OB Nursing Exam 1 with Complete
Solutions
Self-Care - correct Answer-assuming responsibility for one's own health; may require
assertiveness and active role in seeking information
Nurse's role in self-care - correct Answer-provide information readily and acknowledge a
client's right to ask quesitons
Culture - correct Answer-beliefs, values, attitudes, and practices that are accepted by a
population, a community, or an individual; learned
Ethnicity - correct Answer-social identity that is associated with shared behaviors and
patterns
Enculturation - correct Answer-when culture is passed on from generation to generation
Acculturation - correct Answer-process by which people adapt to a new cultural norm
Assimilation - correct Answer-when a group completely changes their cultural identity to
become part of the majority culture
Mucous Plug - correct Answer-thick, tenacious mucous, which accumulates and
thickens to form and seal the endocervical canal and prevent the ascent of bacteria and
other substances into the uterus; expelled when cervical dilation begins
Goodell's Sign - correct Answer-a probable indication of pregnancy in which the cervix
and vagina soften; caused by increased vascularization as a result of hypertrophy and
engorgement of the vessels below the growing uterus
Chadwick's Sign - correct Answer-probable sign of pregnancy in which the cervix and
vulva appear blue-purple as a result of increased vascularization
Striae - correct Answer-stretch marks; a form of scarring of the skin due to sudden
weight gain during pregnancy (striae gravidarum); may appear on the abdomen, breasts
and thighs
Colostrum - correct Answer-clear, yellowish, high-protein, antibody-rich liquid secreted
by the breasts beginning in the fourth month of pregnancy and continuing until several
days after birth
, Supine Hypotensive Syndrome - correct Answer-dizziness and a drop in blood pressure
caused when the mother is in a supine position and the weight of the uterus, infant,
placenta, and amniotic fluid compress the inferior vena cava, reducing return of blood to
the heart and cardiac output
Pseudoanemia - correct Answer-the apparent anemia that occurs during pregnancy due
to rapid expansion of blood volume; false anemia; lowered hematocrit (between 33-
46%) as a result of the increase in plasma during pregnancy
Linea Negra - correct Answer-line of darker pigmentation extending from the umbilicus
to the pubis noted in some women during the later months of pregnancy; caused by
increase in estrogen, progesterone, and α-melanocyte stimulating hormone levels
Chloasma - correct Answer-"mask of pregnancy"; an irregular darkening of the cheeks,
forehead, and nose; changes are often more obvious in women with darker hair and
skin and may be worsened by sun exposure; generally disappears or fades significantly
soon after pregnancy
Quickening - correct Answer-maternal perception of fetal movement (feeling of life)
usually occurs between weeks 16 and 20 of gestation, but may be felt earlier by
multiparous woman
Hegar's Sign - correct Answer-softening of the lower uterine segment, classified as a
probable sign of pregnancy, may be present during the 2nd and 3rd months of
pregnancy and is palpated during bimanual examination
McDonald's Sign - correct Answer-probable sign of pregnancy characterized by an ease
in flexing the body of the uterus against the cervix
Amenorrhea - correct Answer-absence of menstruation; possible sign of pregnancy
Braxton Hicks - correct Answer-irregular, usually mild uterine contractions that occur
throughout pregnancy and become stronger in the last trimester
Uterine Souffle' - correct Answer-soft, blowing sound of blood circulating through the
placenta that corresponds to the maternal pulse
Ballottement - correct Answer-rebounding of the fetus against the examiner's finger on
palpation; when the examiner taps the cervix, the fetus floats upward in the amniotic
fluid
Antepartum - correct Answer-time between conception and onset of labor, used
interchangeably with prenatal
Intrapartum - correct Answer-time from the onset of true labor until the birth of the infant
and expulsion of the placenta
Solutions
Self-Care - correct Answer-assuming responsibility for one's own health; may require
assertiveness and active role in seeking information
Nurse's role in self-care - correct Answer-provide information readily and acknowledge a
client's right to ask quesitons
Culture - correct Answer-beliefs, values, attitudes, and practices that are accepted by a
population, a community, or an individual; learned
Ethnicity - correct Answer-social identity that is associated with shared behaviors and
patterns
Enculturation - correct Answer-when culture is passed on from generation to generation
Acculturation - correct Answer-process by which people adapt to a new cultural norm
Assimilation - correct Answer-when a group completely changes their cultural identity to
become part of the majority culture
Mucous Plug - correct Answer-thick, tenacious mucous, which accumulates and
thickens to form and seal the endocervical canal and prevent the ascent of bacteria and
other substances into the uterus; expelled when cervical dilation begins
Goodell's Sign - correct Answer-a probable indication of pregnancy in which the cervix
and vagina soften; caused by increased vascularization as a result of hypertrophy and
engorgement of the vessels below the growing uterus
Chadwick's Sign - correct Answer-probable sign of pregnancy in which the cervix and
vulva appear blue-purple as a result of increased vascularization
Striae - correct Answer-stretch marks; a form of scarring of the skin due to sudden
weight gain during pregnancy (striae gravidarum); may appear on the abdomen, breasts
and thighs
Colostrum - correct Answer-clear, yellowish, high-protein, antibody-rich liquid secreted
by the breasts beginning in the fourth month of pregnancy and continuing until several
days after birth
, Supine Hypotensive Syndrome - correct Answer-dizziness and a drop in blood pressure
caused when the mother is in a supine position and the weight of the uterus, infant,
placenta, and amniotic fluid compress the inferior vena cava, reducing return of blood to
the heart and cardiac output
Pseudoanemia - correct Answer-the apparent anemia that occurs during pregnancy due
to rapid expansion of blood volume; false anemia; lowered hematocrit (between 33-
46%) as a result of the increase in plasma during pregnancy
Linea Negra - correct Answer-line of darker pigmentation extending from the umbilicus
to the pubis noted in some women during the later months of pregnancy; caused by
increase in estrogen, progesterone, and α-melanocyte stimulating hormone levels
Chloasma - correct Answer-"mask of pregnancy"; an irregular darkening of the cheeks,
forehead, and nose; changes are often more obvious in women with darker hair and
skin and may be worsened by sun exposure; generally disappears or fades significantly
soon after pregnancy
Quickening - correct Answer-maternal perception of fetal movement (feeling of life)
usually occurs between weeks 16 and 20 of gestation, but may be felt earlier by
multiparous woman
Hegar's Sign - correct Answer-softening of the lower uterine segment, classified as a
probable sign of pregnancy, may be present during the 2nd and 3rd months of
pregnancy and is palpated during bimanual examination
McDonald's Sign - correct Answer-probable sign of pregnancy characterized by an ease
in flexing the body of the uterus against the cervix
Amenorrhea - correct Answer-absence of menstruation; possible sign of pregnancy
Braxton Hicks - correct Answer-irregular, usually mild uterine contractions that occur
throughout pregnancy and become stronger in the last trimester
Uterine Souffle' - correct Answer-soft, blowing sound of blood circulating through the
placenta that corresponds to the maternal pulse
Ballottement - correct Answer-rebounding of the fetus against the examiner's finger on
palpation; when the examiner taps the cervix, the fetus floats upward in the amniotic
fluid
Antepartum - correct Answer-time between conception and onset of labor, used
interchangeably with prenatal
Intrapartum - correct Answer-time from the onset of true labor until the birth of the infant
and expulsion of the placenta
