NURN 218 Exam 1 Questions With Correct
Answers
Nulligravida - CORRECT ANSWER✔✔-never having been pregnant
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Primagravida - CORRECT ANSWER✔✔-first birth
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Multigravida - CORRECT ANSWER✔✔-woman who has been pregnant more than
| | | | | | | | | |
once
Primipara - CORRECT ANSWER✔✔-Giving birth for the first time
| | | | | | | |
Multipara - CORRECT ANSWER✔✔-woman who has given birth to two or more
| | | | | | | | | | | |
children
Gestation - CORRECT ANSWER✔✔-growth process from conception to birth
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Stillbirth - CORRECT ANSWER✔✔-Fetus has died in utero
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Preterm - CORRECT ANSWER✔✔-<37 weeks
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Early Term 37 weeks -38 6/7 weeks - CORRECT ANSWER✔✔-37 weeks -38 6/7
| | | | | | | | | | | | |
weeks
,Full Term - CORRECT ANSWER✔✔-39 0/7 weeks -40 6/7 weeks
| | | | | | | | |
Late Term - CORRECT ANSWER✔✔-41 0/7 weeks -41 6/7 weeks
| | | | | | | | |
Post Term - CORRECT ANSWER✔✔-42 0/7 weeks and beyond
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GTPAL - CORRECT ANSWER✔✔-Gravida (# of pregnancies including current)
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Term (any infant born after 37 weeks)
| | | | | |
Preterm (20-36.6 weeks) | | |
Abortions (spontaneous/medically induced abortion <20wk)
| | | |
Living (# of living children)
| | | |
Estrogen - CORRECT ANSWER✔✔-Secreted by corpus luteum, then placenta
| | | | | | | |
-Stimulates uterine/breast development | |
Progesterone - CORRECT ANSWER✔✔-Secreted by corpus luteum, then placenta
| | | | | | | |
-Relaxes smooth muscle, prevents spontaneous abortion
| | | | |
hPL (human placental lactogen) - CORRECT ANSWER✔✔-An antagonist of insulin
| | | | | | | | |
-Decreases metabolism of glucose | | |
Relaxin - CORRECT ANSWER✔✔-Inhibits uterine activity
| | | | |
,-Relaxes pelvic joints
| |
Chadwick's Sign - CORRECT ANSWER✔✔-Bluish-purple coloration of the vaginal
| | | | | | | | |
mucosa and cervix
| |
Goodall's Sign - CORRECT ANSWER✔✔-softening of the cervical tip
| | | | | | | |
Hegar's Sign - CORRECT ANSWER✔✔-Softening of the lower uterine segment
| | | | | | | | |
Perfusion- Maternal Physiologic Changes - CORRECT ANSWER✔✔--Increased
| | | | | | |
blood plasma, increased BP in 1st trimester
| | | | | |
-Decreased RBC, vascular resistance, decreased BP in 2nd trimester
| | | | | | | |
Oxygenation- Maternal Physiologic Changes - CORRECT ANSWER✔✔--Increased
| | | | | | |
tidal volume, RR
| |
-Decreased airway resistance | |
-HR can increase by 10-15 in 3rd trimester, experience SOB
| | | | | | | | |
Elimination - Maternal Physiologic Changes - CORRECT ANSWER✔✔-Urinary stasis
| | | | | | | |
can increase the risk of a UTI
| | | | | | |
-Constipation, possibly hemorrhoids | |
-Estrogen/progesterone levels can increase risk of n/v | | | | | |
Mobility - Maternal Physiologic Changes - CORRECT ANSWER✔✔-Change in gait
| | | | | | | | | |
because of pressure/compression/shift in weight
| | | |
, Nursing intervention - support pillows
| | | |
Metabolism - Maternal Physiologic Changes - CORRECT ANSWER✔✔-Enlargement
| | | | | | |
of thyroid gland to meet higher metabolic needs of the body
| | | | | | | | | | | |
-Prolactin and oxytocin are stimulated (Prolactin milk production, oxytocin for
| | | | | | | | | |
contractions and milk ejection) | | |
-Pancreas secretes more insulin | | |
Nutrition - Maternal Physiologic Changes - CORRECT ANSWER✔✔-Moms
| | | | | | | |
experience acid reflux | | |
-Eat slow, frequent meals
| | |
Perfusion issue - CORRECT ANSWER✔✔-Pregnant patients should not lay on their
| | | | | | | | | |
back because it can compress blood vessels
| | | | | | |
-Alternative: Put a pillow behind her back, on the R side
| | | | | | | | | |
Subjective/Presumptive Signs of Pregnancy - CORRECT ANSWER✔✔--Amenorrhea | | | | | |
-N/V
-Breast tenderness/enlargement
|
-Quickening (fetal movement) | |
-Urinary Frequency | |
-Fatigue
Probable Signs of Pregnancy (can be seen by provider) - CORRECT ANSWER✔✔--
| | | | | | | | | | |
Changes in pelvic organs (Chadwick's sign, Hegar's sign, Goodall's Sign)
| | | | | | | | |
Answers
Nulligravida - CORRECT ANSWER✔✔-never having been pregnant
| | | | | |
Primagravida - CORRECT ANSWER✔✔-first birth
| | | |
Multigravida - CORRECT ANSWER✔✔-woman who has been pregnant more than
| | | | | | | | | |
once
Primipara - CORRECT ANSWER✔✔-Giving birth for the first time
| | | | | | | |
Multipara - CORRECT ANSWER✔✔-woman who has given birth to two or more
| | | | | | | | | | | |
children
Gestation - CORRECT ANSWER✔✔-growth process from conception to birth
| | | | | | | |
Stillbirth - CORRECT ANSWER✔✔-Fetus has died in utero
| | | | | | |
Preterm - CORRECT ANSWER✔✔-<37 weeks
| | | |
Early Term 37 weeks -38 6/7 weeks - CORRECT ANSWER✔✔-37 weeks -38 6/7
| | | | | | | | | | | | |
weeks
,Full Term - CORRECT ANSWER✔✔-39 0/7 weeks -40 6/7 weeks
| | | | | | | | |
Late Term - CORRECT ANSWER✔✔-41 0/7 weeks -41 6/7 weeks
| | | | | | | | |
Post Term - CORRECT ANSWER✔✔-42 0/7 weeks and beyond
| | | | | | | |
GTPAL - CORRECT ANSWER✔✔-Gravida (# of pregnancies including current)
| | | | | | | |
Term (any infant born after 37 weeks)
| | | | | |
Preterm (20-36.6 weeks) | | |
Abortions (spontaneous/medically induced abortion <20wk)
| | | |
Living (# of living children)
| | | |
Estrogen - CORRECT ANSWER✔✔-Secreted by corpus luteum, then placenta
| | | | | | | |
-Stimulates uterine/breast development | |
Progesterone - CORRECT ANSWER✔✔-Secreted by corpus luteum, then placenta
| | | | | | | |
-Relaxes smooth muscle, prevents spontaneous abortion
| | | | |
hPL (human placental lactogen) - CORRECT ANSWER✔✔-An antagonist of insulin
| | | | | | | | |
-Decreases metabolism of glucose | | |
Relaxin - CORRECT ANSWER✔✔-Inhibits uterine activity
| | | | |
,-Relaxes pelvic joints
| |
Chadwick's Sign - CORRECT ANSWER✔✔-Bluish-purple coloration of the vaginal
| | | | | | | | |
mucosa and cervix
| |
Goodall's Sign - CORRECT ANSWER✔✔-softening of the cervical tip
| | | | | | | |
Hegar's Sign - CORRECT ANSWER✔✔-Softening of the lower uterine segment
| | | | | | | | |
Perfusion- Maternal Physiologic Changes - CORRECT ANSWER✔✔--Increased
| | | | | | |
blood plasma, increased BP in 1st trimester
| | | | | |
-Decreased RBC, vascular resistance, decreased BP in 2nd trimester
| | | | | | | |
Oxygenation- Maternal Physiologic Changes - CORRECT ANSWER✔✔--Increased
| | | | | | |
tidal volume, RR
| |
-Decreased airway resistance | |
-HR can increase by 10-15 in 3rd trimester, experience SOB
| | | | | | | | |
Elimination - Maternal Physiologic Changes - CORRECT ANSWER✔✔-Urinary stasis
| | | | | | | |
can increase the risk of a UTI
| | | | | | |
-Constipation, possibly hemorrhoids | |
-Estrogen/progesterone levels can increase risk of n/v | | | | | |
Mobility - Maternal Physiologic Changes - CORRECT ANSWER✔✔-Change in gait
| | | | | | | | | |
because of pressure/compression/shift in weight
| | | |
, Nursing intervention - support pillows
| | | |
Metabolism - Maternal Physiologic Changes - CORRECT ANSWER✔✔-Enlargement
| | | | | | |
of thyroid gland to meet higher metabolic needs of the body
| | | | | | | | | | | |
-Prolactin and oxytocin are stimulated (Prolactin milk production, oxytocin for
| | | | | | | | | |
contractions and milk ejection) | | |
-Pancreas secretes more insulin | | |
Nutrition - Maternal Physiologic Changes - CORRECT ANSWER✔✔-Moms
| | | | | | | |
experience acid reflux | | |
-Eat slow, frequent meals
| | |
Perfusion issue - CORRECT ANSWER✔✔-Pregnant patients should not lay on their
| | | | | | | | | |
back because it can compress blood vessels
| | | | | | |
-Alternative: Put a pillow behind her back, on the R side
| | | | | | | | | |
Subjective/Presumptive Signs of Pregnancy - CORRECT ANSWER✔✔--Amenorrhea | | | | | |
-N/V
-Breast tenderness/enlargement
|
-Quickening (fetal movement) | |
-Urinary Frequency | |
-Fatigue
Probable Signs of Pregnancy (can be seen by provider) - CORRECT ANSWER✔✔--
| | | | | | | | | | |
Changes in pelvic organs (Chadwick's sign, Hegar's sign, Goodall's Sign)
| | | | | | | | |
