MCH 2633 Maternal Child Exam 1 Review

MATERNAL CHILD EXAM 1 REVIEW 1.) The nurse is giving a patient Rhogam… a. Rhogam is given to Rh negative pregnant women to prevent the development of antibodies against baby that has a different blood type (Rh positive). 2.) What is ‘quickening’? a. Fetal movement b. First felt at 13 – 16 weeks c. Any kind of fetal movement (kicks) 3.) Patient at 22 weeks gestation – where do you palpate the fundal height? a. Slightly above the umbilicus 4.) What protects the umbilical cord? a. Wharton’s jelly 5.) What advice do you give to a woman who just found a lump in her breast? a. Call the provider and make an appointment. b. After that, mammogram c. Then, ultrasound 6.) Best activity for pregnant women? a. Walking. b. If mom runs/bikes/does yoga before she becomes pregnant, it is ok to continue to do so after she becomes pregnant with appropriate modifications. c. Do NOT start running/biking/doing yoga AFTER you become pregnant! 7.) Most effective contraceptive? a. IUDs! Both copper and hormonal. b. Highest success %! 8.) Prenatal tests done during first trimester? (Select all that apply). a. Blood type b. Rh factor c. CBC d. HIV testing 9.) Clinic patient comes in and wants to hear the baby’s heart rate… a. Normal fetal HR is 110 – 160 BPM b. At 10-12 weeks, you can hear the baby’s HR on a doppler 10.) Managing a pregnant patient that is constipated. (Select all that apply). a. Increase water intake. b. Increase fiber intake. c. Increase activity. d. NOT ONE OF THE OPTIONS but remember – don’t give mom a stimulant laxative/suppository! These can cause uterine contractions and you DO NOT want that… 11.) RN admits 30 weeks gestation lady who is in pre-term labor…she is prescribed betamethasone and wants to know why. What is the nurse’s response? a. Betamethasone promotes fetal lung growth and development. 12.) Tocolytic medication…they are meant to be ANTICONTRACTILES. Last 48 hours. a. Tocolytics do not prevent labor, they try to delay it. 13.) What medications would you give a patient in pre-term labor? a. Terbutaline b. Magnesium sulfate 14.) Hormonal shifts and physical changes with pregnancy. Patient has s/sx of n/v, edema in dependent areas, and concerned about headaches in third trimester. What do you expect? a. Pre-eclampsia! b. Especially if the headaches are not relieved with OTC meds. c. Hypertension issue. 15.) Pregnant woman dx with hyperemesis – what are you concerned about? (Select all that apply). a. Dehydration b. Electrolyte imbalances. c. Weight loss. d. IV therapy. 16.) 39 weeks gestation, severe ABD pain, contractions, and vaginal bleeding. What’s going on? a. Placental abruption. 17.) Pre-eclampsia with magnesium sulfate, absent DTRs, RR 10. What are you going to do? a. D/C the Magnesium Sulfate! b. Possibly get orders to decrease dose and resume. 18.) Patients with ectopic pregnancy at 8 weeks gestation. How would she present? a. Severe unilateral abdominal pain. 19.) Woman 32 weeks gestation – any changes in fetal movement are a concern. If the baby normally is active, then is not as active as normal or completely still over 24-48 hours – CALL THE DR. 20.) 20 y.o. female in college, requires education on PO birth control. What do you teach her? (Select all that apply.) a. Don’t smoke. b. Take the pill at the same time every day.