©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NURS 326 – Midterm Exam Practice
Questions and Answers
What is prenatal period? - Ans:✔✔-Period of physical and psychological preparation for birth and
parenthood that offers opportunities for:
-health of the expectant mother and infant- diagnosis and treatment of maternal disorders
-education and support for self-care and parenting
*monitoring and teaching the mother
What does pregnancy tests indicate? - Ans:✔✔--human chorionic gonadotropion (hCG) is earliest
biochemical marker for pregnancy
-production begins as early as day of implantation (7-10 DAYS!!!!)
What is Gravida? - Ans:✔✔-refers to the number of times a woman has been pregnant, regardless of the
outcome
When do you take a pregnancy test? - Ans:✔✔-the first voided urine in the morning
Page 1/70
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What is Para/TPAL? - Ans:✔✔-refers to the number of deliveries (not children) that have occurred after
20 weeks of gestation (TWINS COUNT AS 1 PARA)
-when calculating parity, multiple births count as only one
-a fetus born dead after 20 weeks is added to the parity count
-TPAL (term births, preterm births, abortions, and living children) may be calculated
What is Primipara? - Ans:✔✔-woman who has completed 1 pregnancy with a fetus or fetuses who have
reached stage of fetal viability
What is Term? - Ans:✔✔-pregnancy from the beginning of week 38 to end of week 42 of gestation
What is Viability? - Ans:✔✔-capacity to live outside the uterus
What is Multiparous? - Ans:✔✔-woman who has completed multiple (more than 1) pregnancy
What is TPAL? - Ans:✔✔-T - TERM BIRTHS
P - PRETERM BIRTHS
A - Abortions (Spontaneous or Elective)
L - Living Children
Page 2/70
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Spontaneous Abortion (Miscarriage)
Elective Abortion (Elected)
What does the reproductive system consist of? - Ans:✔✔-uterus, cervix, vagina, ovaries, breasts
Uterus growth/size? - Ans:✔✔-tremendous growth
-non pregnant vs size @ 36 weeks (size of a pear to be able to hold 5000 mL)
-muscle fibers increase in length and width
Sizes/weeks of the uterus at symphis, 1/2 way to umbilicus, umbilicus, and xyphoid process? - Ans:✔✔-
12 weeks at symphsis
16 weeks 1/2 way to umbilicus
20 weeks at umbilicus
36 weeks at xyphoid process
*lightening/engagement (2 weeks before labor)
Cervix: What signs are included? - Ans:✔✔--Leukorrhea discharge: soften, increased contraction mucous
-Chadwick's sign: bluish color of vagina
-Goodell's sign: softening of the cervix
Page 3/70
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Mucous plug: thick mucous covers canal to protect fetus from infection
What is Chadwick's sign? - Ans:✔✔-bluish color of the vagina due to increased vascularization caused by
estrogen
What is Goodell's sign? - Ans:✔✔-softening of the cervix
Does the vagina have increased vascularity/secretions? - Ans:✔✔-Yes
When does the ovaries enlarge and what hormone does the ovaries secrete until weeks 6-7? - Ans:✔✔-
enlarge until 12-14 weeks
also secretes progesterone until weeks 6-7 when placenta takes over then progesterone levels will drop
Reproductive system: Breasts? - Ans:✔✔--becomes more full
-more tender, tingling sensation
-increased vascularization
-nipples larger & more erectile
-colostrum expressed beginning week 12 in 1st trimester (first milk produced)
-Striae (stretch marks)
Cardiovascular changes (BLOOD VOLUME) during pregnancy? - Ans:✔✔-**Increased blood volume!
Page 4/70
FIRST PUBLISH OCTOBER 2024
NURS 326 – Midterm Exam Practice
Questions and Answers
What is prenatal period? - Ans:✔✔-Period of physical and psychological preparation for birth and
parenthood that offers opportunities for:
-health of the expectant mother and infant- diagnosis and treatment of maternal disorders
-education and support for self-care and parenting
*monitoring and teaching the mother
What does pregnancy tests indicate? - Ans:✔✔--human chorionic gonadotropion (hCG) is earliest
biochemical marker for pregnancy
-production begins as early as day of implantation (7-10 DAYS!!!!)
What is Gravida? - Ans:✔✔-refers to the number of times a woman has been pregnant, regardless of the
outcome
When do you take a pregnancy test? - Ans:✔✔-the first voided urine in the morning
Page 1/70
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What is Para/TPAL? - Ans:✔✔-refers to the number of deliveries (not children) that have occurred after
20 weeks of gestation (TWINS COUNT AS 1 PARA)
-when calculating parity, multiple births count as only one
-a fetus born dead after 20 weeks is added to the parity count
-TPAL (term births, preterm births, abortions, and living children) may be calculated
What is Primipara? - Ans:✔✔-woman who has completed 1 pregnancy with a fetus or fetuses who have
reached stage of fetal viability
What is Term? - Ans:✔✔-pregnancy from the beginning of week 38 to end of week 42 of gestation
What is Viability? - Ans:✔✔-capacity to live outside the uterus
What is Multiparous? - Ans:✔✔-woman who has completed multiple (more than 1) pregnancy
What is TPAL? - Ans:✔✔-T - TERM BIRTHS
P - PRETERM BIRTHS
A - Abortions (Spontaneous or Elective)
L - Living Children
Page 2/70
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Spontaneous Abortion (Miscarriage)
Elective Abortion (Elected)
What does the reproductive system consist of? - Ans:✔✔-uterus, cervix, vagina, ovaries, breasts
Uterus growth/size? - Ans:✔✔-tremendous growth
-non pregnant vs size @ 36 weeks (size of a pear to be able to hold 5000 mL)
-muscle fibers increase in length and width
Sizes/weeks of the uterus at symphis, 1/2 way to umbilicus, umbilicus, and xyphoid process? - Ans:✔✔-
12 weeks at symphsis
16 weeks 1/2 way to umbilicus
20 weeks at umbilicus
36 weeks at xyphoid process
*lightening/engagement (2 weeks before labor)
Cervix: What signs are included? - Ans:✔✔--Leukorrhea discharge: soften, increased contraction mucous
-Chadwick's sign: bluish color of vagina
-Goodell's sign: softening of the cervix
Page 3/70
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Mucous plug: thick mucous covers canal to protect fetus from infection
What is Chadwick's sign? - Ans:✔✔-bluish color of the vagina due to increased vascularization caused by
estrogen
What is Goodell's sign? - Ans:✔✔-softening of the cervix
Does the vagina have increased vascularity/secretions? - Ans:✔✔-Yes
When does the ovaries enlarge and what hormone does the ovaries secrete until weeks 6-7? - Ans:✔✔-
enlarge until 12-14 weeks
also secretes progesterone until weeks 6-7 when placenta takes over then progesterone levels will drop
Reproductive system: Breasts? - Ans:✔✔--becomes more full
-more tender, tingling sensation
-increased vascularization
-nipples larger & more erectile
-colostrum expressed beginning week 12 in 1st trimester (first milk produced)
-Striae (stretch marks)
Cardiovascular changes (BLOOD VOLUME) during pregnancy? - Ans:✔✔-**Increased blood volume!
Page 4/70
