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134 Cards in this Set

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  • Back
Birth that occurs before the end of 20 weeks gestation is called?
abortion
The number of weeks of pregnancy since the 1st day of the lasyt menstual period is referred to as?
gestation
The normal duration of pregnancy is?
38 to 42 weeks gestation
The normal duration of pregnancy is referred to as?
term
The time between conception & the onset of labor & usually used to describe the period during which a woman is pregnant & also used interchangeably with "prenatal" is called?
Antepartum
The time from the onset of true labor until the birth of the infant & placenta is called?
Intrapartum
The time from the delivery of the placenta & membranes until the womans body returns to a non pregnant condition is called?
postpartum
Preterm is also referred to as?
premature labor
Labor that occurs after 20 weeks but before completion of 37 weeks gestation is called?
Preterm or Premature labor
Labor that occurs after 42 weeks gestation is called?
Postterm labor
A term used for any pregnancy regardless of duration & which also includes present pregnancy is?
Gravida
A term used for a woman who has never been pregnant is?
Nulligravida
A term used for a woman who is pregnant for the first time is?
Primigravida
A term used for a woman who is in her second or any subsequent pregnancy is?
Multigravida
Term used to indicate a birth after 20 weeks gestation regardless of whether the infant is born alive or dead is?
Para
A term used for a woman who has had no births at more than 20 weeks gestation is?
Nullipara
A term used for a woman who has had one birth at more than 20 weeks gestation regardless of whether the infant is born alive or dead is?
Primipara
A term used for a woman who has had two or more births at more than 20 weeks gestation is?
Multipara
A term used when an infant is born dead after 20 weeks gestation?
stillbirth
Area that extends from the middle of the sacral promontory to an area approximately 1 cm below the pubic crest is?
obstetric conjugate
Exfoliation of this area allows future pregnancies to attach, thus not having a scared area, is known as the?
• Placental site
The fundal position is measured in?
fingerbreadths from the umbilicus for charting continuity
Lochia Rubtra is identified as?
red discharge with small clots for first 1 to 3 days after delivery
Lochia serosa is identified as?
pinkish discharge present in 3 to 10 days after delivery
Lochia alba is identified as?
creamy white discharge which is seldom noted in the hospital
A dark red discharge usually seen for 1 to 3 days after delivery is called?
lochia rubra
A pinkish discharge usually seen in 3 to 10 days after delivery is called?
Lochia serosa
A creamy whitish discharge usually seen in 10 days or more after delivery and rarely seen during hospital stay is called?
Lochia alba
Ovulation and menstruation: varies with each woman and generally returns in?

a) 40 - 45% of non-nursing women between 6-8 weeks

b) 40-45% of nursing women between 6-8 weeks

c) 40-45% of non-nursing women in 2-4 weeks

d) 40-45% of nursing women in 2-4 weeks
40 - 45% of non-nursing women between 6-8 weeks
Separation of the abdominal muscles, especially in women who have poor muscle tone is known as?
Diastasis Recti Abdominis
Future pregnancies will have inadequate support IF?
Diastasis Recti Abdominis is not corrected by exercise
This is caused by stretching and rupture of the elastic fibers of the skin, are red to purple at the time of birth and will fade over time but will still remain visible?
Striae / stretch marks
Temperature elevations of <38C=100.4F, is due to a normal process for ?

a) first 48 hours

b) first 36 hours

c) first 24 hours

d) first 12 hours
first 24 hours
Temperature elevations of <38C=100.4F, is due to a normal process for ?

a) first 4 days

b) first 3 days

c) first 2 days

d) first day
first 2 days
Pulse and B/P are often ________ than in labor.

a) higher

b) lower
lower
A late sign of post partal hemorrhage is ?
hypotension
Has an influence on the production of milk?

a) estrogen

b) progesterone

c) estrogen & progesterone

d) none of the above
estrogen & progesterone
The initial weight loss a woman may expect after delivery is?

a) 1-6 lbs

b) 6-10 lbs

c) 8-10 lbs

d) 10-12 lbs
10-12 lbs
If weight gain is within normal range during pregancy, a mother can expect her weight to return to her pre-pregant weight in:

a) 1-3 weeks

b) 3-6 weeks

c) 6-8 weeks

d) 8-12 weeks
6-8 weeks
This may occur due to a nervous response or because of vasomotor changes and body eliminating excess body fluids postpartum?
Postpartal chills and diaphoresis
Intermittent uterine contractions which are more common in the multipara due to the loss of tone causing alternate contraction and relaxation?
Afterpains
This is caused by normal body elimination of fluids from pregnancy which is exacerbated by plastic mattresses or covers?
Nightsweats
A behavior which is indicated by passive, dependent, caring for self in the first few hours after delivery?
Taking-In
A behavior indicated by the mother regaining control of her self and the newborn typically occuring after the first few hours of delivery is known as?
Taking-Hold
The process by which a woman learns mothering behaviors and is finally comfortable with her identity of ‘mother’ is known as?
Maternal Role Attainment
A phase in which the mother looks to role models while pregnant, especially her own mother?
anticipatory stage
A phase that occurs once the newborn arrives and in which the mother is still influenced by the guidance of others and behaves as ‘expected’ is known as?
Formal Stage
A phase that begins with the mother making her own decisions and developes her own style and functions the way she feels is best is known as?
Informal Stage
A stage in which the mother is now comfortable with herself as ‘mother’ is known as?
Personal Stage
Transient depression, mood swings and anger known as postpartum blues occurs:

a) a week or two after birth

b) due in part to hormonal changes

c) due to fatigue

d) resolves naturally after a couple of weeks
all of the above
A woman experiencing severe fatigue, lack of ‘joy’ in life, emotional numbness, withdrawal from family & friends, lack of concern for self & baby, insomnia, confusion, mood swings, sense of failure, over-demanding, feeling trapped & lack of ability to complete ADL’s for self &/or baby is suffering from:
a) postpartum blues

b) postpartum depression
postpartum depression
Less than one inch stain on a peripad is noted as?

a) scant

b) light

c) moderate

d) heavy
scant
Less than a four inch stain within 1 hour on a peripad is noted as?

a) scant

b) light

c) moderate

d) heavy
light
Less than a six inch stain within one hour on a peripad is noted as?

a) scant

b) light

c) moderate

d) heavy
moderate
A peripad which is saturated within one hour is noted as?

a) scant

b) light

c) moderate

d) heavy
heavy
"Taking-in" occurs for 1-2 days and:

a) excellent time for teaching

b) she may feel inadequate if new role has not been defined

c) she may have questions related to resuming sexual relations

d) may need assistance to make decisions
may need assistance to make decisions
Taking-hold occurs in 2-3 days and:

a) excellent time for teaching

b) may feel inadequate if new role has not been defined

c) may have questions related to resuming sexual relations

d) may need assistance to make decisions
an excellent time for teaching
Letting-go occurs in 2-6 weeks and:

a) excellent time for teaching

b) may feel inadequate if new role has not been defined

c) may have questions related to resuming sexual relations

d) may need assistance to make decisions
time when a woman may feel inadequate if new role has not been defined
The time between conception & the onset of labor is known as?
• Antepartum/Prenatal
Para & gravida refer to?

a) pregnancies

b) fetus
pregnancies
Gravida referrs to:

a) Number of pregnancies over 20 week gestation alive or dead

b) number of live births

c) full term pregnancies

d) any pregnancy regardless of duration including current pregnancy
any pregnancy regardless of duration including current pregnancy
“Para” referrs to:

a) birth after 20 weeks gestation alive or dead

b) number of live births

c) full term pregnancies

d) any pregnancy regardless of duration including current pregnancy
birth after 20 weeks gestation alive or dead
“Para” – using TPAL – focuses on:

a) birth after 20 weeks gestation alive or dead

b) number of live births

c) full term pregnancies

d) number of infants born rather than number of deliveries
number of infants born rather than number of deliveries
The "T" in TPAL represents:

a)number of infants born after 20 weeks gestation

b) number of pregnancies over 20 wks but before 37 wk term

c) number of term infants born at the completion of 37 weeks gestation

d) number of living children to whom the woman has given birth
number of term infants born at the completion of 37 weeks gestation
The "P" in TPAL represents:

a)preterm infants born after 20 wks gestation & before 37

b) number of pregnancies

c) infants born at completion of 37 weeks gestation

d) number of living children to whom she has given birth
preterm infants born after 20 weeks gestation but before the completion of 37 weeks
The "A" in TPAL represents:

a) preterm infants born after 20 wks & before 37 wks

b) number of pregnancies

c) infants born at completion of 37 weeks gestation

d) number of pregnancies ending in spontaneous or therapeutic abortion
number of pregnancies ending in spontaneous or therapeutic abortion
The "L" in TPAL represents:

a) preterm infants born after 20 wks & before 37 weeks

b) number of living children to whom the woman has given birth

c) infants born at completion of 37 weeks gestation

d) number of pregnancies ending in spontaneous or therapeutic abortion
number of living children to whom the woman has given birth
When assessing a patients current pregnancy to determine the EDD it is important to know:

a) the last day of her last mrenstrual period

b) the first day of her last menstrual period
the first day of her last menstrual period
Quickening is experienced in:

a) 1-6 weeks

b) 6-12 weeks

c) 16-20 weeks

d) 12-20 weeks
16-20 weeks
The primary tool for assessing the fetal heartbeat is:

a) Doppler

b) Fetascope

c) Ultrasound
Doppler
Vital signs for PP Pt who had vaginal delivery should be taken:

a) q15 min/1 hr then q30 min/q4 hrs then q1hr per protocol

b) q15min x 4 then q30 min x 4 hrs then q1hr per protocol

c) q30 min x 2hr then 1 x qhr x2 hr then q4hr

d) q30 min x 1hr then 1 x q2 hrs then q4hr
every 30 minutes for 1 hour and then once an hour for 2 hours and then every 4 hours
Vital signs for PP Pt who had a c-section should be taken:

a) q15 x 1hr then q30min/q30min x4hr then q1hr per protocol

b) q15 x 4 then q30min x 4hrs then q1hr per protocol

c) q30min x 2h then q1h x 2h then q4h

d) q30min x 1h then q1h x 2h then q4h
q15min x 4 then q30min x 4hr q1h per protocol
Rh Immune Globulin (RhoGAM) is given to women who are RH

a) positive

b) negative
negative
Rh Immune Globulin (RhoGAM) is given to women who are RH neg within:

a) 1 hour of delivery

b) 24 hours of delivery

c) 72 hours of delivery

d) immediately upon leaving the hospital
72 hours of delivery
Rh Immune Globulin (RhoGAM) is given to women who are RH neg within 72 hours if:

a) They deliver a Rh positive newborn

b) They have an amniocentesis

c) They have an incidence of bleeding during pregnancy

d) They have a miscarriage
ALL !!!
RH-Imune Globulin (RhoGAM) given to RH neg women w/in 72 hrs if:
They deliver Rh pos newborn

They have an amniocentesis

They have an incidence of bleeding during pregnancy

They have a miscarriage
Rh Immune Globulin (RhoGAM)prevents sensitization from the:

a) fetopaternal transfusion of RH-pos fetal RBC's

b) fetopaternal transfusion of RH-neg fetal RBC's

c) fetomaternal transfusion of Rh-neg fetal RBC's

d) fetomaternal transfusion of Rh-pos RBC's
fetomaternal transfusion of Rh-positive red blood cells
Immediately after birth, the nurse finds the top of fundus is midline, midway between the symphysis pubis & the umbilicus. This finding would be considered as:

a) a normal finding

b) an abnormal finding
a normal finding
6-12 hours after birth the nurse finds the top of the uterus is midline and at the level of the umbilicus. This finding would be considered to be:

a) a normal finding

b) an abnormal finding
a normal finding
One day after birth the nurse finds the the top of the fundus is in the midline and one finger breadth below the umbilicus. This would be considered to be a:

a) a normal finding

b) an abnormal finding
a normal finding
The second day after birth the nurse finds the top of the fundus remains in the midline and descends about one finger breadth per day. This would be considered to be:

a) a normal finding

b) an abnormal finding
a normal finding
For post partum bleeding the nurse would add oxytocin/pitocin at:

a) 10 units per 500 ml of IV fluids

b) 10 units per 1000 ml of IV fluids

c) 50 units per 500 ml of IV fluids

d) 500 units per 1000 ml of IV fluids
10 units per 1000 ml of IV fluids
This drug/these drugs should never be given in labor or during delivery due to causation of tetanic contractions thus compromise the fetus:

a) oxytocin/pitocin

b) methylergonovine maleate/methergine
methylergonovine maleate/methergine
Although quite expensive, this drug may be given in severe cases of PP hemorrhage:

a) oxytocin/pitocin#

b) methylergonovine maleate/methergine

c) hemabate
hemabate
Episiotomy care would include:

a) ice pack 10min on-20min off

b) ice pack 10min on-10min off

c) ice pack 20min on-20min off

d) ice pack 20min on-10min off
Apply ice packs 20 min alternating with 10 min off
To promote wound healing of episiotomy & hemorrhoids:

a) offer doughnut rings to pt

b) encourage sitting as much as possible

c) encourage walking or laying down

d) minimize solids to avoid BM in the first 24 hours
encourage patient to walk or lay down
Afterpains are more pronounced in:

a) nulliparas

b) multiparas

c) breast feeding women

d) both multipara and breast feeding women
both multipara and breast feeding women
To suppress lactation in non-nursing mother:
a) heating pads to relieve engorgement
b) avoid wearing a bra
c) ice packs for 20min 4 times/day starting 2nd day after delivery
d) ice packs for 20min 4 times a day asap after delivery
ice packs placed over axilla for 20 minutes 4 times a day asap after delivery
An increase in rubra lochia indicates:

a) lack of necessary exercise

b) over doing it

c) engorgment

d) infection
over doing it
Following a Rubella vaccine the nurse should instruct the patient NOT to get pregnant:

a) for 1 month following immunization

b) for 3 months following immunization

c) for 6 months following immunization

d) until titer reading performed indicates 1:100
for 3 months following immunization
To inhance movement of flatus or stool in a PP Pt the Pt should be instructed to:

a) lay on her right side

b) increase intake of carbonated foods & beverages

c) restrict leg movement & exercise

d) lay on left side
lay on left side
Care for the umbilical cord by placing a coin or belly band over it is a cultural practice of:

a) mexicans

b) greeks

c) iranians

d) asians
mexicans
The practice of placing amulets on the baby’s crib for protection is common among:

a) malaysians

b) greeks

c) iranians

d) italians
all !!!
The belief that the newborn should be shielded from compliments because they attract the attention of evil spirits is common among:

a) mexicans

b) asians

c) greeks and iranians

d) italians & malaysians
asians
Belief that blood loss & chilling are related so mother should eat & drink warm food/fluids & avoid bathing because of the chilling afterwards

a) mexicans

b) greeks and italians

c) asians

d) iranians
asians
To promote visual bonding, instill eye ointment to the newborn:

a) immediatly at birth

b) 1 hour after birth

c) 4 hours after birth

d) 12 hours after birth
1 hour after birth
To decrease anxiety of sibling the nurse may suggest:

a) dad huggs them & reads to them & talks directly to them while mom provides for newborn

b) dad pre-occupies siblings to allow baby & mother to bond

c)dad care for baby during waking hrs while mom tends to all the siblings needs

d) let dad carry the baby while mom focuses on sibling
let dad carry the baby while mom focuses on the sibling
The percentage of women who experience nausea and vomiting in the first trimester is:

a) 10 to 25% of women

b) 25 to 40% of women

c) 40 to 60% of women

d) 70 to 80% of women
70 to 80% of women
Ann increased whitish vaginal discharge is called?
leukorrhea
Which antiacid should not be used for heartburn?
alka seltzer
Lightening in pregnancy refers to:

a) movement of the fetus

b) onset of labor

c) onset of lactation

d) movement of fetus & uterus down into the pelvis
movement of fetus & uterus down into the pelvis
Nagales Rule is used to:

a) estimate date of birth

b) estimate birth weight

c) estimate fetal size

d) estimate time of confinement
estimate date of birth
McDonalds method is used to determine:

a) estimated date of birth

b) estimated weight of fetus

c) fetal heartbeat

d) fundal height
fundal height
"Para" focuses on number of infants born rather than number of deliveries?

true or false?
true
Compared to the other data concerning the partners history, which of the following is the least significant:

a) partners health problems

b) partners alcohol/drug use

c) partners blood type and RH

d) partners educational levels
partners blood type and RH
Prenatal visits at 36 weeks gestation are:

a) every 4 weeks

b) every 2 weeks

c) every week
every week
Umbilical care takes about:

a) 3-7 days

b) 7-14 days

c) aproximately two weeks
aproximately two weeks
Circumcision care takes about:

a) 1-3 days

b) 3- 7 days

c) 7-10 days

d) 2 weeks
7-10 days
A newborn bath should only be given this many times to avoid drying out the skin:

a) no more than twice a day

b) no more than once a day

c) no more than once a week

d) no more than 2-3 times week
no more than 2 to 3 times a week
Breast fed babies typically have ________ BM's a day:

a) 1-2 BM's

b) 2-4 BM's

c) 4-6 BM's

d) 6-10 BM's
6-10 BM's
Bottle fed babies typically have ________ BM's a day:

a) 1-2 BM's

b) 2-4 BM's

c) 4-6 BM's

d) 6-10 BM's
1-2 BM's
Both breast fed and bottle fed babies should urinate:

a) 2-4 times a day

b) 3-6 times a day

c) 5-8 times a day

d) 8-12 times a day
5-8 times a day
SIDS is more common in:

a) African babies

b) Native American babies

c) Asian babies

d) northern European babies
African & Native American babies
To minimize risk of SIDS:

a) place on stomach for 30 minutes after feeding

b) if baby sleeps on back

c) if baby's head is elevated while sleeping

d) if baby is propped to lay on right side while sleeping
if baby sleeps on back
A yellowish or creamy appearing fluid that is seen in 1st stage of milk production which is thicker than mature milk and contains more proteins, fat- soluble vitamins, and minerals is called?
Colostrom
The production of colostrom begins:
a) early in pregnancy & replaced w/transitional milk 2-4 wks PP
b) onset of labor & replaced w/transitional milk 2-4wks PP
c) 2-4 days PP & replaced w/ transitional milk in 2-3 wks
d) early in pregnancy & replaced w/transitional milk 2-4 days PP
early in pregnancy and replaced with transitional milk 2-4 days post partum
The "Let down reflex" is when:
a) oxytocin increases contractibility of myoepithelial cells lining walls of mammary ducts & flow of milk results
b) another term for lightening
c) oxytocin increases contractibility of myoepithelial cells lining walls of mammary ducts & flow of milk is inhibited
d) clonus occurs
oxytocin increases the contractibility of the myoepithelial cells lining the walls of the mammary ducts and a flow of milk results
Prolactin:

a) inhibits milk production by stimulating the alveolar cells of the breast

b) stimulates milk production by stimulating the alveolar cells of the breast
stimulates milk production by stimulating the alveolar cells of the breast
Sore nipples usually:

a) increases 3-6 days post partum

b) peaks 3-6 days post partum

c) is relieved by air drying nipples after feeding

d) both b & c
both b & c

Sore nipples usually peaks 3-6 days post partum and is relieved by air drying nipples after feeding
A type of mature milk from the beginning of the feeding which is high in water, vitamins, and proteins is called:

a) colostrom

b) transitional milk

c) foremilk
foremilk
A type of milk containing 10% solids for energy and growth plus water which is vital for hydration is called:

a) colostrom

b) mature milk

c) transitional milk
mature milk
Two types of mature milk are known as:

a) colostrom / transitional

b) transitional / mature

c) foremilk / hindmilk

d) mature milk / formula
foremilk / hindmilk
Milk containing lactose, water, soluble vitamins, elevated levels of fat, has more calories than colostrom that is produced for approximately 2 wks PP is:

a) mature milk
b) transitional milk
c) hindmilk
c) foremilk
transitional milk
Milk that is released after letdown and having a high fat concentration is:

a) colostrom

b) transitional milk

c) foremilk

d) hindmilk
hindmilk
An international lay support and information group regarding breastfeeding:

a) WIC

b) La Leche League
La Leche League
A special supplemental food program for women, infants, and children that provides 8lbs of formula monthly is:

a) WIC

b) La Leche League
WIC
Hormone that increases the contractibility of the myoepithelial cells lining the walls of mammary ducts resulting in flow of milk is:

a) estrogen
b) progesterone
c) Ergotrate
d) Oxytocin
Oxytocin
A newborn nursing immediately after birth & up to 2 days is recieving which type of milk?

a) colostrom
b) transitional milk
c) hindmilk
d) foremilk
colostrom
A newborn is receiving what type of milk 2 to 4 days post partum?

a) colostrom

b) transitional milk

c) hindmilk

d) foremilk
transitional milk
Type of milk newborn recieves at beginning of feeding that is high in water, vitamins & proteins is known as:

a) colostrom
b) transitional milk
c) hindmilk
d) foremilk
foremilk
Type of milk the newborn recieves after "let down" which is high in fat concentration is called:

a) colostrom
b) transitional milk
c) hindmilk
d) foremilk
hindmilk
The milk ejection reflex is also known as?
"Letdown Reflex"
"Letdown Reflex" occurs:

a) on the onset of labor
b) early in pregnancy
c) when oxytocin increases myoepithelial cells lining the walls of mammary cells lining the walls of mammary ducts resulting in the flow of milk causing a milk ejection reflex
when oxytocin increases the myoepithelial cells lining the walls of the mammary cells lining the walls of the mammary ducts resulting in the flow of milk causing a milk ejection reflex
During pregnancy increased levels of __________ stimulate breast development in preparation for lactation:

a) progesterone

b) oxytocin

c) pitocin

d) estrogen
estrogen
A milk ejection reflex is also known as?
"letdown reflex"