NR 327/ NR327 EXAM 1: (NEW 2025/ 2026 UPDATE) MATERNAL-CHILD NURSING REVIEW | QUESTIONS WITH CORRECT VERIFIED ANSWERS||ALREADY GRADED A+|| NEWEST VERSION

NR 327/ NR327 EXAM 1: (NEW 2025/ 2026 UPDATE) MATERNAL-CHILD NURSING REVIEW | QUESTIONS WITH CORRECT VERIFIED ANSWERS||ALREADY GRADED A+|| NEWEST VERSION Not enough weight gain can lead to? - ANSWER preterm birth or small for gestational age (On growth chart 10th percent tile) smoking can cause - ANSWER preterm birth, low birth weight, preterm labor (growth restriction/sga/intrauterine growth restriction) Macrosomia - ANSWER large for gestational age (90th percent tile) folic acid deficiency can lead to - ANSWER neural tube defects Examples of neural tube defects - ANSWER cleft lip, cleft palate, spina bifida, meningocele, myelomeningocele recommended weight gain for normal bmi (18-24.9) - ANSWER 25-35 lbs recommended weight gain for overweight mothers (25-29.9+) - ANSWER 15-25 lbs recommended weight gain for obese mothers (20-35+) - ANSWER 11-20 lbs when does fetal heartbeat show up on doppler - ANSWER 10-12 weeks test that assess fetal wellbeing by measuring movements and tones - ANSWER biophysical profile which method is most accurate for dating a pregnancy in the first trimester - ANSWER transvaginal ultrasound which assessment is used during labor to assess fetal heart rate and contractions - ANSWER external fetal monitoring which test assesses wellness of baby - ANSWER non-stress test A 39-week NST shows 2 accelerations, moderate variability, and no decelerations in 20 minutes. This result is: - ANSWER Reassuring (accelerations are good, we want no decelerations) (moderate variability is good) 2 or more reactions in 20 minutes - ANSWER reactive (if not reactive we give mother 20 minutes) fetal heart rate 100 bpm in 10 minutes. Classification: - ANSWER Bradycardic (anything less than 110 is brady) additional calories based on trimester - ANSWER 1st: no additional 2nd: 340 3rd: 452 Mothers should avoid which food that is high in mercury - ANSWER Fish the fundal height of a 30 week pregnant patient measures 25 cm. what should the nurse expect - ANSWER Oligohydramnios fundal height is supposed to equal the gestational age. what is the variability: - ANSWER + or - 2 weeks Mothers should avoid foods which result in listeria: - ANSWER unpasteurized juice or milk, meat Toxoplasmosis is passed from - ANSWER cat feces & undercooked meats normal fetal movement is - ANSWER 10 in 1 hour muononium and quickening occurs during: - ANSWER 13-16 weeks age of viability - ANSWER 17-20 weeks (brown fat-heat producing begins to develop) Surfactant for lungs develop during which gestational age - ANSWER 21-24 weeks during 8 weeks what should be formed within baby - ANSWER all body organs fetal heart rate variability informs us that - ANSWER cns is functioning properly what is Oligohydramnios - ANSWER small amount of amniotic fluid (less than 400ml) Hydramnios (polyhydramnios) - ANSWER excessive fluid (greater than 2,000ml) role of amniotic fluid - ANSWER ain constant body temp for the fetus ins fetal urine (kidney function) ons fetus for trauma 4. allow umbilical cord free of compression 5. promotes fetal movement to enhance musculoskeletal development Interventions for mother in labor (SBRP) - ANSWER Stop pitocin Bolus fluids Reposition (left lateral) Place O2 (8-10L via Non rebreather) What heart sound is normal during fetal assessment - ANSWER murmur a fetal strip shows early detection miirriong contractions. this is likely to: - ANSWER head compression Interpretation of fetal heart rate - ANSWER V vs C E vs H A vs O L vs P when to contact hcp about fetal movement - ANSWER if fewer than 10 kicks in 2 hours correct teaching regarding non stress test - ANSWER evaluates the fetal response to movement what does a bpp test tell you BMTA - ANSWER breathing movement tone (muscle) amniotic fluid volume placenta previa - ANSWER painless bright red blood What does rigid board like adornment indicate - ANSWER internal breathing - abrutio placentae steroid used to help premature infant develop their lungs - ANSWER Betamethasone preventing hyperemesis gravida - ANSWER avoid spicy food small meals low fat preeclampsia - ANSWER HTN after 20 weeks - that occurs with pregnancy and is resolved after birth Eclampsia can result in - ANSWER seizures gestational hypertension is without ... - ANSWER protein in the urine deciding factor for preeclampsia - ANSWER urinalysis: protein in the urine warning signs of progressing preeclampsia - ANSWER vision change headache HELP syndrome in eclampsia: H= E= L= P= - ANSWER Hemolysis Elevated liver enzymes Low Platelets will result in continuous bleeding list 2 meds to treat gestational HTN - ANSWER labetalol hydralazine methyldopa nifedipine interventions for pt on magnesium - ANSWER low stimulating environment every hour- neuro, lung sounds, dtr, urinary output antidote at bedside (calcium gluconate) gestational diabetes warning sign - ANSWER glucosuria alpha/fetoprotein low & high meaning - ANSWER low = down syndrome high = neural tube defects no live vaccine - ANSWER mmr, varicella, live flu gold standard test for gestational diabetes & what is the most advised treatment - ANSWER 3hr glucose test & diet What screening occurs 36 - 37 weeks - ANSWER GBS Cytomegalovirus - ANSWER prevention: hand hygiene - found in daycares Cannot get pregnant for 28 days after receiving which vaccines - ANSWER Rubella & Varicella Zoster Zidoudine prophylactic medication is used for - ANSWER Babies with mothers who have HIV (mothers are not allowed to breastfeed) mom or baby should not get tetracycline due to its effect on - ANSWER bones and teeth gestational trophoblastic disease - ANSWER overgrowth of tissue cells that present as pregnancy risk factors for GTD - ANSWER early teens/older moms repeat beta HCG levels - ANSWER require 3 normal reading & have to wait at least a year to get pregnant GTPAL - ANSWER G: number of pregnancies P: number of deliveries (20 weeks) T: delivery that occurred after 38 weeks P: delivery before 38 week s A: SAB or ETOP L: Living Nagele's rule - ANSWER EDD = LMP -3months, +7 days Concerns for pediatric patient - ANSWER How is she coping? Is FOB in the picture How will it effect school? Nutrition Routine prenatal care Presumptive signs of pregnancy - ANSWER (Subjective) Amenorrhea N/V/ urinary frequency Fatigue Probable signs of pregnancy - ANSWER (Objective) +Pregnancy test Hegar's sign Ballotement Goodell's sign Chadwick's sign Enlarged abdomen Palpable fetal outline Positive signs of pregnancy - ANSWER Fetal heart tones Fetal movement felt by examiner Ultrasound Ballotement - ANSWER uterus will rebound when pushed Goodell's sign - ANSWER Softening of the cervix Hegar's sign - ANSWER Softening of the uterus Chadwick's sign - ANSWER Purple/blue color of the cervix PICA - ANSWER craving and eating things that are not normally considered edible -Due to imbalance of zinc/iron Nursing interventions for nausea - ANSWER Small frequent meals BRAT diet Position upright after meals Hormones that increase during pregnancy - ANSWER Estrogen Progesterone Increased estrogen - ANSWER Increased blood supply -Nasal stuffiness -Bloody gums -Bloody nose Increased progesterone - ANSWER Relaxes smooth muscles Increases need to breath Heightened awareness -PPP: Progesterone protects pregnancy Nutritional needs during pregnancy - ANSWER Increased: -Folic acid -Calcium -Iron -Water -Calories Decreased/Eliminated: -Caffeine -Smoking (quit) -Drugs (quit) -Fried foods (moderation) -Fish-mercury -Lunch meat - Lysteria (avoid) Folic acid in pregnancy - ANSWER Prevents neural tube defects