pre labour

Question 1

what are the places that nurses normally work at?

Answer 1

• Hospital, home, community and ambulatory

Question 2

nurses work collaboratively with other members of the…

Answer 2

interprofessional healthcare team, such as physicians, midwives, and social workers

Question 3

what is the main objective in nursing?

Answer 3

healthy person giving birth to a healthy baby

Question 4

what are the principles of nursing standards in L&D

Answer 4

• Caring
• Health and well-being
• Justice
• Informed Decision Making
• Dignity
• Confidentiality
• Accountability

Question 5

what are some current labour issues with Indigenous Women

Answer 5

• tend to be lack of hospitals therefore there is no proper care
• may get care that is unsafe

Question 6

homelessness and pregnancy

Answer 6

• little knowledge
• mental health concern
• poor hygiene
• exposure to violence
• lack of money for proper food, transportation, helath care etc.

Question 7

LGBTQ2

Answer 7

• lack of knowledge

Question 8

global concerns

Answer 8

• genital cutting
• human trafficking

Question 9

what does GTPAL stand for?

Answer 9

• gravdity (number of all pregnanices)
• term birth (more than 37 weeks)
• preterm brith (before 37 weeks *20-37)
• abortions and miscarriages
• living children

Question 10

what is the goal for preconception?

Answer 10

• improving moms health and reduce things that can be causing danger to both mom and baby

Question 11

what are some risk assessments for preconception?

Answer 11

• intimate partner violence
• STI and infertilty
• diseases
• medication or substnace abuse

Question 12

what are some interventions that can be done to aid preconception?

Answer 12

• health teaching
• weight management
• family planning

Question 13

what is the average weight to gain when someone is underweight?

Answer 13

28-40

Question 14

what is the average BMI

Answer 14

18.5 - 24.9

Question 15

what is the average weight needed to gain for someone obese?

Answer 15

11-20

Question 16

what is a NTD?

Answer 16

neural tube defect
- when a babys nural tube does not close properly before brith

Question 17

what does the neural tube form?

Answer 17

brain and spine

Question 18

when do the neural tubes close?

Answer 18

first months of gestation

Question 19

why do women take folic acid?

Answer 19

prevent from NTD

Question 20

how many mg of folic acid needed to take if you are low, moderate or high risk for NTDS?

Answer 20

• Low Risk: 0.4mg in a daily multivitamin 2-3 months throughout pregnancy
• Moderate Risk: 1.0mg in first trimester, then reduce to 0.4mg
• High Risk: 4mg/day through first trimester, then reduce to 0.4mg – 1.0mg daily

Question 21

true or false: you dont need to take multivitamins before pregnancy

Answer 21

FALSE: you need to take them at least 3 months in advance even if you are low risk for NTD’S

Question 22

when taking a pregnacy test, what is the test looking for in the body?

Answer 22

• Beta HCG

Question 23

how can you estimate the date of birth?

Answer 23

• through the LMP (last menstrual period)
• date of intercourse

Question 24

what is nagele’s rule?

Answer 24

add 9 months from last known period then add 7 days

Question 25

what are the placental functions?

Answer 25

- respiration - nutrition - excretion - storage

Question 26

the placenta acts like a....

Answer 26

endocrine gland

Question 27

at what age does a kid notices the mothers appearance change?

Answer 27

2 years old

Question 28

what age does a kid think its "their baby"?

Answer 28

school aged

Question 29

what are the 4 phases in a period?

Answer 29

1. menstrual cycle 2. follicular phase 3. ovulation phase 4.leuteal phase

Question 30

what happens in menstrual phase?

Answer 30

- starts when the egg isnt fertilized - therefore estrogen and progesterone decrease - thicken lining of uterus starts to shed (bleeding)

Question 31

what happens in the follicular phase ?

Answer 31

- starts on the first day of the period -ends when ovulation occurs - hypothalamus in brain sends signal to pituitary gland to release hormones that stimulate follicules that contain eggs (immature) - thickens uterus lining

Question 32

what happens in ovulation phase

Answer 32

- the increase of estrogen in folicular phase triggers the pituitary gland to release a hormone that starts ovulation - when the ovary release a mature egg - egg travels down fallopian tubes to uterus to be fertilized by sperm - pregnancy happens here

Question 33

what happens in the luteal phase?

Answer 33

- after the egg is released - turns into corpus lutium (a structure that releases estrogen and progesterone) - therefore these hormones increase - help uterine lining thick body will produce HCG at this phase

Question 34

what does the uterus do?

Answer 34

the lining of your uterus thickens and its blood vessels enlarge to provide nourishment to the fetus

Question 35

the cervix is...

Answer 35

fibrous connective and elastic tissue

Question 36

where is the cervix located?

Answer 36

above vagina under uterus

Question 37

what does the cervix do?

Answer 37

protects baby and secure it in uterus - cervix is closed and rigid until labour

Question 38

where is your true pelvis located?

Answer 38

lower body

Question 39

when is the placenta finished being produced?

Answer 39

by week 12, the corpus lutieum will act as placenta until then

Question 40

when is the umbilical cord produced?

Answer 40

week 2-3

Question 41

what does amniotic fluid do?

Answer 41

- maintains temp - cushions fetus from trauma - aids in fetal lung development - infection wall

Question 42

what are the three layers of the uterus?

Answer 42

Endometrium, myometrium, peritoneum

Question 43

Where does implantation occur under normal circumstances?

Answer 43

endometrium

Question 44

what is the hormone responsible for triggering ovulation

Answer 44

Luteinizing hormone (LH)

Question 45

What are the two layers that surround an ovum?

Answer 45

Zona pellucida and corona radiata