©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NURS 444 OB Test #2 Practice Questions
and Answers
How does estrogen affect the breasts? - Ans:✔✔-breasts: increase in ductal tissue for breast feeding
How does estrogen affect the Vascularity of mucous membranes? - Ans:✔✔--Increases the vascularity
mucous membranes
-may lead to edema/stuffiness/congestion of the mom
How does estrogen affect the skin? - Ans:✔✔--changes the melanin in the skin & causes linea nigra
How does estrogen affect the uterus? - Ans:✔✔-stimulates uterine growth/increases blood supply to
uterine vessels
How does increased progesterone affect the respiratory system? - Ans:✔✔--Decreases airway resistance
by relaxing smooth muscle in respiratory tract
-Increases the sensitivity to CO2 l/t increased ventilations
[SATA] Progesterone leads to what changes in the respiratory system?
A. Hyperventilation
Page 1/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
B. Hypoventilation
C. Dyspnea
D. SOB - Ans:✔✔-A/C/D
How does progesterone affect the uterus? - Ans:✔✔--suppresses contractions
-prevents tissue rejection of fetus
How does progesterone affect the breasts? - Ans:✔✔--promotes the growth of the lobes/lobules/alveoli
-increases vascularity
-nipples become darker/more erect
Progesterone is produced first by the _____ _____ and then by the fully developed _______. - Ans:✔✔-
Corpus luteum; placenta
What are some major effects of progesterone? - Ans:✔✔--suppresses FSH/LH
-Decreases uterus contractions
-stimulates breast development for lactation
-antagonist to insulin
-sodium retention
Page 2/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What are the causes of labor? - Ans:✔✔--Progesterone levels fall (leads to decreased muscle relaxation)
-Increase release of prostaglandins (via fetal membranes)
-Increased secretion of natural oxytocin & # of oxytocin receptors in uterus
-Cortisol secreted by fetal adrenal glands (uterine stimulant)
-Increased stretching/pressure of uterus & cervix
what does GTPAL stand for? - Ans:✔✔-•G = total number of times pregnant
•T = number of term infants born (38 or greater)
•P = number of preterm infants born (between 20-37 weeks)
•A = number of abortions (before 20 weeks)
•L = number of children currently living (twins/triplets count indvidually)
GTPA= alive or stillborn
What is oligohydraminos? - Ans:✔✔-low amniotic fluid; <5cm
What is polyhydraminos? - Ans:✔✔-excess amniotic fluid; >24 cm
What is Naegele's rule? - Ans:✔✔-Add 7 days to the first day of the LMP and subtract 3 months to
estimate a woman's EDD
Page 3/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What are presumptive signs of pregnancy? - Ans:✔✔-•Amenorrhea, nausea, fatigue, increased urinary
freq, breast changes
What are probable signs of pregnancy? - Ans:✔✔-•Abd growth, Braxton Hicks contractions, palpation
fetal outline, Goodell's, Hegar's, pregnancy test
What are positive signs of pregnancy? - Ans:✔✔-•Fetal heart sounds, fetal movement by examiner,
ultrasound image
What is Hyperemesis Gravidarum? - Ans:✔✔--Uncontrolled and persistent vomiting
-begins before 20 weeks
What is the cause of hyperemesis gravidarum? - Ans:✔✔-unknown
Who is more at risk for hyperemesis gravidarum? - Ans:✔✔--white primips & multifetal pregnancies
What are complications of hyperemesis gravidarum to the mother? - Ans:✔✔-•Lose 5% of BW
•Dehydration
•Electrolyte imbalances
•Vitamin K deficiency (no flora in GI tract to synthesize vitamin K)
How would you treat hyperemesis gravidarum? - Ans:✔✔-•Diphenhydramine (Benadryl)
Page 4/37
FIRST PUBLISH OCTOBER 2024
NURS 444 OB Test #2 Practice Questions
and Answers
How does estrogen affect the breasts? - Ans:✔✔-breasts: increase in ductal tissue for breast feeding
How does estrogen affect the Vascularity of mucous membranes? - Ans:✔✔--Increases the vascularity
mucous membranes
-may lead to edema/stuffiness/congestion of the mom
How does estrogen affect the skin? - Ans:✔✔--changes the melanin in the skin & causes linea nigra
How does estrogen affect the uterus? - Ans:✔✔-stimulates uterine growth/increases blood supply to
uterine vessels
How does increased progesterone affect the respiratory system? - Ans:✔✔--Decreases airway resistance
by relaxing smooth muscle in respiratory tract
-Increases the sensitivity to CO2 l/t increased ventilations
[SATA] Progesterone leads to what changes in the respiratory system?
A. Hyperventilation
Page 1/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
B. Hypoventilation
C. Dyspnea
D. SOB - Ans:✔✔-A/C/D
How does progesterone affect the uterus? - Ans:✔✔--suppresses contractions
-prevents tissue rejection of fetus
How does progesterone affect the breasts? - Ans:✔✔--promotes the growth of the lobes/lobules/alveoli
-increases vascularity
-nipples become darker/more erect
Progesterone is produced first by the _____ _____ and then by the fully developed _______. - Ans:✔✔-
Corpus luteum; placenta
What are some major effects of progesterone? - Ans:✔✔--suppresses FSH/LH
-Decreases uterus contractions
-stimulates breast development for lactation
-antagonist to insulin
-sodium retention
Page 2/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What are the causes of labor? - Ans:✔✔--Progesterone levels fall (leads to decreased muscle relaxation)
-Increase release of prostaglandins (via fetal membranes)
-Increased secretion of natural oxytocin & # of oxytocin receptors in uterus
-Cortisol secreted by fetal adrenal glands (uterine stimulant)
-Increased stretching/pressure of uterus & cervix
what does GTPAL stand for? - Ans:✔✔-•G = total number of times pregnant
•T = number of term infants born (38 or greater)
•P = number of preterm infants born (between 20-37 weeks)
•A = number of abortions (before 20 weeks)
•L = number of children currently living (twins/triplets count indvidually)
GTPA= alive or stillborn
What is oligohydraminos? - Ans:✔✔-low amniotic fluid; <5cm
What is polyhydraminos? - Ans:✔✔-excess amniotic fluid; >24 cm
What is Naegele's rule? - Ans:✔✔-Add 7 days to the first day of the LMP and subtract 3 months to
estimate a woman's EDD
Page 3/37
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What are presumptive signs of pregnancy? - Ans:✔✔-•Amenorrhea, nausea, fatigue, increased urinary
freq, breast changes
What are probable signs of pregnancy? - Ans:✔✔-•Abd growth, Braxton Hicks contractions, palpation
fetal outline, Goodell's, Hegar's, pregnancy test
What are positive signs of pregnancy? - Ans:✔✔-•Fetal heart sounds, fetal movement by examiner,
ultrasound image
What is Hyperemesis Gravidarum? - Ans:✔✔--Uncontrolled and persistent vomiting
-begins before 20 weeks
What is the cause of hyperemesis gravidarum? - Ans:✔✔-unknown
Who is more at risk for hyperemesis gravidarum? - Ans:✔✔--white primips & multifetal pregnancies
What are complications of hyperemesis gravidarum to the mother? - Ans:✔✔-•Lose 5% of BW
•Dehydration
•Electrolyte imbalances
•Vitamin K deficiency (no flora in GI tract to synthesize vitamin K)
How would you treat hyperemesis gravidarum? - Ans:✔✔-•Diphenhydramine (Benadryl)
Page 4/37
