Nur 2633: Maternal Child Health Official Study Guide –
Test 4 Final Exam With Answers 100% Correct Rated A+
NUR 2633: Maternal Child Health Official Study Guide – Test 4 (Final Exam) –
1. Dysmenorrhea – a common complaint with women – what are the non-
pharmacological and pharmacological treatments.
• Dysmenorrhea- painful menses
• Non pharmacological-heat, exercise, increase calcium
• Pharmacological- NSAIDs
2. Obstetrical issues – pregnancy risks - Know Naegle’s Rule – to establish gestational age
• Naegle’s Rule is first day of last missed period subtract 3 months add 7 days and
add one year
• Fundal height(14 weeks just above the symphysis), 12 weeks embryonic stage
organ development, 10-12 weeks heart tones, movement starts at 16 weeks
multigravida, 18 weeks primigravida
3. Poor nutrition, drugs, HTN, DM are all issues of perfusion – what will the fetal result be.
• IUGR are large head skinny not much brown fat had poor perfusion
• Small for gestational are proportional have brown fat
• Macrosomic- body as big as head, worried about birth injuries they usually come
from
uncontrolled diabetic, Poor lung maturity, hypoglycemic(jittery, lethargy)
• Meconium staining- post dates because of stress
4. Anemia becomes a problem in pregnancy – can you discuss the maternal and fetal risks
• Most pregnant women have anemia, normal phenomenon, plasma volume
goes up not RBC volume so women become anemic, iron supplements
• Constipation- they are already constipated and then the iron supplements
5. Hypertension – preeclampsia has specific symptoms – please know these as well as
treatment
make them even more, exercise water calcium orange juice no laxatives fiber
stool softener
• HTN, edema, proteinuria. Subjective signs are headache, gastric pain, swelling,
blurred vision. Organs effected are brain, hear, liver and kidneys.
,Nur 2633: Maternal Child Health Official Study Guide –
Test 4 Final Exam With Answers 100% Correct Rated A+
• Nursing interventions- DTRs, vitals every hour, respiratory rate, lung
sounds, urine output, put Foley in, bedrest
• Magnesium sulfate is used to relax muscles, vessels. The blood vessels are tight
and the blood pressure goes up. If we don’t treat this seizures will happen.
Hypoxia, IUGR, small baby.
6. Pre- term labor – define it; signs and symptoms, treatment modalities and nursing
interventions.
• Labor that begins before 37 weeks, regular contractions that cause cervical
change
• Nursing interventions- bedrest, hydration(500ml LR bolus), fetal monitor, left side,
UA(UTI can cause uterine irritability)
• 2cm 80% effaced what should the doctor order? Terbutaline, a tocolytic that
stops contractions and delays the labor process, side effects- maternal
tachycardia, baby’s HR goes up too. If this is not working, we then use
Magnesium sulfate. Mag is given to relax
the uterus, smooth muscle relaxant, give her 4g bolus over a 15-20 min
timeframe, then 2g maintenance dose.
, Nur 2633: Maternal Child Health Official Study Guide –
Test 4 Final Exam With Answers 100% Correct Rated A+
• If we send her home-pelvic rest nothing in the vagina, this can stimulate
contractions. Semen is prostaglandin, which can start labor.
• Betamethasone is for lung maturity, we need 24 hours for it to work.
7. Diabetes Mellitus – Type 1, Type 2 and Gestational DM all have issues that are
common to all and specific to each. Note the concerns specific to each,
management and fetal surveillance
• Type 1- no insulin production, fetal anomalies, risk to baby developing, insulin
levels go
down in the first trimester, the need rapidly increases
• Type 2- usually diet controlled, if not she needs insulin, macrosomic baby
because sugar crosses the placenta insulin does not
• GDM- diabetes only in pregnancy
8. Define Macrosomia – and what are the risks
• Risks of Macrosomia are birth injury, lung immaturity, hyperglycemia.
9. During fetal development a nurse can recognize well- being of the fetus through 3
things?
• Fetal heart tones, fetal movement, fundal height
• Fundal height at 32 weeks should be 28-34cm, 1 cm per gestational week give or
take 2
weeks
10. How do you determine EDD?
• Naegele’s Rule is first day of last missed period subtract 3 months add 7 days
and add one year
11. What is an NST, and a BPP for whom would you recommend these tests?
• NST- Non-stress test, to look for fetal activity
• BPP- Bio physical profile, ultrasound that looks at 4 different markers. Scored 0-2,
8
being the best. A 6 they are probably keeping mom to watch her and baby, 4 and
under delivering baby.
1. Full body fetal movement
Test 4 Final Exam With Answers 100% Correct Rated A+
NUR 2633: Maternal Child Health Official Study Guide – Test 4 (Final Exam) –
1. Dysmenorrhea – a common complaint with women – what are the non-
pharmacological and pharmacological treatments.
• Dysmenorrhea- painful menses
• Non pharmacological-heat, exercise, increase calcium
• Pharmacological- NSAIDs
2. Obstetrical issues – pregnancy risks - Know Naegle’s Rule – to establish gestational age
• Naegle’s Rule is first day of last missed period subtract 3 months add 7 days and
add one year
• Fundal height(14 weeks just above the symphysis), 12 weeks embryonic stage
organ development, 10-12 weeks heart tones, movement starts at 16 weeks
multigravida, 18 weeks primigravida
3. Poor nutrition, drugs, HTN, DM are all issues of perfusion – what will the fetal result be.
• IUGR are large head skinny not much brown fat had poor perfusion
• Small for gestational are proportional have brown fat
• Macrosomic- body as big as head, worried about birth injuries they usually come
from
uncontrolled diabetic, Poor lung maturity, hypoglycemic(jittery, lethargy)
• Meconium staining- post dates because of stress
4. Anemia becomes a problem in pregnancy – can you discuss the maternal and fetal risks
• Most pregnant women have anemia, normal phenomenon, plasma volume
goes up not RBC volume so women become anemic, iron supplements
• Constipation- they are already constipated and then the iron supplements
5. Hypertension – preeclampsia has specific symptoms – please know these as well as
treatment
make them even more, exercise water calcium orange juice no laxatives fiber
stool softener
• HTN, edema, proteinuria. Subjective signs are headache, gastric pain, swelling,
blurred vision. Organs effected are brain, hear, liver and kidneys.
,Nur 2633: Maternal Child Health Official Study Guide –
Test 4 Final Exam With Answers 100% Correct Rated A+
• Nursing interventions- DTRs, vitals every hour, respiratory rate, lung
sounds, urine output, put Foley in, bedrest
• Magnesium sulfate is used to relax muscles, vessels. The blood vessels are tight
and the blood pressure goes up. If we don’t treat this seizures will happen.
Hypoxia, IUGR, small baby.
6. Pre- term labor – define it; signs and symptoms, treatment modalities and nursing
interventions.
• Labor that begins before 37 weeks, regular contractions that cause cervical
change
• Nursing interventions- bedrest, hydration(500ml LR bolus), fetal monitor, left side,
UA(UTI can cause uterine irritability)
• 2cm 80% effaced what should the doctor order? Terbutaline, a tocolytic that
stops contractions and delays the labor process, side effects- maternal
tachycardia, baby’s HR goes up too. If this is not working, we then use
Magnesium sulfate. Mag is given to relax
the uterus, smooth muscle relaxant, give her 4g bolus over a 15-20 min
timeframe, then 2g maintenance dose.
, Nur 2633: Maternal Child Health Official Study Guide –
Test 4 Final Exam With Answers 100% Correct Rated A+
• If we send her home-pelvic rest nothing in the vagina, this can stimulate
contractions. Semen is prostaglandin, which can start labor.
• Betamethasone is for lung maturity, we need 24 hours for it to work.
7. Diabetes Mellitus – Type 1, Type 2 and Gestational DM all have issues that are
common to all and specific to each. Note the concerns specific to each,
management and fetal surveillance
• Type 1- no insulin production, fetal anomalies, risk to baby developing, insulin
levels go
down in the first trimester, the need rapidly increases
• Type 2- usually diet controlled, if not she needs insulin, macrosomic baby
because sugar crosses the placenta insulin does not
• GDM- diabetes only in pregnancy
8. Define Macrosomia – and what are the risks
• Risks of Macrosomia are birth injury, lung immaturity, hyperglycemia.
9. During fetal development a nurse can recognize well- being of the fetus through 3
things?
• Fetal heart tones, fetal movement, fundal height
• Fundal height at 32 weeks should be 28-34cm, 1 cm per gestational week give or
take 2
weeks
10. How do you determine EDD?
• Naegele’s Rule is first day of last missed period subtract 3 months add 7 days
and add one year
11. What is an NST, and a BPP for whom would you recommend these tests?
• NST- Non-stress test, to look for fetal activity
• BPP- Bio physical profile, ultrasound that looks at 4 different markers. Scored 0-2,
8
being the best. A 6 they are probably keeping mom to watch her and baby, 4 and
under delivering baby.
1. Full body fetal movement
