NM702 MODULE 1 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
What assessments are appropriately made at the first OB visit?
Comprehensive health history (medical, nutritional, obstetrical, psychosocial, family)
and comprehensive physical assessment
What history and physical examination components are addressed at subsequent
prenatal visits?
pregnancy-related changes, psychosocial issues, physical well-being of mother and
fetus, signs of potential complications (risk assessment)
Describe the components of the medical and psychosocial prenatal history taken
at the first visit
See Jordan et al (2014), p 82-84.
https://drive.google.com/file/d/1iBxoN1UXiS0oVMSZYj_BELvFS7RjebUx/view?
usp=sharing
Describe the components of the physical examination at subsequent prenatal
visits.
weight, blood pressure, fundal height, fetal heart tones, maternal perception of fetal
movement, Leopold's maneuvers, estimation of fetal weight, cervical assessment (as
indicated given gestational age and maternal condition).
List the overall categories of laboratory tests that may be performed in
pregnancy.
,Routine prenatal lab tests, genetic screening tests, diagnostic genetic tests, additional
laboratory tests as indicated by maternal condition.
List overall categories of patient education included during the prenatal period
nutrition, weight gain, and exercise, substance use/abuse, immunizations, working in
pregnancy, available lab tests and genetic screening options, safety, physical and
emotional changes during pregnancy, danger signs, community resources, birth
planning, postpartum healthcare planning
What is the usual frequency for prenatal care visits?
Every 4 weeks until 28 weeks
Every 2 weeks from 28 to 36 weeks
Weekly from 36 to birth (sometimes more frequently after the EDB)
Define "anticipatory guidance"
Health education that prepares women for likely pregnancy experiences both physical
and emotional.
What are possible signs of pregnancy?
Subjective signs experienced by the mother.
What are probable signs of pregnancy?
Objective signs assessed by the provider.
What are positive signs of pregnancy?
Signs that result from the fetus itself.
What are the four priorities in providing prenatal education as described by
Roberts (1976)?
, 1. respond to the woman's specific questions
2. address essential health and safety issues
3. provide anticipatory guidance about pregnancy changes, birth, and infant care
4. add explanations on topics or policies beyond the woman's self-identified needs
What are the 7 themes of prenatal care identified by Hanson et al. (2009)?
1. The Direction of Communication between Provider and Patient
2. A Predominant Focus on the Physical Versus Psychological Needs
3. The Increasing Attentiveness to Risk
4. Additive Expectations for Prenatal Care
5. Lack of a Broad Health Promotion Focus
6. Inconsistent Endorsement of Component Parts of Prenatal Care
7. Lack of Attention to Prenatal Education
What populations of women are most at risk for adverse obstetrical outcomes?
Women who are younger than twenty years old; who are of non-Hispanic Black,
American Indian, or Alaskan Native races/ethnicities; who didn't receive adequate
prenatal care
Define maternal mortality (WHO)
"The death of a woman while pregnant or within 42 days of termination of pregnancy,
irrespective of the duration and site of the pregnancy, from any cause related to or
aggravated by the pregnancy or its management but not from accidental or incidental
causes."
Define maternal mortality rate/ratio (CMQCC)
"Death from obstetric causes <42 days postpartum, per 100,000 live births."
COMPLETE SOLUTIONS VERIFIED
What assessments are appropriately made at the first OB visit?
Comprehensive health history (medical, nutritional, obstetrical, psychosocial, family)
and comprehensive physical assessment
What history and physical examination components are addressed at subsequent
prenatal visits?
pregnancy-related changes, psychosocial issues, physical well-being of mother and
fetus, signs of potential complications (risk assessment)
Describe the components of the medical and psychosocial prenatal history taken
at the first visit
See Jordan et al (2014), p 82-84.
https://drive.google.com/file/d/1iBxoN1UXiS0oVMSZYj_BELvFS7RjebUx/view?
usp=sharing
Describe the components of the physical examination at subsequent prenatal
visits.
weight, blood pressure, fundal height, fetal heart tones, maternal perception of fetal
movement, Leopold's maneuvers, estimation of fetal weight, cervical assessment (as
indicated given gestational age and maternal condition).
List the overall categories of laboratory tests that may be performed in
pregnancy.
,Routine prenatal lab tests, genetic screening tests, diagnostic genetic tests, additional
laboratory tests as indicated by maternal condition.
List overall categories of patient education included during the prenatal period
nutrition, weight gain, and exercise, substance use/abuse, immunizations, working in
pregnancy, available lab tests and genetic screening options, safety, physical and
emotional changes during pregnancy, danger signs, community resources, birth
planning, postpartum healthcare planning
What is the usual frequency for prenatal care visits?
Every 4 weeks until 28 weeks
Every 2 weeks from 28 to 36 weeks
Weekly from 36 to birth (sometimes more frequently after the EDB)
Define "anticipatory guidance"
Health education that prepares women for likely pregnancy experiences both physical
and emotional.
What are possible signs of pregnancy?
Subjective signs experienced by the mother.
What are probable signs of pregnancy?
Objective signs assessed by the provider.
What are positive signs of pregnancy?
Signs that result from the fetus itself.
What are the four priorities in providing prenatal education as described by
Roberts (1976)?
, 1. respond to the woman's specific questions
2. address essential health and safety issues
3. provide anticipatory guidance about pregnancy changes, birth, and infant care
4. add explanations on topics or policies beyond the woman's self-identified needs
What are the 7 themes of prenatal care identified by Hanson et al. (2009)?
1. The Direction of Communication between Provider and Patient
2. A Predominant Focus on the Physical Versus Psychological Needs
3. The Increasing Attentiveness to Risk
4. Additive Expectations for Prenatal Care
5. Lack of a Broad Health Promotion Focus
6. Inconsistent Endorsement of Component Parts of Prenatal Care
7. Lack of Attention to Prenatal Education
What populations of women are most at risk for adverse obstetrical outcomes?
Women who are younger than twenty years old; who are of non-Hispanic Black,
American Indian, or Alaskan Native races/ethnicities; who didn't receive adequate
prenatal care
Define maternal mortality (WHO)
"The death of a woman while pregnant or within 42 days of termination of pregnancy,
irrespective of the duration and site of the pregnancy, from any cause related to or
aggravated by the pregnancy or its management but not from accidental or incidental
causes."
Define maternal mortality rate/ratio (CMQCC)
"Death from obstetric causes <42 days postpartum, per 100,000 live births."
