©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
final exam nu 409 study guide solutions
GTPAL - Ans:✔✔-Gravida, Term, Preterm, Abortions, Living
teratogens - Ans:✔✔-Substance that a woman is exposed to that can cause damage to pregnancy which
leads to functional or physical birth defects.
Naegele's Rule - Ans:✔✔-add 7 days to first day of LMP, subtract 3 months, and add 1 year
umbilical cord structures - Ans:✔✔-2 arteries 1 vein and whartons jelly
endocrine system changes during pregnancy - Ans:✔✔-- the thyroid hormone increases
- the pancreas is required to increase production of glucose
- cortisol levels increase in the second trimester and peak in the third
- oxytocin will be produced for contractions and milk ejection
- prolactin is active in milk production
normal HBG and HCT in pregnant females - Ans:✔✔-HCT: 33-39
HGB: 11-13
Page 1/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
glucose tolerance test are conducted... - Ans:✔✔-between 24-28 weeks on all pregnant women
Normal newborn vital signs. - Ans:✔✔-respiratory: 30-60
heart rate: 110-160
BP: 60-80/40-50
temp: 97.7-99.5 (36.5-37.5)
Expected changes in pregnancy. - Ans:✔✔--uterus changes in size shape and position
-cardiac output increases and blood volume increases
-HR increases
-oxygen needs increase but total lung capacity decreases
-body adjusts in posture and pelvic joints relax
-nausea and vomiting may occur as well as constipation
-filtration rate increases and urinary frequency is common
-diastolic BP usually decreases
Page 2/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Neonatal Assessment - Ans:✔✔-initial assessment should look at skin color, breast tissue, meconium,
chest size, lung sounds, abdomen, muscle tone and reflex reactions, palpation of the fontanels and
sutures, head circumference, length, and weight
Neonatal normal skin variations - Ans:✔✔-milia
vernix
lanugo
Mongolian spots
telangiectatic nevi (stork bites)
nevus flammeus (port wine stain)
erythema toxicum
acrocyanosis
nevus vascularis (strawberry birth mark)
harlequin sign
sucking and rooting reflex - Ans:✔✔-stroke baby's cheek and they turn toward that side and look for
nipple. present from birth-4 months
Page 3/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
palmar grasp reflex - Ans:✔✔-in response to stroking a baby's palm, the baby's hand will grasp. This
reflex lasts a few months
plantar grasp reflex - Ans:✔✔-reaction to stimulation of the sole of the foot that causes the toes of the
feet to "grasp"
moro reflex - Ans:✔✔-Infant reflex where a baby will startle in response to a loud sound or sudden
movement.
tonic neck reflex - Ans:✔✔-elicited when baby head turned to a side, the extremities on that side extend
( birth to 4 months)
Babinski reflex - Ans:✔✔-Reflex in which a newborn fans out the toes when the sole of the foot is
touched
stepping reflex - Ans:✔✔-a neonatal reflex in which an infant lifts first one leg and then the other in a
coordinated pattern like walking
Fetal Monitoring and Ctx Assessment - Ans:✔✔-Category I- includes normal baseline, moderate
variability, may
have accels, may have early decels, but no variables and no lates
• Category II- includes any tracing not in category I or category III.
Page 4/36
FIRST PUBLISH OCTOBER 2024
final exam nu 409 study guide solutions
GTPAL - Ans:✔✔-Gravida, Term, Preterm, Abortions, Living
teratogens - Ans:✔✔-Substance that a woman is exposed to that can cause damage to pregnancy which
leads to functional or physical birth defects.
Naegele's Rule - Ans:✔✔-add 7 days to first day of LMP, subtract 3 months, and add 1 year
umbilical cord structures - Ans:✔✔-2 arteries 1 vein and whartons jelly
endocrine system changes during pregnancy - Ans:✔✔-- the thyroid hormone increases
- the pancreas is required to increase production of glucose
- cortisol levels increase in the second trimester and peak in the third
- oxytocin will be produced for contractions and milk ejection
- prolactin is active in milk production
normal HBG and HCT in pregnant females - Ans:✔✔-HCT: 33-39
HGB: 11-13
Page 1/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
glucose tolerance test are conducted... - Ans:✔✔-between 24-28 weeks on all pregnant women
Normal newborn vital signs. - Ans:✔✔-respiratory: 30-60
heart rate: 110-160
BP: 60-80/40-50
temp: 97.7-99.5 (36.5-37.5)
Expected changes in pregnancy. - Ans:✔✔--uterus changes in size shape and position
-cardiac output increases and blood volume increases
-HR increases
-oxygen needs increase but total lung capacity decreases
-body adjusts in posture and pelvic joints relax
-nausea and vomiting may occur as well as constipation
-filtration rate increases and urinary frequency is common
-diastolic BP usually decreases
Page 2/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Neonatal Assessment - Ans:✔✔-initial assessment should look at skin color, breast tissue, meconium,
chest size, lung sounds, abdomen, muscle tone and reflex reactions, palpation of the fontanels and
sutures, head circumference, length, and weight
Neonatal normal skin variations - Ans:✔✔-milia
vernix
lanugo
Mongolian spots
telangiectatic nevi (stork bites)
nevus flammeus (port wine stain)
erythema toxicum
acrocyanosis
nevus vascularis (strawberry birth mark)
harlequin sign
sucking and rooting reflex - Ans:✔✔-stroke baby's cheek and they turn toward that side and look for
nipple. present from birth-4 months
Page 3/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
palmar grasp reflex - Ans:✔✔-in response to stroking a baby's palm, the baby's hand will grasp. This
reflex lasts a few months
plantar grasp reflex - Ans:✔✔-reaction to stimulation of the sole of the foot that causes the toes of the
feet to "grasp"
moro reflex - Ans:✔✔-Infant reflex where a baby will startle in response to a loud sound or sudden
movement.
tonic neck reflex - Ans:✔✔-elicited when baby head turned to a side, the extremities on that side extend
( birth to 4 months)
Babinski reflex - Ans:✔✔-Reflex in which a newborn fans out the toes when the sole of the foot is
touched
stepping reflex - Ans:✔✔-a neonatal reflex in which an infant lifts first one leg and then the other in a
coordinated pattern like walking
Fetal Monitoring and Ctx Assessment - Ans:✔✔-Category I- includes normal baseline, moderate
variability, may
have accels, may have early decels, but no variables and no lates
• Category II- includes any tracing not in category I or category III.
Page 4/36
