4/6/25, 7:48 PN 3003 maternity |
AM
PN 3003 MATERNITY EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (135)
Gravida Pregnacy
Primigravida pregnant for the first time
Nulligravida a woman who has never been pregnant
Multigravida a woman who has had two or more pregnancies
Primipara first delivery
Para Delivery
GTPAL: G number of pregnancies
GTPAL: T number of term births (36-40 weeks)
GTPAL: P Number of preterm deliveries (under 36 weeks)
GTPAL: A Number of abortions
GTPAL: L Number of living children
Nurses evaluate each sign of the apgar system and totals the schore of 1 and 5
APGAR use
minutes after birth to assess the condition of the infant
requries no action other than continued observation and support of infants
APGAR score of 8-10
adaptaions
means the infant needs gentle stimulation such as rubbing the back, the
APGAR score of 4-7
posibility of opioid-induced respiratory distress should be considered
APGAR score less than 3 severe distress, infant needs active resucitation
Newborn is born at 5 mins. what is the scored 4-7
APGAR score?
- amenorrhea
- nausea, vomiting
possible signs of pregnancy
- fatigue, breast change
- frequent urination
- presence of HCG in blood: 4-12 weeks
- chadwick: bluish discolouration of the cervis, vagina, and vulva
- godwell: softening of the cervix
PROBABLE signs of pregnancy
- 8+ uterine growth
- Braxton hicks: pre labour contractions, false labor occurs during the second
trimester (16weeks)
- visualy see fetus on ultrasound (6+ weeks)
- fetal heart sounds by fetal stethescope (20-24 weeks)
POSITIVE signs of pregnancy
- fetal movements felt by the examiner (22+ weeks)
- late pregnancy: fetus movement visible
normal length of pregnancy is? 38-40 weeks
Normal weight gain in pregnancy 25-35 lbs; not normally monitored
1/
5
, 4/6/25, 7:48 PN 3003 maternity |
AM
BBP - HGR
- blood grouping
- blood glucose
Routine lab tests for pregnant women
- pap smear
- HIV/ Herpes
- group B strep
- rubella
ABC - UN
- Amniocentesis
Tests of fetal well-being - Breast self stimulation
- contraction stress test
- ultra sound
- non stress test
- cervix effacement
What happens in the first stage of labour? - contractions
- dilation
- Complete cervical dilation (10cm)
What happens in the second stage of
- women should push as fetal descent is noticable
labour?
- baby delivered
- Baby is born
What happens in the third stage of - delivery of placenta
labour? - lengthen of umbilical cord
- fundus becomes globular & and gush of blood
(1-2 hours after birth)
What happens in the fourth stage of
- postpartum risk: hemmorrhage, increased vitals
labour?
- teach mom breast feed
First stage of labour: Latent 5-10 mins between contractions, 0-3cm dilated
First Stage of labour: Active 3-5mins between contractions, 4-7 cm dilated
First stage of labour: transition 2-3 mis between contractions, 8-10cm dilated
What stage of labor is the women in if Transitional phase
she is restless, flushed or irritable?
There are 4 nursing interventions during - postpartum stage (risk of hemorrhaging/lacerations)
the fourth stage. Which one is the - help mom with breastfeeding
priority?
when women lays on her spine, weight of gravid uterus compresses inferior vena
What is supine hypertension?
cava and aorta causing decreased blood flow to heart and brain
How to reduce/ prevent supine Place towel under one hip, turn PT laterally
hypertension from happening
- faint
- dizziness
S/S of supine hypertension
- lightheadache
- agitation
If pregnant women is still nauseous or - call the doctor
has a headache from supine hypotension - BP 140/90 call for medical attention
the nurse should?
Back pain
What are skeletal system changes
womens posture changes as her child grows within the uterus
during pregnancy?
lower back pain
2/
5
AM
PN 3003 MATERNITY EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (135)
Gravida Pregnacy
Primigravida pregnant for the first time
Nulligravida a woman who has never been pregnant
Multigravida a woman who has had two or more pregnancies
Primipara first delivery
Para Delivery
GTPAL: G number of pregnancies
GTPAL: T number of term births (36-40 weeks)
GTPAL: P Number of preterm deliveries (under 36 weeks)
GTPAL: A Number of abortions
GTPAL: L Number of living children
Nurses evaluate each sign of the apgar system and totals the schore of 1 and 5
APGAR use
minutes after birth to assess the condition of the infant
requries no action other than continued observation and support of infants
APGAR score of 8-10
adaptaions
means the infant needs gentle stimulation such as rubbing the back, the
APGAR score of 4-7
posibility of opioid-induced respiratory distress should be considered
APGAR score less than 3 severe distress, infant needs active resucitation
Newborn is born at 5 mins. what is the scored 4-7
APGAR score?
- amenorrhea
- nausea, vomiting
possible signs of pregnancy
- fatigue, breast change
- frequent urination
- presence of HCG in blood: 4-12 weeks
- chadwick: bluish discolouration of the cervis, vagina, and vulva
- godwell: softening of the cervix
PROBABLE signs of pregnancy
- 8+ uterine growth
- Braxton hicks: pre labour contractions, false labor occurs during the second
trimester (16weeks)
- visualy see fetus on ultrasound (6+ weeks)
- fetal heart sounds by fetal stethescope (20-24 weeks)
POSITIVE signs of pregnancy
- fetal movements felt by the examiner (22+ weeks)
- late pregnancy: fetus movement visible
normal length of pregnancy is? 38-40 weeks
Normal weight gain in pregnancy 25-35 lbs; not normally monitored
1/
5
, 4/6/25, 7:48 PN 3003 maternity |
AM
BBP - HGR
- blood grouping
- blood glucose
Routine lab tests for pregnant women
- pap smear
- HIV/ Herpes
- group B strep
- rubella
ABC - UN
- Amniocentesis
Tests of fetal well-being - Breast self stimulation
- contraction stress test
- ultra sound
- non stress test
- cervix effacement
What happens in the first stage of labour? - contractions
- dilation
- Complete cervical dilation (10cm)
What happens in the second stage of
- women should push as fetal descent is noticable
labour?
- baby delivered
- Baby is born
What happens in the third stage of - delivery of placenta
labour? - lengthen of umbilical cord
- fundus becomes globular & and gush of blood
(1-2 hours after birth)
What happens in the fourth stage of
- postpartum risk: hemmorrhage, increased vitals
labour?
- teach mom breast feed
First stage of labour: Latent 5-10 mins between contractions, 0-3cm dilated
First Stage of labour: Active 3-5mins between contractions, 4-7 cm dilated
First stage of labour: transition 2-3 mis between contractions, 8-10cm dilated
What stage of labor is the women in if Transitional phase
she is restless, flushed or irritable?
There are 4 nursing interventions during - postpartum stage (risk of hemorrhaging/lacerations)
the fourth stage. Which one is the - help mom with breastfeeding
priority?
when women lays on her spine, weight of gravid uterus compresses inferior vena
What is supine hypertension?
cava and aorta causing decreased blood flow to heart and brain
How to reduce/ prevent supine Place towel under one hip, turn PT laterally
hypertension from happening
- faint
- dizziness
S/S of supine hypertension
- lightheadache
- agitation
If pregnant women is still nauseous or - call the doctor
has a headache from supine hypotension - BP 140/90 call for medical attention
the nurse should?
Back pain
What are skeletal system changes
womens posture changes as her child grows within the uterus
during pregnancy?
lower back pain
2/
5
