NR 327 Maternal-Child Nursing complete Exam 1 Latest 2026 Verified Questions and Answers Study Guide, Chamberlain University

NR 327 Maternal-Child Nursing complete Exam 1 study guide covering spontaneous abortion causes (low progesterone), pregnancy physiology (SOB due to diaphragm pressure resolving in third trimester, epistaxis and gum bleeding from increased estrogen, urinary frequency greatest in first and third trimesters), Leopold's maneuvers for fetal positioning, viability definition (20 weeks GTPAL, 22-25 weeks real life), preeclampsia and proteinuria, amenorrhea types (primary vs secondary causes Turner syndrome anatomic abnormalities), menopause average age 51.5 lasting 3-5 years, menstrual cycle average 28 days, breathing difficulty in second trimester, skin changes (striae, linea negra, melasma), prenatal visit assessments (vital signs, weight, urine protein/ketones, fundal height, Leopold's, FHR), medications to avoid in pregnancy (ibuprofen, aspirin, herbs, thalidomide, antidepressants, steroids, lithium, dilantin), vaccines in pregnancy (flu shot safe inactivated, Tdap at 27-36 weeks, MMR and varicella contraindicated live vaccines), fundal height measurement at 24 weeks correlates with gestational age ±2 cm, Rhogam administration (IM deltoid at 28 weeks for Rh-negative mothers, repeat postpartum if baby Rh-positive), rubella immunity testing (positive indicates immunity, negative requires MMR postpartum avoid pregnancy 4 weeks), fertilization site fallopian tube, GBS screening at 35-37 weeks via vaginal swab, treatment with penicillin or clindamycin if positive, unknown GBS status at birth requires prophylactic penicillin, ovarian cancer risk factors (early menarche, menopause ≤56, family history), placenta functions (protection, nourishment, waste excretion), umbilical cord vessels (2 arteries carry waste, 1 vein carries oxygenated blood), DVT risk in pregnancy from decreased leg blood flow, fetal movement count 10 per hour, decreased movement 6 per hour requires ED evaluation, fetal assessments by trimester (1st trimester ultrasound beta-hCG progesterone CVS, 2nd trimester ultrasound MSAFP amniocentesis, 3rd trimester NST vibroacoustic BPP CST doppler flow), MSAFP screening at 16-18 weeks (low levels indicate Down syndrome, high levels indicate neural tube defects), amniocentesis confirmatory test (empty bladder, consent, monitor for infection bleeding labor), CVS first trimester for genetic defects, normal FHR 110-160, fetal monitoring strip interpretation (accelerations, early decelerations mirror image, variable decelerations V-shaped, late decelerations after contraction), nonstress test (NST) in third trimester (reactive requires 2 accelerations 15×15 in 20 minutes, nonreactive from fetal sleep or dehydration), biophysical profile (BPP) scoring (5 variables fetal breathing movements tone AFI NST, normal 8-10, 4-6 indicates induction, 2-0 indicates asphyxia immediate C-section), contraction stress test (CST) negative indicates labor tolerance, positive indicates C-section, amniotic fluid index (AFI) normal 5-25 cm (oligohydramnios 5 from anomalies IUGR ROM, polyhydramnios 25 from NTD GI obstruction multiples hydrops), bleeding in pregnancy requires ED evaluation, no vaginal exam on bleeding pregnant woman, ultrasound needed, Rhogam before invasive procedures CVS amniocentesis cerclage, severe preeclampsia seizure precautions, hyperemesis gravidarum dehydration risk, incompetent cervix cerclage treatment, ectopic pregnancy (unilateral pain, spotting, Cullen's sign, life-threatening termination required), hydatidiform mole molar pregnancy (high hCG, N/V, rapid uterus growth, D&C, avoid pregnancy 1 year), placenta previa (painless bleeding, C-section needed), abruptio placentae (painful bleeding, board-like abdomen, fetal distress), hypertension classification (systolic ≥140 or diastolic ≥90), gestational hypertension (elevated BP without protein), preeclampsia (hypertension with proteinuria, mild vs severe criteria, epigastric pain indicates impending seizure), magnesium sulfate for seizure prophylaxis (therapeutic level 4-8, toxicity signs decreased urine output respiratory depression LOC changes diminished reflexes, antidote calcium gluconate), hydralazine IV push for severe hypertension unresponsive to magnesium, HELLP syndrome (hemolysis elevated liver enzymes low platelets) postpartum complication, peripartum cardiomyopathy, gestational diabetes screening (glucose challenge test GCT at 24 weeks with 50g glucose, positive if ≥130 followed by 3-hour glucose tolerance test GTT), anemia most common medical disorder in pregnancy, hypothyroidism risks (SAB preterm birth low birth weight preeclampsia), HIV in pregnancy (antiviral therapy starting at 14 weeks, newborn treatment at delivery and 6 weeks, C-section if viral load 1000 copies), chlamydia "silent infection" treated with azithromycin or amoxicillin, STD screening at first perinatal visit and third trimester, lightening (descent of fetal head relieving diaphragm pressure), quickening (fetal movements felt in second trimester), weight gain recommendations by BMI (normal BMI 18.5-24.9 gain 25-35 lbs, underweight 18.5 gain 28-40 lbs, overweight 25-29.9 gain 15-25 lbs, obese 30 gain 11-20 lbs), first trimester weight gain 4.4 lbs, after first trimester 1 lb/week, nausea and vomiting management (small frequent meals, bland diet, cold drinks), IUGR causes (smoking, substance abuse, iron deficiency anemia), folic acid 600 mcg for neural tube prevention, iron 27 mg with orange juice avoid milk, vitamin B12 2.6 mcg for RBC formation, vitamin A 750-770 mcg too much causes SAB, vitamin D 600 IU for calcium absorption, vitamin B6 for nausea, foods to avoid in pregnancy (high mercury fish, lunch meats, soft cheeses, raw eggs, smoking, caffeine 200 mg, alcohol), PKU maternal (low protein diet, avoid aspartame, start 3 months preconception), fertility testing (male first, then female), hysterosalpingography for tubal patency check iodine allergy, basal body temperature tracking (higher during ovulation, taken morning), postcoital test (PCT) for cervical mucus and sperm interaction, GTPAL (Gravida, Term births, Preterm births, Abortions, Living children), Nagele's Rule for EDD (LMP minus 3 months plus 7 days), pregnancy hormones (estrogen enables uterine growth, progesterone maintains pregnancy prevents SAB, hCG causes positive test and morning sickness, hPL acts as growth hormone and insulin antagonist). Perfect for undergraduate nursing students preparing for NR 327 maternal-child nursing exam. Course Codes: NR327, NR-327, Maternal-Child Nursing, OB Nursing