NURS 471 EXAM 1 UPDATED Exam
Questions and CORRECT Answers
Gravida/Para - CORRECT ANSWER - Gravida: a woman who is currently pregnant
Para: number of times the uterus has emptied at 20 wks or greater (twins and stillbirths count as
1)
Full Term Pregnancy - CORRECT ANSWER - - 37- 42 weeks
- Early full term is 37 weeks to 38 weeks and 6 days
- Delivery before 39 weeks is avoided
Preterm Pregnancy - CORRECT ANSWER - - 20- 36 wks and 6 days
- Late preterm is 34 weeks and 36 wks and 6 days
Postterm Pregnancy - CORRECT ANSWER - gestation beyond 42 weeks
What would G4P0 mean? - CORRECT ANSWER - woman is on 4th pregnancy, but has
never emptied her uterus, so she has had 3 miscarriages
What would G4T3P0A0L3 mean? - CORRECT ANSWER - woman on her fourth
pregnancy, has had 3 full term babies, has had 0 preterm babies, no miscarriages, and has 3
living children
A 26 year old female is currently 26 weeks pregnant. She had a miscarriage at 10 weeks
gestation five years ago. She has a three year old who was born at 39 weeks. What is her
GTPAL? - CORRECT ANSWER - G=3
T=1
P=0
A=1
L=1
,A 35 year old female is currently pregnant with twins. She has 10 year old triplets who were
born at 32 weeks gestation, and a 16 year old who was born at 41 week gestation. Twelve years
ago she had a miscarriage at 8 weeks gestation. What is her GTPAL? - CORRECT
ANSWER - G=4
T=1
P=1
A=1
L=4
What are the 5 P's affecting labor? - CORRECT ANSWER - Passenger
Passageway
Powers
Position
Psychology
Why are the sutures and fontanels of the fetal head important during birth? - CORRECT
ANSWER - helps the head mold into a cone like shape to pass through the vaginal canal;
also needed due to rapid head growth in 1st year of life
Posterior and Anterior fontanelle shapes - CORRECT ANSWER - P: triangle
A: diamond
Fetal Presentations - CORRECT ANSWER - the part of the fetus that enters the pelvis
first; cepahlic, frank breech, footling breech, or shoulder most common
Fetal Lies - CORRECT ANSWER - - Longitudinal: fetal spine is parallel to maternal spine
(cephalic or breech baby)
- Transverse: fetal spine is at right angle compared to maternal spine (shoulder presenation)
, Fetal Attitudes - CORRECT ANSWER - flexed or extended (this will not fit through
pelvis)
Fetal Position - CORRECT ANSWER - where the occiput on the head is facing in terms of
the mother's pelvis
False/True Pelvis - CORRECT ANSWER - false is above the pelvic brim while true is
below the pelvic brim
Pelvic inlet vs Pelvic outlet - CORRECT ANSWER - inlet is above brim while outlet is
below
Types of Pelvic Cavity Shapes - CORRECT ANSWER - - Gynecoid- classic female
shape; most common, round; best for vag delivery
- Android- resembles male pelvis, heart; c/s usually need to be done
- Anthropoid- oval shaped; sometimes have problems with chin or forehead presentations
- Platypelloid- flat
Primary Power in Labor - CORRECT ANSWER - - Involuntary uterine contractions
- Responsible for effacement (thinning) of cervix- 0-100%
- Responsible for dilating (opening) of the cervix- 0-10 cm
Secondary Power in Labor - CORRECT ANSWER - voluntary bearing down by the
woman during the second stage of labor- Ferguson's Reflex
What position should a pregnant woman always avoid? - CORRECT ANSWER - supine
(puts pressure on inferior vena cava and can cause hypotension and lack of O2 for mom and
baby)
Questions and CORRECT Answers
Gravida/Para - CORRECT ANSWER - Gravida: a woman who is currently pregnant
Para: number of times the uterus has emptied at 20 wks or greater (twins and stillbirths count as
1)
Full Term Pregnancy - CORRECT ANSWER - - 37- 42 weeks
- Early full term is 37 weeks to 38 weeks and 6 days
- Delivery before 39 weeks is avoided
Preterm Pregnancy - CORRECT ANSWER - - 20- 36 wks and 6 days
- Late preterm is 34 weeks and 36 wks and 6 days
Postterm Pregnancy - CORRECT ANSWER - gestation beyond 42 weeks
What would G4P0 mean? - CORRECT ANSWER - woman is on 4th pregnancy, but has
never emptied her uterus, so she has had 3 miscarriages
What would G4T3P0A0L3 mean? - CORRECT ANSWER - woman on her fourth
pregnancy, has had 3 full term babies, has had 0 preterm babies, no miscarriages, and has 3
living children
A 26 year old female is currently 26 weeks pregnant. She had a miscarriage at 10 weeks
gestation five years ago. She has a three year old who was born at 39 weeks. What is her
GTPAL? - CORRECT ANSWER - G=3
T=1
P=0
A=1
L=1
,A 35 year old female is currently pregnant with twins. She has 10 year old triplets who were
born at 32 weeks gestation, and a 16 year old who was born at 41 week gestation. Twelve years
ago she had a miscarriage at 8 weeks gestation. What is her GTPAL? - CORRECT
ANSWER - G=4
T=1
P=1
A=1
L=4
What are the 5 P's affecting labor? - CORRECT ANSWER - Passenger
Passageway
Powers
Position
Psychology
Why are the sutures and fontanels of the fetal head important during birth? - CORRECT
ANSWER - helps the head mold into a cone like shape to pass through the vaginal canal;
also needed due to rapid head growth in 1st year of life
Posterior and Anterior fontanelle shapes - CORRECT ANSWER - P: triangle
A: diamond
Fetal Presentations - CORRECT ANSWER - the part of the fetus that enters the pelvis
first; cepahlic, frank breech, footling breech, or shoulder most common
Fetal Lies - CORRECT ANSWER - - Longitudinal: fetal spine is parallel to maternal spine
(cephalic or breech baby)
- Transverse: fetal spine is at right angle compared to maternal spine (shoulder presenation)
, Fetal Attitudes - CORRECT ANSWER - flexed or extended (this will not fit through
pelvis)
Fetal Position - CORRECT ANSWER - where the occiput on the head is facing in terms of
the mother's pelvis
False/True Pelvis - CORRECT ANSWER - false is above the pelvic brim while true is
below the pelvic brim
Pelvic inlet vs Pelvic outlet - CORRECT ANSWER - inlet is above brim while outlet is
below
Types of Pelvic Cavity Shapes - CORRECT ANSWER - - Gynecoid- classic female
shape; most common, round; best for vag delivery
- Android- resembles male pelvis, heart; c/s usually need to be done
- Anthropoid- oval shaped; sometimes have problems with chin or forehead presentations
- Platypelloid- flat
Primary Power in Labor - CORRECT ANSWER - - Involuntary uterine contractions
- Responsible for effacement (thinning) of cervix- 0-100%
- Responsible for dilating (opening) of the cervix- 0-10 cm
Secondary Power in Labor - CORRECT ANSWER - voluntary bearing down by the
woman during the second stage of labor- Ferguson's Reflex
What position should a pregnant woman always avoid? - CORRECT ANSWER - supine
(puts pressure on inferior vena cava and can cause hypotension and lack of O2 for mom and
baby)
