classification System, how would the nurse document this fetal heart rate tracing?
Category 1
What is the fetal heart rate baseline in the tracing?
140 beats per minute
This maternal labor position can help relieve “back labor,” often caused by a fetus in the “occiput posterior” position of the presenting part.
Hands and Knees position
This type of anesthesia is a nerve block, typically administered in the second stage of labor; it does not change maternal vital signs or fetal heart rate status.
Although the patient can still feel contractions, this method relieves pain in the vagina and perineum.
Pudendal
The nurse recognizes that a client is in true (versus false) labor when the client states:
“My contractions are now stronger and closer together.”
When planning care for a laboring woman whose membranes have ruptured, the nurse recognizes that the woman’s risk for _________________________ has increased.
Infection
The baby is born and the nurse assists with facilitating mother-baby skin-to-skin contact, while the provider watches for signs that the placenta is ready to deliver.
What stage of labor is this?
third
A nurse is completing the admission assessment of a client who is at 38 weeks gestation and has severe preeclampsia.
Which one of the following findings is consistent with the diagnosis of severe preeclampsia?
Epigastric pain
A nurse in a prenatal clinic is reviewing results from recent one-hour oral glucose tolerance tests.
Which one of the 4 pregnant clients needs to be scheduled for a follow-up, diagnostic three-hour glucose tolerance test?
One hour GTT result: 160 mg/dl
A nurse is caring for a client at 30 weeks gestation who has just been diagnosed with gestational diabetes.
The client has a lot of questions about the risks to her baby with GDM.
What is the best explanation by the nurse for why her fetus is at risk for macrosomia and hypoglycemia at delivery?
Extra sugar (glucose) can cross the placenta to your baby. This may cause your baby to gain extra weight and to have sudden low blood glucose after birth.
Why is magnesium sulfate is given to women with preeclampsia and eclampsia?
To prevent and treat convulsions
A nurse is assessing a patient with preeclampsia who delivered 12 hours ago.
Which of the following assessments would indicate that the condition has not yet resolved?
patient complaints of blurred vision and headache
Preterm labor is defined as uterine contractions and cervical change that happens between ____ and ____ weeks gestation.
20 and 37
The nurse is assessing these prenatal clients in the prenatal clinic today.
Which of these pregnant clients would the nurse identify as at risk TODAY for preterm labor and birth?
Select all that apply
Becca, a 40-year-old G1 P0000 at 20 weeks gestation currently pregnant with triplets
Ava, a 30-year-old G4 P0303 at 32 weeks gestation with documented cervical length of 20mm
Ava calls the clinic nurse on call later that night and states, “I’ve been feeling crampy all evening, there’s more pressure ‘down there’ and it seems like I have to pee more frequently.”
What is the best response by the nurse?
“Empty your bladder now, drink 2-3 glasses of water and rest for an hour. Call me if the cramping is still happening after all that.”
Ava comes to the hospital later that night, stating, “I’m having contractions every 3 minutes!” The nurse places Ava on the fetal monitor and her contractions are, indeed, every 3 minutes, lasting approximately 50-60 seconds and moderate intensity per palpation.
What type of medication order from the provider does the nurse anticipate?
Tocolytic
Ava’s contractions have subsided but the sterile vaginal exam reveals that her cervix is dilated 2cm/80%/-1. At 32 weeks gestation, the nurse and provider know that it is too early for delivery.
What medication may be ordered to help the fetal lungs mature, just in case delivery does happen early?
Betamethasone
The nurse is caring for a client who sustained a third degree vaginal laceration during delivery.
Which description best defines the extent of this injury to the perineum?
It involves the anal sphincter.
A 25-year-old multiparous woman gave birth to an infant boy 1 day ago.
When the nurse brings the client snacks including ice water, a popsicle and crackers, the client’s partner states, “We try to avoid cold food and drink after giving birth. If you could bring her some warm tea, that’s better for healing.”
What is the nurse’s most appropriate response?
“Thanks for letting me know. I’ll be right back with some warm tea and soup.”
A client delivered a 7 lb 9 oz newborn by spontaneous vaginal delivery three hours ago.
The nurse assesses the client and notes that her fundus is soft, to the right of the midline and two fbs (fingerbreadths) above the umbilicus. How should the nurse intervene?
Encourage the client to void, then reassess her fundus.
A nurse is providing instructions to a mother who has been diagnosed with mastitis.
Which of the following statements, if made by the mother, indicates a correct understanding of the condition?
“I need to take these antibiotics until they are gone.”
On a busy postpartum unit, a nurse has 4 couplets (mom-baby clients).
Which task could the nurse appropriately delegate to the unlicensed assistive personnel (UAP) on the postpartum floor?
Assist a client with ambulation
The nurse is preparing to discharge a mother who delivered a healthy newborn at term 2 days ago.
The patient has decided to bottlefeed her baby. What is especially important for the nurse to teach her regarding the care of her breasts?
She should wear a supportive bra and apply ice packs to both breasts to decrease engorgement.
A new father calls the hospital’s maternal-newborn hotline and states that his wife is 5 weeks postpartum.
He is concerned because, in the last 2 or 3 days, she has reported hearing voices “telling her scary things about the baby” and he found a knife under her pillow. The nurse’s most appropriate response is:
Go to the local hospital emergency department immediately
A nurse is assessing a client who delivered a healthy infant by c-section for signs and symptoms of superficial venous thrombosis.
Which of the following signs or symptoms would the nurse note if a superficial venous thrombosis were present?
Redness and swelling in the calf of one leg
The MOST important key to establishing and maintaining milk production is:
Frequent and effective milk removal
The composition of breast milk changes over time according to an infant’s needs and growth spurts.
yes
A newborn’s hands and feet are blue. What term is usually used for this common and temporary condition?
Acrocyanosis
Which nursing intervention is appropriate when caring for an infant who has hyperbilirubinemia and is receiving phototherapy?
Place eye shields over the newborn’s closed eyes
