Prenatal Growth

Question 1

Probable sign of pregnancy: Hegar sign

Answer 1

Softening of the uterine isthmus

Question 2

Probable sign of pregnancy: Chadwick sign

Answer 2

Bluish or cyanosis color of cervix and upper vagina

Question 3

Probable sign of pregnancy: Goodall sign

Answer 3

Softening of cervix

Question 4

Probable sign of pregnancy: Piskacek sign

Answer 4

Asymmetrically, softened enlargement of the uterine corner caused by placental development

Question 5

Preconception care of women: improve

Answer 5

Knowledge, attitudes and behavior related to preconception health

Question 6

Preconception care of women: assure all

Answer 6

Childbearing women receive preconception health

Question 7

Preconception care of women: reduce risk of

Answer 7

Adverse pregnancy outcomes through inter conception interventions

Question 8

Preconception care of women: reduce

Answer 8

Disparities in adverse pregnancy outcomes

Question 9

Preconception care of women: provide

Answer 9

More prenatal, equal care and education

Question 10

Stages of development: morula

Answer 10

Solid mass of cells developing from cleavage

Question 11

Stages of development: blastocyst

Answer 11

Ball of cells formed from morula

Question 12

Stages of development: embryonic disk

Answer 12

Inner mass of cells of blastocyst

Question 13

Stages of development: gastrula

Answer 13

Composed of 3 tissues: ectoderm (outer), mesoderm (middle) and endoderm (inner)

Question 14

Germ layer theory

Answer 14

Ectoderm, mesoderm and endoderm are the foundation of the body systems

Question 15

What is the ectoderm responsible for developing?

Answer 15

The skin cells of epidermis, neurons of the brain, pigment cells (think outside)

Question 16

What is the mesoderm responsible for developing?

Answer 16

Skeletal muscle cells, cardiac muscle cells, smooth muscle cells in Gut (think M for muscle)
red blood cells
tubule cells of kidney

Question 17

What is the endoderm responsible for developing?

Answer 17

Lung cells (alveolar), thyroid cells, digestive cells (pancreatic )

Question 18

Neural tube formed

Answer 18

• ectodermal plate expands
• neural folds rise
• neural folds fuse and become neural tube

Question 19

Risks for teen pregnancy

Answer 19

• low birth weight
• high mortality
• nutritional competition

Question 20

Risks for much older (35+) in regards to pregnancy

Answer 20

• prematurity
• low birth weight
• chromosomal issues
• multiple pregnancies

Question 21

Recommended weight gain during pregnancy: healthy women with normal BMI

Answer 21

25-35lbs

Question 22

Recommended weight gain during pregnancy: overweight women (BMI >25)

Answer 22

15-25lb

Question 23

Recommended weight gain during pregnancy: underweight women (BMI <25)

Answer 23

28-40lb

Question 24

Recommended weight gain during pregnancy: obese women (BMI >30)

Answer 24

11-20lb

Question 25

Infants of obese mothers may be(4)

Answer 25

- premature - stillbirth - neonatal death - congenital abnormalities

Question 26

Diabetes in pregnant women and fetal effects

Answer 26

- increased congenital abnormalities, risk of intrauterine death - hypo glycemia/calcemia - resp distress - hyperbilirubinemia

Question 27

UTIs are associate with (NOT the cause)

Answer 27

Preterm labor

Question 28

Bonding with the fetus, leaning into

Answer 28

- Bonding into the unknown child | - complex b/c fetus as part of self and independent

Question 29

Learning to give and fetus

Answer 29

Give of herself

Question 30

Ensure with baby

Answer 30

Safe passage and acceptance of child

Question 31

Stages of labor: what are they

Answer 31

Dilation, pushing, placental and recovery

Question 32

Stages of labor: dilation

Answer 32

Onset of labor to complete cervix dilation

Question 33

Stages of labor: three stages of dilation

Answer 33

Latent, active and transition

Question 34

Stages of labor: pushing

Answer 34

From complete dilation of cervix to birth

Question 35

Stages of labor: Placental

Answer 35

Birth to delivery of placenta

Question 36

Stages of labor: recovery

Answer 36

First 4hours after childbirth | Physiological and psychological adjustments

Question 37

Stages of labor: highest risk during recovery

Answer 37

- possibility of postpartum hemorrhage: greater than 1000mL with S&S of hypovolemia - tachycardia in mom

Question 38

Role of nurse: need to be aware

Answer 38

Of how culture, tradition and acculturation affect mom

Question 39

Culture and care

Answer 39

Culture plays a big role in delivery of care

Question 40

Normal fetal HR and normal RR

Answer 40

110-160 25-40