NSG 3022 - OB EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS
(G)p Correct Answers Gravidity
- total # pregnancies including current one
(G)tpal Correct Answers Gravidity
- total number of pregnancies
***Amniotic fluid functions: Correct Answers - provides
auditory stimulation
- maintains body temperature
- has antibacterial properties
- is a repository for waste
***Quality of placental function depends on...? Correct
Answers maternal blood flow!
- position: lying on back?
- other influences: vasoconstriction from HTN, cocaine, tobacco
lying on back --> pressures on mom and baby --> reposition to
the side
anytime there is a condition with vasoconstriction --> lead to
issues for the fetus
A woman at 30 weeks gestation assumes a supine position for a
fundal measurement and Leopold maneuvers. She begins to
complain about feeling dizzy and nauseated. She appears
distressed and her skin feels damp and cool. The nurse's next
,action would be to: Correct Answers - Assess the woman's
respiratory rate and effort
- Provide the woman with an emesis basin
- Turn the woman on her left side
Abnormal levels of hCG may indicate... Correct Answers
High: Down syndrome, multiple gestation
Low: impending abortion
Adaptations to pregnancy - uterus Correct Answers - changes
in size, shape, position, contractility
- increased tension on ligaments
- altered center of gravity (fall risk)
- uteroplacental blood flow
- cervical changes
Adequate weight gain important for good outcomes: Correct
Answers - reduces risk of intrauterine growth restriction
- avoiding weight gain means inadequate nutrients for fetal
development
- weight gain should be from quality calories, not empty calorie
foods
Amenorrhea Correct Answers absence of menstrual flow
- normally results from pregnancy
- could be a sign of a disease
Amniocentesis Correct Answers - analyzes fetal cells from
sample of amniotic fluid
- genetic concerns or congenital anomalies
,- evaluation of fetal lung maturity
- diagnosis of fetal hemolytic disease
- performed after week 14 of pregnancy
Amniocentesis Correct Answers go watch a YouTube video!!!
Amniotic fluid 1st trimester Correct Answers fluid diffuses
from maternal blood supply
Amniotic fluid 2nd trimester and beyond Correct Answers fluid
contains fetal urine
Amniotic fluid index (AFI) Correct Answers vertical depths in
cm of largest pocket of amniotic fluid in all 4 quadrants
surrounding the maternal umbilicus are totaled
Amnoitic sac Correct Answers - fluid filled sac with two layers
(chorion and amnion)
- provides protection for fetus from trauma & infection
- supports safe & symmetrical fetal development by allowing for
movement in zero gravity type environment
Aspiration (1st trimester) Correct Answers - 8 to 12 weeks
after LMP
- local anesthetic
- products of conception evacuated
Avoid foods with listeria, such as... Correct Answers -
soft/unpasteurized cheeses
- sushi
- certain juices
, - meat based salads
- lunch meats/cold cuts
Balottement Correct Answers the rebounding of the fetus
against the examiners finger on palpation, beginning at *16-18
weeks* of gestation
Barrier methods to contraception: Correct Answers - male and
female condoms
- spermicides (reduce sperm motility)
- vaginal sheath (female condom)
- IUDs
- diaphragms
- cervical caps
Barriers to entering the healthcare system (4): Correct Answers
1. Financial issues
2. Social determinants of health
3. Cultural issues
4. Gender identity and sexual orientation
Barriers to prenatal care Correct Answers - transportation,
unpleasant procedures, inconvenient hours, childcare problems,
costs/insurance, personal attitudes/culture
Biophysical profile (BPP) Correct Answers - fetal breathing
- fetal body movements
- fetal tone
- reactivity
^those 4 elements reflect status of CNS
- amniotic fluid (demonstrates adequacy of placental function)
SOLUTIONS
(G)p Correct Answers Gravidity
- total # pregnancies including current one
(G)tpal Correct Answers Gravidity
- total number of pregnancies
***Amniotic fluid functions: Correct Answers - provides
auditory stimulation
- maintains body temperature
- has antibacterial properties
- is a repository for waste
***Quality of placental function depends on...? Correct
Answers maternal blood flow!
- position: lying on back?
- other influences: vasoconstriction from HTN, cocaine, tobacco
lying on back --> pressures on mom and baby --> reposition to
the side
anytime there is a condition with vasoconstriction --> lead to
issues for the fetus
A woman at 30 weeks gestation assumes a supine position for a
fundal measurement and Leopold maneuvers. She begins to
complain about feeling dizzy and nauseated. She appears
distressed and her skin feels damp and cool. The nurse's next
,action would be to: Correct Answers - Assess the woman's
respiratory rate and effort
- Provide the woman with an emesis basin
- Turn the woman on her left side
Abnormal levels of hCG may indicate... Correct Answers
High: Down syndrome, multiple gestation
Low: impending abortion
Adaptations to pregnancy - uterus Correct Answers - changes
in size, shape, position, contractility
- increased tension on ligaments
- altered center of gravity (fall risk)
- uteroplacental blood flow
- cervical changes
Adequate weight gain important for good outcomes: Correct
Answers - reduces risk of intrauterine growth restriction
- avoiding weight gain means inadequate nutrients for fetal
development
- weight gain should be from quality calories, not empty calorie
foods
Amenorrhea Correct Answers absence of menstrual flow
- normally results from pregnancy
- could be a sign of a disease
Amniocentesis Correct Answers - analyzes fetal cells from
sample of amniotic fluid
- genetic concerns or congenital anomalies
,- evaluation of fetal lung maturity
- diagnosis of fetal hemolytic disease
- performed after week 14 of pregnancy
Amniocentesis Correct Answers go watch a YouTube video!!!
Amniotic fluid 1st trimester Correct Answers fluid diffuses
from maternal blood supply
Amniotic fluid 2nd trimester and beyond Correct Answers fluid
contains fetal urine
Amniotic fluid index (AFI) Correct Answers vertical depths in
cm of largest pocket of amniotic fluid in all 4 quadrants
surrounding the maternal umbilicus are totaled
Amnoitic sac Correct Answers - fluid filled sac with two layers
(chorion and amnion)
- provides protection for fetus from trauma & infection
- supports safe & symmetrical fetal development by allowing for
movement in zero gravity type environment
Aspiration (1st trimester) Correct Answers - 8 to 12 weeks
after LMP
- local anesthetic
- products of conception evacuated
Avoid foods with listeria, such as... Correct Answers -
soft/unpasteurized cheeses
- sushi
- certain juices
, - meat based salads
- lunch meats/cold cuts
Balottement Correct Answers the rebounding of the fetus
against the examiners finger on palpation, beginning at *16-18
weeks* of gestation
Barrier methods to contraception: Correct Answers - male and
female condoms
- spermicides (reduce sperm motility)
- vaginal sheath (female condom)
- IUDs
- diaphragms
- cervical caps
Barriers to entering the healthcare system (4): Correct Answers
1. Financial issues
2. Social determinants of health
3. Cultural issues
4. Gender identity and sexual orientation
Barriers to prenatal care Correct Answers - transportation,
unpleasant procedures, inconvenient hours, childcare problems,
costs/insurance, personal attitudes/culture
Biophysical profile (BPP) Correct Answers - fetal breathing
- fetal body movements
- fetal tone
- reactivity
^those 4 elements reflect status of CNS
- amniotic fluid (demonstrates adequacy of placental function)
