Questions and Verified Answers | Newest Update |
Graded A+
Oral Contraception - CORRECT ANSWER OCs should be taken at the same time daily
POPs must be taken at a certain time every 24 hrs.
POPs are appropriate for women who cannot or should not take estrogen in combined OCs, for
example, a woman older than 35 yrs who smokes cigarettes
Genetics-PKU - CORRECT ANSWER Autosomal recessive inherited disorders occur when both
parents have the gene!
intimate partner violence - CORRECT ANSWER If assessment reveals suspicion or actual
indication of abuse, nurses can explain to the woman that they are required by law to report it.
Cervix - CORRECT ANSWER Between weeks 6 & 8 of pregnancy, the cervix begins to soften
(Goodell sign) d/t vasocongestion & the influence of estrogen
Cervical ripening (softening, effacement, & increased distensibility) begins about 4 wks before
birth.
Prenatal care for women with Type 1 DM - CORRECT ANSWER . Women should be checking their
blood sugars 4 times a day, eat 3 meals plus 3 snacks a day to promote glycemic control, be
physically active daily.
Women should be doing daily fetal movements counts once movement is felt to monitor fetal
well-being.
Childbirth Education Classes - CORRECT ANSWER As part of health promotion and evidence-
based interventions, nurses should be encouraging and educating all women about
breastfeeding while respecting the parents' ultimate decision.
,Many childbirth classes support the concept of natural childbirth (a birth without pain-relieving
medications) so that the woman can be in control throughout the experience as much as she
chooses.
Pregnancy test hormone - CORRECT ANSWER An hCG level <5 mIU/mL is considered negative
for pregnancy
Anything >25 mIU/mL is considered positive for pregnancy.
· ELISA- measures the blood & urine; 99% effective!
Heartburn and Indigestion - CORRECT ANSWER The pain may radiate to the neck and throat. It
worsens when the woman lies down, bends over after eating, or wears tight clothes
Pregnancy-positive sign - CORRECT ANSWER Visualizing the fetus by ultrasound, palpating for
fetal movements, & hearing a fetal heartbeat are all signs that make the pregnancy a certainty.
Vaginal discharge-pregnancy - CORRECT ANSWER Most women experience an increase in a
whitish vaginal discharge, called leukorrhea, during pregnancy.
· This is normal except when it is accompanied by itching & irritation, possibly suggesting
Candida albicans, a monilial vaginitis
Urinary changes - CORRECT ANSWER As more blood flows to the kidneys, the glomerular
filtration rate (GFR) increases, leading to an increase in urine flow and volume,
Weight gain in pregnancy - CORRECT ANSWER · A woman who is underweight before pregnancy
or who has a low maternal weight gain pattern should be monitored carefully because she is at
risk of giving birth to a low-birth-weight infant (lighter than 2,500 g or 5.5 lb).
Encourage the woman to eat snacks that are high in calories such as nuts, peanut butter,
milkshakes, cheese, fruit, yogurt, & ice cream.
Indigestion-3rd trimester - CORRECT ANSWER Avoid spicy or greasy foods and eat small
frequent meals.
· Sleep on several pillows so that your head is elevated 30 degrees.
, · Stop smoking & avoid caffeinated drinks to reduce stimulation.
· Avoid lying down for at least three hrs after meals.
· Try drinking sips of water to reduce burning sensation.
· Avoid foods that trigger symptoms—fried foods, citrus, soda, chocolate
Exercise-prepare for labor - CORRECT ANSWER · At least 30 min of moderate-intense physical
activity daily is recommended.
Federal physical activity guidelines recommend at least 150 minutes of moderate-intensity
exercise per week during pregnancy
Pregnancy-air travel - CORRECT ANSWER Is generally safe for the pregnant woman up to 36
weeks of gestation.
The woman should be counseled to avoid long periods of sitting because of the risk of
developing thromboembolism
Vaginal Examination - CORRECT ANSWER After donning sterile gloves, the examiner inserts their
index and middle fingers into the vaginal introitus. Next, the cervix is palpated to assess dilation,
effacement, and position (e.g., posterior or anterior). If the cervix is open to any degree, the
presenting fetal part, fetal position, station, and presence of molding can be assessed. In
addition, the membranes can be evaluated and described as intact, bulging, or ruptured.
Rupture of Membranes - CORRECT ANSWER When membranes rupture, the priority focus
should be on assessing fetal heart rate (FHR) first to identify a deceleration, which might
indicate cord compression secondary to cord prolapse.
If the membranes are ruptured when the woman comes to the hospital, the (HCP) should
ascertain when this occurred.
Food in labor - CORRECT ANSWER Maternal physiologic responses in labor include decreased
gastric motility & decreased food absorption, which may increase the risk of nausea & vomiting
during the transition stage of labor. Gastric emptying & gastric pH decrease, which increases the
risk of vomiting & aspiration.
Pitocin - CORRECT ANSWER Synthetic oxytocin (Pitocin) is also used to induce or augment labor
by stimulating uterine contractions.