Nurs 387 questions with complete solutions
Reasons for Women entering the Healthcare System Correct Answer-
initial entry is often for contraception or menstrual concerns
- Menstrual provlems
- Fertility
- Pre-conception (so high risk women can be identified)
- Pregnancy - prenatal care within the first 12 weeks facilitates
intervention
Vulnerable Population Correct Answer-- Racial and ethnic minorities
- Immigrants and refugees
- Adolescent girls
- Women w/ addictions
- Homeless women
Benefits of C-Section Correct Answer-- Reduced urinary and fecal
incontinence
- No labor complications
- Reduced sexual dysfunction
- Less fear of labor
- Planned birth
- Reduced risk of hemorrhage
Risk of C-Section Correct Answer-- Increased maternal morbidity
,- Body image changes
- Repeat C-section
- Infant complications
- Increased mortality rate
- Longer hospital stay
Epidural Correct Answer-- Longer second stage of labor
- More augmentation
- Very low BP, fever and difficulty voiding
No-epidural Correct Answer-CHOICES
- immersed in water reported less pain
- Accupuncture, hypnosis during labor were less likely to require
analgesia
Pre-conception Guidelines Correct Answer-1. Dialogue about the
patients readiness
2. Assessment of overall health and opportunities for improvement
3. Patient education on effect of social environmental, occupational, and
genetic factors in pregnancy.
4. Identification of women at high risk for an adverse pregnancy
outcome
Preconception: Genetic Screening Correct Answer-- Testing to
determine hereditary components of certain diseases
,- Cancer screening test
- Potential benefits: understanding of possible genetic risk & enhanced
pregnancy outcome
- Potential Harm: increased anxiety or psychological stress
Prenatal screening Correct Answer-- Screening identifies higher than
average risk of having a baby with certain genetic conditions
- Trisomy, 21, 18, 13
> First trimester: 11-14 weeks: ultrasound (fetal nuchal translucency),
maternal serum screening (beta-hCG & PAPP-A)
> Second trimester: 18-22 week u/s
Prenatal Screening and Diagnosis Correct Answer-- Diagnosis:
ultrasound, amnicentesis and chorionic villus
- Treatment: Fetal medicine & genetic engineering
- Benefits: reassurance, support, counselling, management
- Risks: prenatal anxiety (false positive/negative pregnancy
complications/loss)
Health Risks in the Childbearing Period Correct Answer-- Genetic
predisposition
- Lack of prenatal care
- Substance abuse
- Toxic stress
- pre-existing medical conditions
, - Poor/inadequate nutrition
Teratogens Correct Answer-Any agent that can harm an embryo of fetus
genetic factors
- most common genetic malfunction
- More serious when structure is forming
- susceptibility to harm is influenced by genetic makeup other mother
and embryo
- same defect can be caused by different teratogens
Alcohol Use Correct Answer-- Top 3 cause of preventable birth defects
and developmental delays
- Short and long-term impacts for both mom and fetus
> affects size, physical development
> learning, emotional & physical development
> risk of acute and chronic disease for mom
Nutrition during Pregnancy Correct Answer-- amount and timing of
nutrients is key
- 1st trimester rapid cell development
- 2nd and 3rd trimester extra 300 calories per day
Exercise Correct Answer-Decrease in 3rd trimester
Extreme exercise = hormone imbalance
Reasons for Women entering the Healthcare System Correct Answer-
initial entry is often for contraception or menstrual concerns
- Menstrual provlems
- Fertility
- Pre-conception (so high risk women can be identified)
- Pregnancy - prenatal care within the first 12 weeks facilitates
intervention
Vulnerable Population Correct Answer-- Racial and ethnic minorities
- Immigrants and refugees
- Adolescent girls
- Women w/ addictions
- Homeless women
Benefits of C-Section Correct Answer-- Reduced urinary and fecal
incontinence
- No labor complications
- Reduced sexual dysfunction
- Less fear of labor
- Planned birth
- Reduced risk of hemorrhage
Risk of C-Section Correct Answer-- Increased maternal morbidity
,- Body image changes
- Repeat C-section
- Infant complications
- Increased mortality rate
- Longer hospital stay
Epidural Correct Answer-- Longer second stage of labor
- More augmentation
- Very low BP, fever and difficulty voiding
No-epidural Correct Answer-CHOICES
- immersed in water reported less pain
- Accupuncture, hypnosis during labor were less likely to require
analgesia
Pre-conception Guidelines Correct Answer-1. Dialogue about the
patients readiness
2. Assessment of overall health and opportunities for improvement
3. Patient education on effect of social environmental, occupational, and
genetic factors in pregnancy.
4. Identification of women at high risk for an adverse pregnancy
outcome
Preconception: Genetic Screening Correct Answer-- Testing to
determine hereditary components of certain diseases
,- Cancer screening test
- Potential benefits: understanding of possible genetic risk & enhanced
pregnancy outcome
- Potential Harm: increased anxiety or psychological stress
Prenatal screening Correct Answer-- Screening identifies higher than
average risk of having a baby with certain genetic conditions
- Trisomy, 21, 18, 13
> First trimester: 11-14 weeks: ultrasound (fetal nuchal translucency),
maternal serum screening (beta-hCG & PAPP-A)
> Second trimester: 18-22 week u/s
Prenatal Screening and Diagnosis Correct Answer-- Diagnosis:
ultrasound, amnicentesis and chorionic villus
- Treatment: Fetal medicine & genetic engineering
- Benefits: reassurance, support, counselling, management
- Risks: prenatal anxiety (false positive/negative pregnancy
complications/loss)
Health Risks in the Childbearing Period Correct Answer-- Genetic
predisposition
- Lack of prenatal care
- Substance abuse
- Toxic stress
- pre-existing medical conditions
, - Poor/inadequate nutrition
Teratogens Correct Answer-Any agent that can harm an embryo of fetus
genetic factors
- most common genetic malfunction
- More serious when structure is forming
- susceptibility to harm is influenced by genetic makeup other mother
and embryo
- same defect can be caused by different teratogens
Alcohol Use Correct Answer-- Top 3 cause of preventable birth defects
and developmental delays
- Short and long-term impacts for both mom and fetus
> affects size, physical development
> learning, emotional & physical development
> risk of acute and chronic disease for mom
Nutrition during Pregnancy Correct Answer-- amount and timing of
nutrients is key
- 1st trimester rapid cell development
- 2nd and 3rd trimester extra 300 calories per day
Exercise Correct Answer-Decrease in 3rd trimester
Extreme exercise = hormone imbalance
