ch 14/15

Question 1

helps maintain pregnancy while placental is still forming (signals to keep producing estrogen & progesterone); stimulates breast development to pre[are for lactation

Answer 1

hCG

Question 2

stimulates uterine growth, gets extra bloodflow to placenta

Answer 2

estrogen

Question 3

makes all joints very mobile, helps open up for delivery

Answer 3

relaxin

Question 4

relaxes uterine muscles, causes breasts to develop, responsible for metabolism changes needed for pregnancy

Answer 4

progesterone

Question 5

conception (2wks), pt doesn’t realize pregnant

Answer 5

preembyronic

Question 6

2-8wks, main task is organ formation, neural tube fusion

Answer 6

embryonic stage

Question 7

9-38wks+

Answer 7

fetal stage

Question 8

the fetal side of the placenta

Answer 8

shiny shultze

Question 9

what does the placenta do?

Answer 9

produces hormones (hCG, HPL, estrogen, progesterone, relaxin), protects fetus, removes waste

Question 10

what can the placenta cause?

Answer 10

insulin resistance

Question 11

presumptive signs of pregnancy

Answer 11

amenorrhea, breast tenderness, fatigue, constipation, cravings

Question 12

probable signs pregnancy

Answer 12

Goodell sign (softening of cervix), chadwicks sign (blueish discoloration cervix), hegar sign (compressibility of cervix), ballottement (feel fetus move when uterus pushed), braxton hicks, postive serum/urine samples

Question 13

umbilical cord has how many veins and artieres?

Answer 13

1 vein (oxygenated), 2 arteries (deoxygenated)

Question 14

what does amniotic fluid do/help?

Answer 14

helps body temp control, symmetric growth/development, cushioning/protection, compression-free umbilical cord, allows fetal movement, stores waste

Question 15

maternal changes in pregancy

Answer 15

O2 increases, mild hyperventialtion, cardiac output increases 50% & increased HR, physiologic anemia, BP slightly lower until mid-pregancy, increased iron demands, linea nigra, facial melisma, striae gravidum, imcreased insulin needs, breast development, fundal height increase, mucus plug formation, cessation ovulation, lordosis, metabolic rate increases

Question 16

first trimester

Answer 16

conception-12wks

Question 17

second trimester

Answer 17

13-28wks

Question 18

third trimester

Answer 18

29-40wks

Question 19

where should the fundus be at 20wks?

Answer 19

umbilicus

Question 20

nagean’s rule

Answer 20

first day of last menstrual period - 3mo + 7 days + 1 year

Question 21

how would you assess the nutritional status of a pt?

Answer 21

24h diet recall

Question 22

number of pregnancies woman has had in her lifetime (GP and GTPAL)

Answer 22

gravidity/grava (G)

Question 23

number of pregnancies that have ended at term (GTPAL)

Answer 23

T

Question 24

the number of pregnancies that have ended preterm (GTPAL)

Answer 24

preterm (P)

Question 25

number of pregnancies that end by spontaneous or elective abortion (GTPAL)

Answer 25

abortion (A)

Question 26

the number of living children (GTPAL)

Answer 26

living children (L)

Question 27

the number of pregnancies carries to viable gestational age (20-24wks) (GP)

Answer 27

parity/para (P)

Question 28

s/s preeclampsia

Answer 28

vision changes, headache not relieved by acetaminophen

Question 29

normal FHR

Answer 29

110-160

Question 30

how is measuring the fundus performed?

Answer 30

laying down

Question 31

when does a pregant client get screened for diabetes?

Answer 31

2nd trimester

Question 32

when does testing for fetal anomalies start?

Answer 32

2nd trimester

Question 33

collected via swab, normal bacterial living in mom's vaginal canal. if baby gets this can cause infection

Answer 33

GBS (group beta step)

Question 34

how many kcal/day do pregnant clients need?

Answer 34

300kcal/day

Question 35

how many kcal/day do adolescent pregnant clients need?

Answer 35

350kcal/day additional plus 50kcal/kg/day

Question 36

how many extra calories are required during lactation?

Answer 36

400-500kcal/day

Question 37

how many mg/day of folic acid is needed in pregnancy?

Answer 37

0.6mg/day

Question 38

folic acid can be found in what foods

Answer 38

citrus fruits/juices, green leafy veg, enriched grains, legumes, avocados, broccoli, papaya

Question 39

BMI is

Answer 39

kg/m squared

Question 40

a healthy weighted client should gain how many lbs during pregnancy

Answer 40

25-35lbs

Question 41

an overweigh client should gain how many lbs during pregancy?

Answer 41

15-25lbs

Question 42

pt education on what yo avoid during pregnancy

Answer 42

- litter boxes - hot tubs - raw/undercooked meat/eggs - excessive caffeine - soft cheeses - fish - gases/fumes - resp infection exposures

Question 43

eating non-food substances, eating low-nutrition foods

Answer 43

pica

Question 44

- urinary frequency/incontinence - fatigue - n/v - breast tenderness - constipation - cravings - leukorrhea - headache

Answer 44

1st trimester s/s

Question 45

- backache - hemorrhoids - flatulence - pelvic joint pain - leg cramps - varicosities

Answer 45

2nd trimester s/s

Question 46

- 1st trimester discomforts return - SOB, dyspnea - heartburn, indigestion - dependent edema ankles - braxton hicks - vaginal discharge - insomnia

Answer 46

3rd trimester s/s

Question 47

supine hypotension pt education

Answer 47

lay on side

Question 48

heartburn pt education

Answer 48

avoid fatty foods and excess fluids, avoid lying down after eating, no eating 3h before bed

Question 49

headaches pt education

Answer 49

use acetaminophen, not ibuprofen; cold compress, calming environment

Question 50

T/F: you can still travel by plane after the 2nd trimester

Answer 50

F

Question 51

T/F: pregnant clients cannot get live vaccinations but can get the flu shot

Answer 51

T