NURS320 Final Exam Blueprint
Overview
1. Skin changes during pregnancy: Chloasma, linea nigra, striae gravidarum — caused by hormonal changes.
2. Calculating EDD: Use Nägele's Rule: LMP - 3 months + 7 days + 1 year.
3. GTPAL: G: # of pregnancies, T: term births, P: preterm births, A: abortions, L: living children.
4. Labs or diagnostic tests at first prenatal appointment: CBC, blood type and Rh, HIV, HBsAg, rubella titer, syphilis
(RPR), urinalysis, Pap smear.
5. Presumptive signs of pregnancy: Subjective signs: amenorrhea, nausea, fa- tigue, breast tenderness,
quickening.
6. Umbilical cord anatomy: 3 vessels: 2 arteries, 1 vein. (Vein carries oxygenated blood to fetus.)
7. Preterm: 20-36.6 weeks
8. Term: 37-41.6 weeks
9. Late term: 41-41.6 weeks
10.Expectations of doula while in labor: Provides emotional and physical sup- port, not clinical care.
11.Family Centered Care: Includes the family in all aspects of planning and deci- sion-making.
12.Effect on child after delivery of sibling: May show jealousy, regression, or excitement; prepare the child in
advance.
13.Importance of prenatal education: Promotes healthy behaviors, birth prepa- ration, reduces anxiety.
14.Why is Rhogam given postpartum: Prevents isoimmunization in Rh-negative mother with Rh-positive infant.
15.Fundal location 1 hour after birth: Midline, firm, at level of umbilicus (U/U).
16.Family dynamics and different types of family situations: Consider nuclear, extended, blended, and single-parent
families.
17.Rh Incompatibility: Can cause hemolytic disease of the newborn; treat with Rhogam.
18.Primi vs multi para: Primipara = 1 delivery after 20 weeks; multipara = 2+ deliveries after 20 weeks.
19.Supine positioning complications: Supine hypotension — avoid lying flat after mid-pregnancy.
20.EFM Tracings - Late Decelerations: Caused by uteroplacental insufficiency. Priority: turn patient, O2, stop
oxytocin, notify provider.
21. +GBS Treatment: IV Penicillin G during labor; prevents neonatal sepsis.
22.Priority action after ROM: Assess FHR first to rule out cord prolapse.
23.Shoulder Dystocia Interventions: McRoberts maneuver, suprapubic pressure
— do not apply fundal pressure.
1/
3
Overview
1. Skin changes during pregnancy: Chloasma, linea nigra, striae gravidarum — caused by hormonal changes.
2. Calculating EDD: Use Nägele's Rule: LMP - 3 months + 7 days + 1 year.
3. GTPAL: G: # of pregnancies, T: term births, P: preterm births, A: abortions, L: living children.
4. Labs or diagnostic tests at first prenatal appointment: CBC, blood type and Rh, HIV, HBsAg, rubella titer, syphilis
(RPR), urinalysis, Pap smear.
5. Presumptive signs of pregnancy: Subjective signs: amenorrhea, nausea, fa- tigue, breast tenderness,
quickening.
6. Umbilical cord anatomy: 3 vessels: 2 arteries, 1 vein. (Vein carries oxygenated blood to fetus.)
7. Preterm: 20-36.6 weeks
8. Term: 37-41.6 weeks
9. Late term: 41-41.6 weeks
10.Expectations of doula while in labor: Provides emotional and physical sup- port, not clinical care.
11.Family Centered Care: Includes the family in all aspects of planning and deci- sion-making.
12.Effect on child after delivery of sibling: May show jealousy, regression, or excitement; prepare the child in
advance.
13.Importance of prenatal education: Promotes healthy behaviors, birth prepa- ration, reduces anxiety.
14.Why is Rhogam given postpartum: Prevents isoimmunization in Rh-negative mother with Rh-positive infant.
15.Fundal location 1 hour after birth: Midline, firm, at level of umbilicus (U/U).
16.Family dynamics and different types of family situations: Consider nuclear, extended, blended, and single-parent
families.
17.Rh Incompatibility: Can cause hemolytic disease of the newborn; treat with Rhogam.
18.Primi vs multi para: Primipara = 1 delivery after 20 weeks; multipara = 2+ deliveries after 20 weeks.
19.Supine positioning complications: Supine hypotension — avoid lying flat after mid-pregnancy.
20.EFM Tracings - Late Decelerations: Caused by uteroplacental insufficiency. Priority: turn patient, O2, stop
oxytocin, notify provider.
21. +GBS Treatment: IV Penicillin G during labor; prevents neonatal sepsis.
22.Priority action after ROM: Assess FHR first to rule out cord prolapse.
23.Shoulder Dystocia Interventions: McRoberts maneuver, suprapubic pressure
— do not apply fundal pressure.
1/
3
