maternity exam 2

Question 1

prenatal visit frequency for a normal pregnancy

Answer 1

conception to 28 weeks- every 4 weeks
29 to 36 weeks- every 2 to 3 weeks
37 weeks to birth- weekly

Question 2

Chadwick’s sign

Answer 2

purplish or bluish discoloration of the cervix, vagina, and vulva caused by increased vascular congestion.
(sometimes it can be because of hormonal imbalance or infection)

Question 3

how do you use nagele’s rule?

Answer 3

add three months add 7 days

Question 4

fetal heart rate rate can be detected as early as

Answer 4

10 weeks
(with a doppler)

Question 5

fetal heart rate ranges from

Answer 5

110 to 160

fetal heart rate may drop in the late stages of pregnancy and this is normal

Question 6

the amount of weight that should be gained by a healthy pregnant woman

Answer 6

24 to 35 lb ( 11.4 to 15.9 kg)

Question 7

if a mother comes in and she gains 15 pounds from the prior visit

Answer 7

gestational hypertension

take blood pressure then notify the doctor

Question 8

what are the positive signs of pregnancy

Answer 8

dark bluish or purplish discoloration of the vaginal tissue, vulva, or cervix, which is caused by an increase in venous (from the veins) blood flow to the area

Question 9

what is a elderly primip

Answer 9

pregnancy after the age of 35

Question 10

the rubella vaccination is contraindicated for

Answer 10

pregnancy

Question 11

morning sickness and hyperemesis graviderum

Answer 11

morning sickness: mild nausea and vomiting

Gravidarum: excessive nausea and vomiting that interferes with food and fluid balance.
low-birth weight
dehydration leads to reduction of blood oxygen and nutrients to the fetus.

Question 12

what is a ectopic pregnancy

Answer 12

pregnancy outside the uterus

Question 13

s/s of upruptrio placentae

Answer 13

seperation from the placenta before birth

occurs if the uterus is overdistended with amniotic fluid when the membranes rupture.

Question 14

a RH mother will receive RH immune globulin when?

rogam

Answer 14

at 28 weeks

also at birth

Question 15

oral hypoglycemics cross the placenta

what does the nurse to do with a mom who has chronic diabetes?

Answer 15

give insulin

Question 16

when the does preeclampsia become eclampsia

Answer 16

after more the second seizure

Question 17

magnesium sulfate for

Answer 17

pre eclampsia

its a essential nervous system depressant

Question 18

reversal agent of magnesium sulfate

Answer 18

calcium gluconate

Question 19

a c-section is done for

Answer 19

total placenta previa

Question 20

during the relaxation phase of labor the placenta

Answer 20

refills with oxygenated blood

Question 21

green stain amniotic fluid means the

Answer 21

first stool has passed
meconium
indicator of fetal compromise

Question 22

the difference between true and false labor

Answer 22

false labor is inconsistent

true labor contractions appear closer together

Question 23

the four stages of labor

Answer 23

stage 1 is dilation and effacement: contractions every two minutes
stage 2 is expulsion of fetus: firm intensity, ends with birth of infant
stage 3 expulsion of placenta: umbilical is cut, 5- 30 minutes, and intermittent contractions.
stage 4 recovery: cramping, lochia is present, and chills

Question 24

immediately after birth what is assessed for?

Answer 24

hemrrhage

Question 25

cultural influences determine

Answer 25

how a woman feels about birth and the acceptable response to pain

Question 26

side effcst of epidural block

Answer 26

bladder disitension

Question 27

narcan

Answer 27

reverses a narcotic

to the infant through IV through the umbilical vein

Question 28

pudendal block does not block pain from contractions

Answer 28

and is given just before birth

Question 29

contraindications for a epidural

Answer 29

hypersensitivity or infection (local or systemic)

Question 30

pressure form forceps may injure facial nerves

Answer 30

check for symmetry in teh newborns face

Question 31

what is chorioamnionitis?

Answer 31

inflammation of the fetal membranes

Question 32

the maternal side effects for terbutaline (brethine)

Answer 32

increased heart rate, transient hyperglycemia, hypokalemia, cardiac arrhythmias, and pulmonary edema

Question 33

what will happen when magnesium sulfate is first administered?

Answer 33

facial flush

Question 34

the signs of uterine rupture

Answer 34

needs to be reported immediately

Question 35

glucocorticoids improve

Answer 35

lung maturity in a preterm fetus

Question 36

what is a precipitate birth ?

Answer 36

baby is born within three hours of labor

Question 37

different types of prenatal classes offered

Answer 37

c-section
vaginal birth after c-section
adolescent childbirth preparation

Question 38

acrocyanosis

Answer 38

bluish color of the hands and feet of the newborn that is normal and is caused by sluggish peripheral circulation