E1 class Antepartum

Question 1

What are some barriers to seeking prenatal care?

Answer 1

-Financial issues
-Cultural issues
-Gender issues
-Gender of HCP
-Sexual orientation

Question 2

Uterine changes during pregnancy

Answer 2

-Enlargement due to hypertrophy
-Fibrous tissue increases
-Increase in blood flow
-Braxton Hicks contractions

Question 3

Which of the following answer options identifies the following uterine/ cervical changes in the order listed:
1. Softening of the cervix
2. Softening of the uterus
3. Bluish discoloration of the cervix

Answer 3

Goodell’s/ Hegar’s/ Chadwick’s

Question 4

What is the mucus plug?

Answer 4

Thick piece of mucous that blocks the opening of the cervix during pregnancy

Question 5

What changes happen in the ovaries during pregnancy?

Answer 5

-Stop producing ova during pregnancy
-Secretes progesterone until 7th week to maintain the endomedtrium
-Stops.. placenta assumes task

Question 6

What vaginal changes occurs during pregnancy?

Answer 6

-Mucosa thickens
-Increase in secretions, loosening of connective tissue

Question 7

What breast changes occurs during pregnancy?

Answer 7

-Grandular hyperplasia AND hypertrophy
-Areolae darken
-Striae may develop
-Colostrum is secreted
-May leak fluids

Question 8

Respiratory changes for pregnant clients include increased O2 consumption and increased in what type of breathing?

Answer 8

Thoracic

Question 9

What are cardiac changes are seen in pregnant women?

Answer 9

-Physiologic anemia
-Increased CO
-Somewhat hypercoagulable

Question 10

A pt is in her 3rd trimester reports feeling dizzy, lightheaded, and nauseated while lying on her back during foley catheter placement. What should the nurse suspect as the cause?

Answer 10

The uterus is compressing the Vena Cava

Question 11

A patient in her 3rd trimester reports feeling dizzy, lightheaded, and nauseated while lying on her back during foley catheter placement. What should be the nurses first intervention?

Answer 11

Turn the patient to the side/off her back

Question 12

What is some changes that happens in the GI system during pregnancy?

Answer 12

-N/V
-Softening and bleeding gums
-Increased saliva (ptyalism)
-Constipation
-Heartburn (pyrosis)
-Gallstones
-Hemorrhoids

Question 13

You are rooming a pregnant patient who has complaints of increased urinary frequency in the third trimester. What is the nurses best initial response?

Answer 13

Are you having any pain or burning in addition to the frequency ?

Question 14

Urinary changes seen in pregnancy?

Answer 14

-Increased residual volume and urine stasis
-Increased risk of bladder adn kidney infections
-Increased risk for preterm labor

Question 15

A pregnant client is concerned about the change in pigmentation across her checks and forehead. What condition is the client most likely experiencing?

Answer 15

Cholasma

Question 16

What musculoskeletal changes happen in pregnant changes?

Answer 16

-Pelvic joints relax
-Center of gravity changes
-Seperation of rectus abdominus

Question 17

A client has a normal pre-pregnancy BMI. How much weight (Ibs) should she anticipate gaining in total?

Answer 17

25-35

Question 18

Which of the following hormones directly affect lacation?

Answer 18

Oxytocin & Prolactin

Question 19

What are the presumptive signs of pregnancy?

Answer 19

-Amenorrhea
-N/V
-Excessive fatigue
-Urinary frequency
-Breast changes
-Quickening

Question 20

What are the probable signs of pregnancy?

Answer 20

-Changes in pelvic organs
-Enlargement of abdomen
-Braxton hicks contractions
-Abdominal striae
-Other pigmentation
-Uterine souffle
-Positive prego test
-Palpation of fetal outline

Question 21

What are the Positive signs of pregnancy?

Answer 21

-Auscultation of fetal heart doppler
-Fetal movement felt by hands or seen on US
-Visualization of fetus on US

Question 22

What is couvade?

Answer 22

proposed condition in which a pregnant woman’s partner experiences some of the same symptoms and behaviors as her during pregnancy

Question 23

What does each letter of GTPAL stand for?

Answer 23

G- total number of pregnancies
T- >37 weeks
P- Between 20 & 36 weeks
A- <20 weeks, includes abortions
L- number of currently living children

Question 24

Naegele’s rule

Answer 24

Subtract 3 months and add 7 days, need LMP to be accurate

Question 25

EDB wheel

Answer 25

Need LMP to be accurate

Question 26

Uterine size

Answer 26

Start at 20 weeks (cm=wks +/- 2cm)Q

Question 27

Quickening

Answer 27

Start at 16-20 weeks

Question 28

What is the most accurate was to estimate EDB?

Answer 28

Ultrasound

Question 29

A client reports that her last menstrual period was June 18, 2022. What is her estimated date of birth (EDB) when using the Naegele's rule?

Answer 29

March 25

Question 30

Dundal Height (Mcdonald's method)

Answer 30

Start measuring at 20 wks gestation If >2cm discrepancy, investigate

Question 31

A client is at 28 weeks gestation. Approx. what level would the nurse expect the fundal height to be located?

Answer 31

Between 26-30 centimeters with a measuring tape

Question 32

A

Question 33

client is 35 weeks gestation and attending her routine prenatal appointment. She reports being a heavy smoker and wanting to quit. You complete her fundal height measurement and calculate that it is 32cm. What is the nurses most appropriate next step?

Answer 33

Report the fundal height to the OB provider and prepare the patient for an ultrasound

Question 34

A term pregnant patient comes to the clinic with multiple complaints. Which of the following would warrant prompt investigation?

Answer 34

Headache that started yesterday with dizziness and blurry vision

Question 35

Danger signs of pregnancy

Answer 35

-Absence of fetal movement -Gush of fluid from vagina <37 weeks -Vaginal bleeding -Abdominal bleeding -Fever -Persistant vomiting -Dysuria -Dizziness, blurred vision, spots before eyes -Persistant headache -Edema -Muscular irritability or convulsions -Oliguria