MOD D HCD Exam Questions And Answers Practice Questions with Solutions Newest | Already Graded A+

MOD D HCD Exam Questions And Answers Practice Questions with Solutions Newest | Already Graded A+ Some anxiety during pregnancy is normal and may be due to: - Answer- • Financial worries • Relationship issues • Physical and Emotional changes what the percentage of women who may experience serious anxiety or mood disorders during pregnancy? - Answer- 20% What the number one cause of maternal mortality in the first year ? - Answer- Suicide Women who experience intimate partner violence prior to and during pregnancy are at increased risk of? - Answer- low maternal weight gains, infections, high blood pressure and are more likely to deliver pre-term or low birth weight babies. Behaviors that provide a positive pregnancy and birth experience include: - Answer- • Starting at optimum weight • Optimum weight gain tailored to individual needs • Adequate physical activity • Balanced nutritional intake • Lessening exposure to risks Some maternal risks that affect mother and fetus may include: - Answer- • Mental health issues • Substance use and abuse (tobacco, alcohol, drugs) • Domestic violence • Environmental exposure Women who received prenatal counseling for IPV had fewer recurrent episodes of ? - Answer- IPV during and post pregnancy, as well as better birth outcomes such as lower rates of preterm birth and low birth weight. What is Teratogens ? - Answer- An exposure to teratogen (an agent that can cause birth defects) substances that interfere with normal functional or structural development of a fetus Smoking tobacco or marijuana, using prescription pain relievers, or using illegal drugs during pregnancy does what ? - Answer- double or even triples the risk of stillbirth Regular drug use, alcohol and caffeine ingestion can also produce what towards the newborn? - Answer- dependence in the newborn, and the baby may go through withdrawal upon birth What is Neonatal Abstinence Syndrome? - Answer- Related to opioid exposure what would you test for substance ? - Answer- • Blood • Urine • Saliva • Hair • Amniotic fluid • Meconium How long are drugs detectable ? - Answer- alc- 3 to 16 hr amphetamines- 24-72 hr Cocaine 24-60 hr Opiates 36-72 hr Marijuana two to eight weeks PCP seven days LSD two hours to two weeks What effects does smoking do during pregnancy and on newborns? - Answer- • Spontaneous abortion • Placenta previa • Premature rupture of membranes • Placental abruption • Intrauterine growth restriction • Low birth weight • Preterm delivery • SIDS • Ectopic pregnancy subsequent exposure to Rh-positive blood can cause ? - Answer- Hemolysis in red blood cells Would the first child be affect if a mother with Rh-negative ? - Answer- not affect because the blood transfer usually occurs at birth how does Rh antibodies cause hemolysis? - Answer- Rh antibodies cross the placenta and enter fetal circulation What does Hypos fetalis looks like in a baby ? - Answer- Swollen liver severe abdominal pain when do you give Immune globulin to mother Rh-? - Answer- 28 weeks of gestation within 72 hours postpartum also given after procedures, trauma, and abortions/miscarriages when do you get check ups between weeks 4 to 28 weeks of pregnancy? - Answer- every 4 weeks once a month when do you get check ups between weeks 28 to 36 weeks of pregnancy? - Answer- one check up every 2 weeks twice a month when do you get check ups between weeks 36 to 41 weeks of pregnancy? - Answer- one check up every week what information if gather at the initial prenatal visit ? - Answer- Hx (medical, obstetric, pregnancy (GTPAL)) Status of current pregnancy comprehensive physical exam Psychosocial considerations What is Gravidity ? - Answer- • Number of times a woman has been pregnant (including this pregnancy) • Multiples only count at 1 what is parity? - Answer- Number of pregnancies in which the fetus reaches 20 weeks of pregnancy. not affected if the fetus is born stillborn or alive GTPAL? - Answer- G: gravidity (# of pregnancies, including current) T: term births (37 wks) P: preterm births (20-37 wks) A: abortions (before 20 wks) L: currently living children what is Naegeles rule ? - Answer- add seven days to the first day of your last menstrual period and then subtract three months what is estimated date of birth wheel? - Answer- estimated date of confinement what would you include in a physical assessment ? - Answer- Vital signs weight urine assessment fetal heart rathe and movement Fundal Height Leopolds maneuvers Why is fundal height an important assessment? - Answer- track fetal growth and track age Where do you expect to see the fundal height in the last trimester? The first trimester? - Answer- the first at the fundus (pubis) last near the sternum and ribs when is Quadruple screening done ? - Answer- around 13 week s what are the quadruple screening ? - Answer- • MSAFP • Free beta hCG • Unconjugated estradiol • Plasma protein A what does a blood test, test for ? - Answer- test for fetal birth defects second trimester is consider what weeks ? - Answer- 13-28 weeks what education would you give at 20-28 weeks of pregnancy ? - Answer- • Education about fetal movement • Labor warnings • Discuss the dangers in pregnancy what assessment would you give at 20-28 weeks of pregnancy ? - Answer- • Factors affecting fetal movement Fetal sleep cycle Maternal blood glucose levels Gestational age Maternal smoking Maternal medications Maternal exercise