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482 EXAM 2 BLUEPRINT / 238 ACTUAL EXAM QUESTIONS WITH DEFINITIVE SOLUTIONS / 2025 Terms in this set (238)

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482 EXAM 2 BLUEPRINT / 238 ACTUAL EXAM QUESTIONS WITH DEFINITIVE SOLUTIONS / 2025 Terms in this set (238) what is preconception health · The health of an individual before and between pregnancies · addresses both physical heath and mental wellness for everyone of reproductive age (12-44) every time they are seen Good preconception health equals A lifespan of good overall health o Managing health risks, chronic conditions, genetic/hereditary factors o Knowing and making healthy choices; practicing healthy habits o Having a trusted and supportive healthcare professional importance of preconception health · foundation of a healthy birth and healthy birth outcomes and health across the lifespan · helps to promote preconception life planning, identification and management of chronic health conditions and the mitigation of environmental factors that may lead to preterm birth and an undesirable birth outcomes reproductive life planning CDC encourages all men and women to have a reproductive life plan whether or not they plan to have a baby one day characteristics of reproductive life planning · increases public awareness about preconception health · provide risk assessment and counseling during primary care visits · increases the number of women who receive intervention after risk screening · uses the time between pregnancies to provide intensive interventions to women who have had a pregnancy that resulted in infant death, low birth weight or premature birth · offer one prepregnancy visit · increases health insurance coverage amount low income women · integrate preconception health objective into public health programs · augment research · maximize public health surveillance

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482 NUR
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482 EXAM 2 BLUEPRINT / 238 ACTUAL
EXAM QUESTIONS WITH DEFINITIVE SOLUTIONS /
2025


Terms in this set (238)

what is preconception · The health of an individual before and between pregnancies
health · addresses both physical heath and mental wellness for
everyone of reproductive age (12-44) every time they are
seen



Good preconception health A lifespan of good overall health o Managing health
equals risks, chronic conditions, genetic/hereditary factors o
Knowing and making healthy choices; practicing healthy
habits o Having a trusted and supportive healthcare
professional




importance of · foundation of a healthy birth and healthy birth outcomes
preconception health and health across the lifespan · helps to promote
preconception life planning, identification and management
of chronic health conditions and the mitigation of
environmental factors that may lead to preterm birth and
an undesirable birth outcomes




CDC encourages all men and women to have a reproductive
reproductive life planning
life plan whether or not they plan to have a baby one day

,characteristics of · increases public awareness about preconception health
reproductive life planning · provide risk assessment and counseling during primary care
visits
· increases the number of women who receive intervention after
risk screening
· uses the time between pregnancies to provide
intensive interventions to women who have had a
pregnancy that resulted in infant death, low birth
weight or premature birth · offer one prepregnancy
visit
· increases health insurance coverage amount low income
women
· integrate preconception health objective into public
health programs · augment research
· maximize public health surveillance




§ pituitary gland releases FSH and LH to stimulate
ovaries to encourage follicular cells to grow and mature
§ follicles release estrogen and when estrogen peaks the
production of FSH is inhibited and more LH is produced
causing the most mature egg cell to release from the follicle
and through the ovary wall (this is ovulation and happens
10-16 days before the start of the period)
§ ovum will move to fallopian tube and must be
menstrual cycle overview
fertilized by a sperm cell within 24 hours, if not the
window for pregnancy is closed for the month § While
the ovum is in the fallopian tube the empty follicle is
releasing progesterone and causing the uterine lining to
thicken in preparation for a potentially fertilized egg
§ if the egg is not fertilized the bodies progesterone and
estrogen levels decrease, causing the uterine lining to
shed thus producing a period

,fertilization § sperm are released into vagina and find way through
cervical os which is soft and slightly open during the middle
of the cycle and go through uterus into the fallopian tube
where the mature ovum is § over the first week after
fertilization takes place the zygote will travel down the
fallopian tube and into the body of the uterus
§ implantation of the zygote will implant into the wall on day
7-8 after fertilization



placental development § starts as chorionic villi
§ structurally compete by 12 wk and grows until 20wk

when is pregnancy dated from the first day of the last menstrual period
from

when is fetal development time of conception. two week difference from first day of LMP
dated from

what type of pregnancy test urine
is typically used

what hormone is detected in beta-hCG
urine pregnancy test



· physiological changes that a woman experiences ·
subjective sensations or assessments notes by the
presumptive signs of woman
pregnancy · suggestive but not diagnostic of pregnancy ·
amenorrhea, breast changes, vaginal changes, skin
changes, N/V, urinary frequency, fatigue, fetal movement

, probable signs of pregnancy · maternal physiological and anatomical changes that can
be observes or palpated by health care provider on exam
· objective findings on clinical exam
· suggestive but not diagnostic of pregnancy · enlargement
of abdomen, vaginal changes, cervical changes, uterine
changes, palpation and ballottement of fetus, basal body
temp elevation, endocrine pregnancy tests




positive signs of pregnancy · findings directly attributable to the fetus that can be
detected by the health care provider · considered absolute
proof of pregnancy
· diagnostic of pregnancy
· detection of the embryo or fetus by ultrasound or Xray,
identification of fetal heart activity, detection of fetal
movement by examiner


percentage of midwife 10.3% of total U.S. births
attended births

scope of practice for nurse § Independent health care providers with prescriptive authority in
midwife all 50 states

role of midwives § Reproductive care
§ Primary care
§ Can include
· Annual exams
· Writing prescriptions
· Basic nutrition counseling
· Parenting education
· Patient education
· Reproductive health visits

§ can labor and birth in tub
things that are allowed at
home birth/community § family size beds and bathrooms
birth that are not allowed in
hospital

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Course
482 NUR

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