Week 1: Introduction

Question 1

When does perinatal nursing start and end?

Answer 1

Preconception period throughout the childbearing year

Question 2

What are the 6 principles of trauma informed care?

Answer 2

Trustworthiness, Collaboration, Safety, Peer support, Empowerment, Cultural, historical, and gender issues

That creep sucks Peen Every Chance He Gets!

Question 3

Recommendations for preconception period and maintaining health?

Answer 3

150’ exercise, no more than 2 drinks a day or 10/week, take a multivitamin with 0.4mg folic acid

Question 4

What are the 6 main ideas in health promotion during preconception care?

Answer 4

Nutrition and healthy diet, optimum weight, exercise, avoidance of drugs, risk reducing sexual practice, infertility

Question 5

Preconception care: Medical Hx

Answer 5

Immune status (rubella, hep B, varicella), Family Hx, Illness, Medication use

Question 6

Preconception care: Reproductive Hx

Answer 6

Contraceptive and obstetrical

Question 7

Preconception care: Psychosocial

Answer 7

-Partner and family
-Intimate partner violence
-Readiness for pregnancy

Question 8

What is the earliest biomarker for pregnancy?

Answer 8

HcG in urine and serum

Question 9

How long does a pregnancy last?

Answer 9

9 months, 40 weeks, 280 days

Question 10

Most clients give birth within X days of their estimated due date?

Answer 10

+/- 7 days

Question 11

During what period of a pregnancy is the ultrasound an accurate way to determine gestational age?

Answer 11

Early.

Question 12

What is Nagele’s rule?

Answer 12

LMP - 3 months + 7 days + 1 year

Question 13

Trimester 1

Answer 13

week 1-13

Question 14

Trimester 2

Answer 14

weeks 14-26

Question 15

Trimester 3

Answer 15

weeks 27-40

My Birthday

Question 16

Presumptive signs of pregnancy

Answer 16

breast changes, amenorrhea, N/V, urinary frequency, fatigue, quickening

Question 17

What is quickening?

Answer 17

A presumptive sign of pregnancy felt in weeks 16-20 which is a fluttering related to fetal movement

Question 18

Probable signs of pregnancy

Answer 18

Positive pregnancy test, Chadwick’s sign, Goodell’s sign, Hegar’s sign, Ballottement

Question 19

What is Goodell’s Sign?

Answer 19

5-6wk

Softening of the cervical tip due to an increased vascularity, hyperplasia, and hypertrophy

Question 20

What is Chadwick Sign?

Answer 20

bluish discoloration of **cervix **that occurs normally in pregnancy at 6 to 8 weeks’ gestation

Question 21

What is Hegar’s sign?

Answer 21

softening and compressibility of lower uterus

Question 22

What is Ballottement?

Answer 22

a palpation technique used in detecting or examining a floating object in the body

Question 23

What are the positive signs of pregnancy?

Answer 23

Visualization of fetus, fetal heart sounds, fetal movements-palpated and visible

Question 24

When does a fetus start to move and when can you feel them via palpation?

Answer 24

19-22 weeks

A 28 year old man’s tinder range

Question 25

What is a therapeutic abortion?

Answer 25

Intentional interruption of pregnancy before 20 weeks gestation

Question 26

First trimester abortion techniques

Answer 26

-Surgical (aspiration), -methotrexate + Misoprostol -Mifepristone + misoprostol

Question 27

Second trimester abortion techniques

Answer 27

-Dilation and excavation -Medical induction (prostaglandins, hypertonic and uterotonic agents)

Question 28

What is Gravidity?

Answer 28

Pregnancy

Question 29

What is Gravida?

Answer 29

Client who is pregnant

Question 30

What is Primigravida?

Answer 30

Pregnant for the first time

Question 31

What is Multigravida?

Answer 31

Client who has had 2+ pregnancies

Question 32

What is Nulligravida?

Answer 32

Client who has never been pregnant

Question 33

What is Parity?

Answer 33

Number of pregnancies in which fetuses have reached 20wks-regardless of outcome

Question 34

What is Primipara?

Answer 34

Completed one pregnancy to 20 weeks or more

Question 35

What is Multipara?

Answer 35

Has completed 2 or more pregnancies to 20 weeks or more

Question 36

What is Nullipara?

Answer 36

Client who has not completed a pregnancy with fetus/fetuses to 20 weeks or more

Question 37

What is Pre-term?

Answer 37

A pregnancy beyond 20 weeks gestation but delivered prior to the completion of week 36

Question 38

What is Term?

Answer 38

Pregnancy from beginning week 37 to end of week 40

Question 39

What is Early term?

Answer 39

37-38+6 | "AAAAND 6,7,8,"

Question 40

What is Full term?

Answer 40

39-40+6 | (905)? No, this is actually (906), fake MA #

Question 41

What is Late term?

Answer 41

41

Question 42

What is Post term?

Answer 42

after 42

Question 43

What is Viability?

Answer 43

Capacity to live outside of the uterus 22-25 weeks

Question 44

Chorion develops from

Answer 44

Trophoblasts

Question 45

Amnion develops from

Answer 45

Blastocyst | ABC

Question 46

How much amniotic fluid will there be in a pregnancy?

Answer 46

700-1000ml

Question 47

What is Oligohydraminos?

Answer 47

less than 300ml, renal abnormalities

Question 48

What is Polyhydramnios?

Answer 48

More than 2000ml, GI and other malformations

Question 49

What are the contents of amniotic fluid?

Answer 49

Albumin, urea, uric acid, creatinine, lecithin, sphingomyelin, bilirubin, fructose, fat, leukocytes, protein, epithelial cells, enzymes, and lanugo hair

Question 50

What are the proportions of the umbilical cord at term?

Answer 50

2cm thick, 30-90cm long

Question 51

What is Wharton's Jelly?

Answer 51

Connective tissue that **prevents the compression of blood vessels **to ensure the nourishment of the embryo and fetus

Question 52

When is maternal-placental-embryonic circulation established?

Answer 52

day 17

Question 53

When does an embryo's heart start beating?

Answer 53

Day 17

Question 54

When is the structure of the placenta complete?

Answer 54

Week 12

Question 55

When is placenta as wide as it will be?

Answer 55

Week 20

Question 56

What are the 4 hormones made by the placenta?

Answer 56

-hCG -Human chorionic somatomammotropin, human placental lactose -Progesterone -Estrogen

Question 57

When is the initial visit?

Answer 57

In the first trimester

Question 58

How long into a pregnancy will there be monthly visits?

Answer 58

Until 28 weeks

Question 59

When are there biweekly visits in a pregnancy?

Answer 59

28-36 weeks

Question 60

When will there be weekly visits?

Answer 60

36 weeks and beyond

Question 61

What is the purpose of prenatal care?

Answer 61

To identify existing risk factors and other deviations from normal. We also seek to engage in health promotion, emphasis is placed upon preventative and self-care.

Question 62

What is a consideration for clients living in poverty and seeking antenatal care?

Answer 62

-Prenatal care is sought after from women of middle-high SES -Clients in poverty might not have access to private or public care