Week 1 (Antepartum)

Question 1

Within the male reproductive system, the scrotum hold what and what does it contain?

Answer 1

Scrotum holds testes which contain seminiferous tubules(Where spermatogenesis occurs)

Question 2

Where is Sperm maturation completed?

Answer 2

Epididymis

Question 3

After the Epididymis, where does the sperm go?

Answer 3

Through the abdominal cavity and joins the ejaculatory duct

Question 4

After the ejaculatory duct, what happens to the sperm?

Answer 4

it secretes from the seminal vesicles and passes into the urethra. then out of the body

Question 5

Prostate glands and bulbourethral gland produce what?

Answer 5

Alkaline fluid as the sperm leaves the body.

Question 6

In the female body, Where does fertilization occur?

Answer 6

Fertilization occurs in one of the fallopian tubes

Question 7

Uterus is divided into 3 parts. Explain.

Answer 7

Fundus, body, and cervix

Question 8

Explain the stages of fertilization

Answer 8

1. Sperm Enter the egg
2. Blastocyst is created
3. Implantation of the blastocyst into uterine cavity (Day 5 or 6)
4. Embryo (up to 8 weeks gestation)
5. Fetus (9 weeks to birth)

Question 9

What is a blastocyst?

Answer 9

Consist of the embryoblast in the inner cell and the trophoblast, which assist in implantation and will become apart of the placenta.

Question 10

What is Organogenesis?

Answer 10

The formation and development of body organs.

Question 11

With Fetal circulation, weeks 2-3 after conception, what happens?

Answer 11

Cardiovascular system develops

Question 12

What happens in week 3?

Answer 12

fetal heart begins to beat

Question 13

What is the ductus venosus?

Answer 13

Connects umbilical vein to inferior vena cava.

Question 14

What is the Foramen ovale?

Answer 14

Opening between the right and left atria

Question 15

What is the ductus arteriosus?

Answer 15

Connects the pulmonary artery with descending aorta.

Question 16

What is the placenta made from?

Answer 16

Maternal and fetal tissue

Question 17

What is the Chorionic membrane when it comes to the placenta?

Answer 17

Develop from trophoblast and chorionic villi

The chorionic villi later form blood vessels for the fetus

Question 18

What is the job of the placental membrane?

Answer 18

Prevents fetal and mom blood from mixing.
Allows for gas, nutrient, and electrolyte exchange.

Question 19

Function of the placenta?

Answer 19

metabolic and gas exchange
Hormone production

Question 20

How long does it take the placenta to be fully functional?

Answer 20

8-10 weeks

Question 21

What is the embryonic membranes?

Answer 21

In consist of the amniotic and chorionic membranes which formed the amniotic sac that form around the fetus.

Helps protect the fetus from bacteria and stretches with the fetus as it grows.

Question 22

In each trimester, how is the amniotic fluid produced?

Answer 22

1st- Amniotic membrane
2nd/3rd- Fetal kidneys

Question 23

What is the function of amniotic fluid?

Answer 23

Cushions the fetus
Allows for fetal movements
Provide a consistent thermal environment

Question 24

What does the Umbilical Cord consist of?
AVA

Answer 24

2 arteries and 1 vein

Question 25

What is the umbilical Cord surrounded by what?

Answer 25

Surround by Wharton's Jelly

Question 26

What is important to do as a nurse after delivery?

Answer 26

Document the number of vessels

Question 27

Prenatal care slide

Question 28

What are the Presumptive signs of pregnancy?

Answer 28

Presumptive signs is all subjective signs - No period (amenorrhea) - N and V - Breast changes - Pee too much - Quickening (Slight fluttering movements of the fetus. Between 16-20 weeks)

Question 29

What are the Probable signs of pregnancy?

Answer 29

Probable signs are objective signs of pregnancy observed b HCP - Chadwick's sign -Goodell signs -Lab results - Hegar's sign

Question 30

What are the Positive signs of pregnancy?

Answer 30

Positive sign are objective signs that only lead to a fetus - fetal Heart - Observations of fetal movement - Sonographic visualization

Question 31

How to diagnosis Pregnancy?

Answer 31

based on signs History and physical Pelvic exam Lab work

Question 32

How long is each trimester?

Answer 32

1st- LMP (last mestural period) to 13 6/7 weeks 2nd- 14 weeks to 27 6/7 weeks 3rd- 28 weeks to 40 completed weeks

Question 33

How is EDD calculated?

Answer 33

Nagele's Rule: -Obtain LMP - Count back 3 months - add 7 days *watch for the year change

Question 34

How to measure Gestational age?

Answer 34

Fundal Height +/- 2 weeks

Question 35

How to measure Fundal Height

Answer 35

From the symphysis pubis to the top of the uterine fundus.

Question 36

What is the GTPAL and what does each mean?

Answer 36

G-Gravida: how many times you been pregnant? T-Term: how many pregnancies you have carry to 38-42 weeks P- Preterm: How many pregnancies you have carry to 20-37. A- Abortions: Delivery before 20 weeks- Induced (Abortion) or Spontaneous (miscarriage). Fetus weight less then 500g L- Living: How many living kids

Question 37

What happens during the Initial prenatal Visit?

Answer 37

Complete Health and risk assessment GTPAL Determine EDD Nutrition assessment Lab testing

Question 38

What are some First Trimester education?

Answer 38

Discomforts and relief Physical and psychosocial changes Complications to report Fetal growth Exercise Nutrition watchful

Question 40

What are some common discomforts in pregnancy?

Answer 40

- N and V - Breast tenderness - UTIs -Fatigue

Question 41

During the 2nd Trimester, What happens during the visit

Answer 41

This happens every 4 weeks - VS and weight and urine - Fetal development ( Heart Rate and movement) - Leopold's maneuvers (See where the baby is)

Question 42

What is second trimester Education?

Answer 42

Discomforts Fetal Movements Childbirth classes Breastfeeding classes Complications

Question 43

What are 2nd/3rd Trimester Danger Signs?

Answer 43

Abdominal or pelvic pain No fetal movement Prolong N/V Fever Vaginal Bleeding

Question 44

During the 3rd trimester, what happens during the visit?

Answer 44

Every 2-3 weeks until 36 weeks. Weekly after 36 weeks - Chart Review - Interval history -Nutrition Screening - Pelvic exam

Question 45

What is third Trimester Education?

Answer 45

Birth Plan Labor pain Mangement S/S preterm Labor Labor Process Infant care Postpartum care Fetal kicks

Question 46

How much pounds do you gain during pregnancy?

Answer 46

25-35 Lbs

Question 47

How much iron does a pregnant women need?

Answer 47

30 mg/day

Question 48

What Factors influence Nutrition?

Answer 48

- N/V - Culture/Religious Requirements - History of eating disorders

Question 49

Psychosocial Adaptations

Question 50

What can a maternal Adaptation effected by?

Answer 50

- Acceptance of pregnancy - Relationship with mother -Personal beliefs - Relationship with partner