NUR 101 EXAM 1 MATURNITY
STUDY GUIDE FOR ANTEPARTUM
NURSING WITH 100% CORRECT
AND VERIFIED ANSWERS
Maternal and Pediatrics (Galen College of Nursing)
, Childbearing Exam #1
Galen College
Nur-254
Childbearing / maternity
Unit 1: Antepartum
What in yellow was on this
exam
Nursing Management
o Page 178 Signs/symptoms related to pregnancy
▪ Categorizing signs/symptoms of pregnancy
• Presumptive: subjective (Patient says they experience), least reliable – not
definitive signs of pregnancy, COULD be caused by something other than
pregnancy, QUICKENING
o Breast changes, amenorrhea, nausea and vomiting, urinary frequency,
fatigue, quickening
• Probable: objective, (practitioner can see) “more than likely” pregnant
o Positive pregnancy Braxton Hicks (false), Goodell’s (cervical softening),
test, sign
Chadwick’s sign (increased cervical vascularization), Hegar’s (softening of
lower sign
uterine segment), enlarging uterus, ballottement (pushing of the uterus –
do you feel a fetus move and come back?)
• Positive: visualization, hearing fetus HR, feel the fetus, VISUAL ULTRA SOUND;
practitioner feels
kicking
▪ What is considered normal or expected?
• Effects on body systems
o Breasts: increase in size, fullness, heaviness, tingling, darkening of the areola,
lactation
can occur as early as 18 weeks
o GI: delayed GI motility, constipation, heartburn, nausea and vomiting,
hemorrhoids, increased vascularity of gums, increased saliva
o GU: increased urination; NORMAL
o Cardio: pulse increase, increased blood volume, increased cardiac output
o Respiratory: increased O2 consumption, nasal and sinus congestion,
increased vascularity
o Musculoskeletal: center of gravity shifts, unsteady gait
o Sensory: sciatica, restless legs, muscle cramps, syncope, tension headache
o Integumentary: melasma mask (hyperpigmentation), striae gravidarum (stretch
marks), vascular malformation (spider veins)
• Vital signs
o HR: slight increase
o BP: should not change dramatically from baseline
o RR: SOB is common, difficulty breathing is NOT
o O2: remains stable
o Temp: can slightly increase
▫ Page 187 Calculating GTPAL
G: gravida
• Number of pregnancies, regardless of the outcome – including current
T: term
• Delivery at 37-42 weeks
P: preterm
• Delivery between 20 weeks and 36 weeks 6 days
A: abortion
• Before 20 weeks, including miscarriage
L: living
• Number of children that are still living
▪ REMEMBER! With multiples, they count as one pregnancy!
▫ Page 178 Calculating Naegele’s Rule/EDD (expected date of delivery) – two ways to calculate
▪ First day of last menstrual period
• Add 7 days + 9
months OR
•
• Add 7 days – 3 months + one year
▪ EXAMPLE:
• LMP: 1/12/22
• + 7 days = 1/19/22
• + 9 months = 10/19/22
▫ Analyzing labs
▪ Blood work
Titers
Rubella/Varicella: provides passive immunity
• CBC
, ▪ Live vaccines are
contraindicated (page
193)
o No booster while pregnant, can
offer postpartum
o Toxoplasma- Don’t not clean
cat litter, eat raw meat or touch
dirt
STUDY GUIDE FOR ANTEPARTUM
NURSING WITH 100% CORRECT
AND VERIFIED ANSWERS
Maternal and Pediatrics (Galen College of Nursing)
, Childbearing Exam #1
Galen College
Nur-254
Childbearing / maternity
Unit 1: Antepartum
What in yellow was on this
exam
Nursing Management
o Page 178 Signs/symptoms related to pregnancy
▪ Categorizing signs/symptoms of pregnancy
• Presumptive: subjective (Patient says they experience), least reliable – not
definitive signs of pregnancy, COULD be caused by something other than
pregnancy, QUICKENING
o Breast changes, amenorrhea, nausea and vomiting, urinary frequency,
fatigue, quickening
• Probable: objective, (practitioner can see) “more than likely” pregnant
o Positive pregnancy Braxton Hicks (false), Goodell’s (cervical softening),
test, sign
Chadwick’s sign (increased cervical vascularization), Hegar’s (softening of
lower sign
uterine segment), enlarging uterus, ballottement (pushing of the uterus –
do you feel a fetus move and come back?)
• Positive: visualization, hearing fetus HR, feel the fetus, VISUAL ULTRA SOUND;
practitioner feels
kicking
▪ What is considered normal or expected?
• Effects on body systems
o Breasts: increase in size, fullness, heaviness, tingling, darkening of the areola,
lactation
can occur as early as 18 weeks
o GI: delayed GI motility, constipation, heartburn, nausea and vomiting,
hemorrhoids, increased vascularity of gums, increased saliva
o GU: increased urination; NORMAL
o Cardio: pulse increase, increased blood volume, increased cardiac output
o Respiratory: increased O2 consumption, nasal and sinus congestion,
increased vascularity
o Musculoskeletal: center of gravity shifts, unsteady gait
o Sensory: sciatica, restless legs, muscle cramps, syncope, tension headache
o Integumentary: melasma mask (hyperpigmentation), striae gravidarum (stretch
marks), vascular malformation (spider veins)
• Vital signs
o HR: slight increase
o BP: should not change dramatically from baseline
o RR: SOB is common, difficulty breathing is NOT
o O2: remains stable
o Temp: can slightly increase
▫ Page 187 Calculating GTPAL
G: gravida
• Number of pregnancies, regardless of the outcome – including current
T: term
• Delivery at 37-42 weeks
P: preterm
• Delivery between 20 weeks and 36 weeks 6 days
A: abortion
• Before 20 weeks, including miscarriage
L: living
• Number of children that are still living
▪ REMEMBER! With multiples, they count as one pregnancy!
▫ Page 178 Calculating Naegele’s Rule/EDD (expected date of delivery) – two ways to calculate
▪ First day of last menstrual period
• Add 7 days + 9
months OR
•
• Add 7 days – 3 months + one year
▪ EXAMPLE:
• LMP: 1/12/22
• + 7 days = 1/19/22
• + 9 months = 10/19/22
▫ Analyzing labs
▪ Blood work
Titers
Rubella/Varicella: provides passive immunity
• CBC
, ▪ Live vaccines are
contraindicated (page
193)
o No booster while pregnant, can
offer postpartum
o Toxoplasma- Don’t not clean
cat litter, eat raw meat or touch
dirt
