NUR 1390 EXAM (SUMMER SESSION) PRACTICE EXAM
QUESTIONS & CORRECT DETAILED ANSWERS A+ ACED
Pregnancy/birth can cause changes within
woman
family
fetus - CORRECT ANSWER >>>woman: physiological and psychological changes
family: role changes, adaptation fetus: physical changes
Nursing Roles - CORRECT ANSWER >>>care and education of mother
consider issues of family (role changes, preparation) care of fetus as it
transitions to newborn
CAREing for the patient - CORRECT ANSWER >>>Communicate
Advocate
Respect
Empower
(facilitate shared decision making)
Full term pregnancy - CORRECT ANSWER >>>40 weeks
9 solar/10 lunar months
3 trimesters:
1st tri = 0-12 weeks
2nd tri = 13-28 weeks
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,3rd tri = 29-40 weeks
Estimated Delivery Date (EDD)
(Nagele's Rule) - CORRECT ANSWER >>>Take last menstrual period, subtract 3 months, add 7
days, adjust year
What is the EDD if the last menstrual period was 6/1/22 - CORRECT ANSWER >>>6/1/22
(subtract 3 months) = march
(add 7 days) = 8
(adjust year) = 2023
EDD = 3/8/23
Congenital defect - CORRECT ANSWER >>>abnormality during development
(cleft lip)
Genetic defect - CORRECT ANSWER >>>abnormality during conception abnormality in
genes or chromosomes
Human Chorionic Gonadotropin (hCG) - CORRECT ANSWER >>>turns pregnancy test positive
produced in body until placenta takes over causes nausea
Progesterone - CORRECT ANSWER >>>counteracts estrogen to stabilize pregnancy.
made by ovaries and placenta
Estrogen - CORRECT ANSWER >>>stimulates labor, gives you congestion, bloat, increases blood
volume
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, Relaxin - CORRECT ANSWER >>>goes everywhere in the body, relaxes muscles, causes feet to
swell, relaxes stomach sphincter and gives you heart burn
Human Chorionic Sommatotropin (or Human Placental Lactogen) - CORRECT ANSWER
>>>can give you gestational diabetes by lowering insulin
gives nutrition to fetus stimulates milk glands in breasts
for breastfeeding
Presumptive signs of pregnancy (subjective) - CORRECT ANSWER >>>nausea/vomiting
change in breast sensation/size increased urinary frequency missed menstrual period
Probable signs of pregnancy (objective) - CORRECT ANSWER >>>enlargement of the uterus
softening of uterine isthmus (Hegar's Sign) bluish or cyanotic color of cervix and upper vagina
(Chadwick's Sign) softening of the cervix (Goodell's Sign) positive test for hCG changes in skin
pigmentation
Positive signs of pregnancy - CORRECT ANSWER >>>fetal heartbeat
palpation of fetal body parts ultrasonographical
demonstration of fetus
Adaptive maternal changes - urinary system - CORRECT ANSWER >>>80% increase urinary
output
1500cc bladder capacity
50% glomerular filtration rate
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QUESTIONS & CORRECT DETAILED ANSWERS A+ ACED
Pregnancy/birth can cause changes within
woman
family
fetus - CORRECT ANSWER >>>woman: physiological and psychological changes
family: role changes, adaptation fetus: physical changes
Nursing Roles - CORRECT ANSWER >>>care and education of mother
consider issues of family (role changes, preparation) care of fetus as it
transitions to newborn
CAREing for the patient - CORRECT ANSWER >>>Communicate
Advocate
Respect
Empower
(facilitate shared decision making)
Full term pregnancy - CORRECT ANSWER >>>40 weeks
9 solar/10 lunar months
3 trimesters:
1st tri = 0-12 weeks
2nd tri = 13-28 weeks
1|Page
,3rd tri = 29-40 weeks
Estimated Delivery Date (EDD)
(Nagele's Rule) - CORRECT ANSWER >>>Take last menstrual period, subtract 3 months, add 7
days, adjust year
What is the EDD if the last menstrual period was 6/1/22 - CORRECT ANSWER >>>6/1/22
(subtract 3 months) = march
(add 7 days) = 8
(adjust year) = 2023
EDD = 3/8/23
Congenital defect - CORRECT ANSWER >>>abnormality during development
(cleft lip)
Genetic defect - CORRECT ANSWER >>>abnormality during conception abnormality in
genes or chromosomes
Human Chorionic Gonadotropin (hCG) - CORRECT ANSWER >>>turns pregnancy test positive
produced in body until placenta takes over causes nausea
Progesterone - CORRECT ANSWER >>>counteracts estrogen to stabilize pregnancy.
made by ovaries and placenta
Estrogen - CORRECT ANSWER >>>stimulates labor, gives you congestion, bloat, increases blood
volume
2|Page
, Relaxin - CORRECT ANSWER >>>goes everywhere in the body, relaxes muscles, causes feet to
swell, relaxes stomach sphincter and gives you heart burn
Human Chorionic Sommatotropin (or Human Placental Lactogen) - CORRECT ANSWER
>>>can give you gestational diabetes by lowering insulin
gives nutrition to fetus stimulates milk glands in breasts
for breastfeeding
Presumptive signs of pregnancy (subjective) - CORRECT ANSWER >>>nausea/vomiting
change in breast sensation/size increased urinary frequency missed menstrual period
Probable signs of pregnancy (objective) - CORRECT ANSWER >>>enlargement of the uterus
softening of uterine isthmus (Hegar's Sign) bluish or cyanotic color of cervix and upper vagina
(Chadwick's Sign) softening of the cervix (Goodell's Sign) positive test for hCG changes in skin
pigmentation
Positive signs of pregnancy - CORRECT ANSWER >>>fetal heartbeat
palpation of fetal body parts ultrasonographical
demonstration of fetus
Adaptive maternal changes - urinary system - CORRECT ANSWER >>>80% increase urinary
output
1500cc bladder capacity
50% glomerular filtration rate
3|Page
