Exam 1

Question 1

What weeks are in the second trimester

Answer 1

13-27 weeks

Question 2

What are signs of possible gestational diabetes

Answer 2

sudden weight gain, facial swelling, vision changes, severe headache, decreased urine output, RUQ pain, BP 140/90

Question 3

What is measure during a nonstress test

Answer 3

two accelerations in 20 minutes

Question 4

Chorionic villi sampling: which trimester, invasive or noninvasive, and diagnostic or screening

Answer 4

1st trim
invasive
diagnostic

Question 5

When is a baby considered macrosomic

Answer 5

If they weigh 4.5kg or more due to gestational diabetes

Question 6

Term for amniotic fluid above 20cm

Answer 6

hydramnios

Question 7

Term for amniotic fluid below 5cm

Answer 7

oligohydramnios

Question 8

What weeks are in the third trimester

Answer 8

28-40

Question 9

Patients using contraceptives should report what signs for possible myocardial or thromboembolic complications?

Answer 9

abdominal pain
chest pain
headache
eye problems
severe leg pain

Question 10

Assessing newborn pulse

Answer 10

should be 120-160 per min
listen at apical pulse for a full minute
femoral pulse for 1 min

Question 11

Naegele’s Rule

Answer 11

First day of last period, minus 3 months, add 7 days= estimated due date

Question 12

What should the biophysical profile number be between

Answer 12

8-10

Question 13

What is the psychological task in 3rd trimester

Answer 13

preparing for parenthood
nesting

Question 14

Average newborn body temperature

Answer 14

99 F

Question 15

Presumptive pregnancy symptoms

Answer 15

subjective/self reporting
1. N/V
2. fatigued, breast/uterine changes
3. amenorrhea

Question 16

What are the TORCH teratogenic maternal infections

Answer 16

toxoplasmosis
other (chlamydia, syphilis, HPV)
rubella
cytomegalovirus
HSV

Question 17

At 28-40 weeks pregnant what is the average of amniotic fluid

Answer 17

12-15 cm

Question 18

Best way to sleep pregnant

Answer 18

Left sided sims

Question 19

How much weight should a newborn expect to lost in the first few days

Answer 19

5-10% of birth weight

Question 20

What weeks are in the first trimester

Answer 20

1-12 weeks

Question 21

Main side effects of oral contraceptives

Answer 21

nausea, headache, breast pain, weight gain/loss

Question 22

Amniocentesis: which trimester, invasive or noninvasive, and diagnostic or screening

Answer 22

2nd trim
invasive
diagnostic

Question 23

Fetal heights during pregnancy

Answer 23

12 weeks- above symphysis pubis
20 weeks- umbilicus
36 weeks- xiphoid process

Question 24

Fetal anatomy scan: which trimester, invasive or noninvasive, and diagnostic or screening

Answer 24

2nd trim
noninvasive
screening

Question 25

GTPAL pregnancy abbreviation

Answer 25

Gravida- # of pregnancies (includes everything TPAL) Term Births- full term births 37 wks+ Preterm- births between 20-37 wks Abortion- miscarriage/abortion before 20wks L- # of living children

Question 26

Probably Pregnancy Signs

Answer 26

hCG positive serum test Chadwick, Goodell, Hegar signs fetal outline is felt

Question 27

Maternal quadruple marker screening: which trimester, invasive or noninvasive, and diagnostic or screening

Answer 27

2nd trim noninvasive screening

Question 28

What are the assessments for subfertility investigation

Answer 28

semen analysis ovulation monitoring tubal patency

Question 29

What is the average weight gain during pregnancy

Answer 29

25-35 lbs

Question 30

What are signs of labor

Answer 30

uterine contractions that increase expelling of mucus plug membrane rupture

Question 31

What injections are newborns given at birth

Answer 31

Vitamin K Hepatitis B

Question 32

When does ovulation occur

Answer 32

14 days before their cycle ends

Question 33

Assessing newborn respiratory rate

Answer 33

30-60 per min irregular rhythm periods of apnea belly breathers coughing/sneezing to clear airways

Question 34

What is the psychological task in 1st trimester

Answer 34

accept reality of pregnancy pleased, anxious, ambivalence

Question 35

Newborn urine and stool

Answer 35

meconium passed within 24 hrs pink frothy urine due to uric acid

Question 36

What are signs of undetected bleeding during pregnancy

Answer 36

sudden increase in pulse and respiration

Question 37

What are some signs indication a possible pregnancy complication

Answer 37

persistent vomiting sudden escape of clear fluid contractions before 37 weeks chills, fever, painful urination (UTI)

Question 38

How many arteries/veins should a fetal umbilical cord have

Answer 38

2 arteries 1 vein

Question 39

Newborn measurements

Answer 39

Weight: avg 50% percentile Length: 45-55 cm Head circum: 33-55 cm Chest circum: 33-33 cm

Question 40

What are danger signs of gestational hypertension

Answer 40

sudden increase in BP sudden weight gain

Question 41

Nuchal translucency: which trimester, invasive or noninvasive, and diagnostic or screening

Answer 41

1st trim noninvasive screening

Question 42

Major causes of illness or death during pregnancy

Answer 42

hypertension hemorrhage embolism infection morbid obesity cardiac arrest

Question 43

What are the 5 parameters of the biophysical profile that are measured

Answer 43

fetal heart rate fetal muscle tone fetal body movements fetal breathing movements amniotic fluid volume

Question 44

What is the psychological task in 2nd trimester

Answer 44

accept they are having a baby adheres to prenatal instructions

Question 45

Positive pregnancy signs

Answer 45

ultrasound fetal heartbeat fetal movement felt by RN

Question 46

What is Erickson's theory

Answer 46

Theory of psychosocial development Ex. trust vs mistrust autonomy vs shame and doubt initiative vs guilt

Question 47

What is Piaget's theory

Answer 47

Theory of cognitive development Ex. sensorimotor, preoperational, concrete opperational, formal operational

Question 48

What is Kohlberg's theory

Answer 48

Stages of moral development preconventional- moral based on reward and punishmens conventional- moral based on external reasoning post conventional- moral based on personal ethics