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92 Cards in this Set
- Front
- Back
Which reproductive system cancer has very subtle warning signs?
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Ovarian.
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A deficiency in what hormone would result in a woman not being able to mentruate?
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Estrogen
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Meiosis divides each cell to result in what?
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An oocyte
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Which hormone cause smooth muscle relaxation?
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Progesterone.
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At what point in the pregnancy can one hear the baby's heart rate?
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3-5 weeks.
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At what point in the pregnancy can there be damage from temperature changes?
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2-7 weeks.
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When can immunity to Rubella be treated in a pregnancy?
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Not until after the delivery.
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When a woman is pregnant her plasma volume increases by how much?
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30-50%
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What are VDRL and RPR tests done for?
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diagnosis of syphilis
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What should 1st trimester women avoid exposure to?
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Rubella
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What is a successful non-stress tests.
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>2 accelerations with fetal movement of 15 beats/min for 15 seconds
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If a woman who is not 40 weeks is having watery discharge what should she do?
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come to the hospital
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What side should a woman lay on to help with comfort during the 2nd and 3rd trimesters?
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Her left side
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Decreased iron intake can lead to what?
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an increased infection risk
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A blood pressure of 140/90 is indicative of what?
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PIH. You should evaluate prenatal record for history.
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If a woman's membranes rupture what should the nurse do?
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call the doctor and prepare for a sterile speculum exam.
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Gestational diabetes can result in babies that are...
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Large for gestational age.
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Woman with PIH are at risk of having babies that have...
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intrauterine growth restriction or small for gestational age.
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At what age is one able to detect HIV in children?
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not til 12 months of age.
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What is the risk of hyperemesis gravidarum?
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Depletion of nutrients in 1st trimester.
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What is one risk of PROM?
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infection is likely.
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One in how many babies die in the first 28 days of life?
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100
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What percent of pregnancies end in miscarriage?
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25%
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Which is not part of the Theory of grieving?
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yearning and searching
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Who are generally forgotten about in the grieving process?
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fathers
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What are examples of losses during childbearing?
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infertility, miscarriage, abortion
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When following up with a person who has experienced a loss it is important to...
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Follow-up with calls, cards and remembering special dates
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What is the unique part of preganncy and infant loss compared to ther life-situation losses.
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loss of dreams, hopes, and plans.
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what is the most helpfulthat a nurse who is caring for a mother who has had a stillborn can do.
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arrange a blanket, locks of hair, footprints, and pictures for the mother.
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Why can miscarriages or fetal losses complex and acute experiences for fathers and mothers in the US today?
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Fathers and mothers are getting attached to the baby earlier in the pregnancy because of prenatal sonograms.
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Mothers and fathers who have experienced a stillbirth or fetal loss report which of the following nursing actions as most helpful?
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a touch, hug, or squeeze of hand.
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what was the average time given from people on the street regarding how long the grieving process is.
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3 days
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A mother presents on the OB floor who has just found out her baby is going to be stillborn at 37 weeks. As a nurse, what theory is most helpful in guiding you to help support this mother?
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Theory of Caring
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After a client receives the news that she is to have a stillbirth, she says, "At least we can get a new car now." What stage of grief may this pt be in?
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in an early stage of grieving
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When a mother loses a baby, the grief process comes about in what way?
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It is different for each person.
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What are some examples of a loss during childbirth?
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induction, extra digits on the baby, abortion, having twins
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According to the second stage in the Theory of Caring for a mom who has experienced a loss, the nurse is prepared to do what?
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be emotionally present fo the woman.
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What should be an appropriate statement when trying to console a patient about their loss?
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I'm sorry
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A nurse caring for a mother who is placing her child up for adoption should say what to the girl?
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Tell me your adoption plans.
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A person experiencing the honeymoon phase might express what?
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a faith in God or a higher power
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What is the first step of Bowlby and Parks four steps of grief?
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shock and numbness
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What is not true about grief?
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clients should be encouraged to just move on with life
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What is the best approach when presenting options to a family who has just expereinced a stillbirth?
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Some families feel better when they hold the baby, take pictures and keep momentos.
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Elizabeth Kubler Ross theory of grief differs from Bowlby and Parks in what way?
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The proces of grief according to Kubler Ross is a linear process.
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What are the steps in the grieving process with Bowlby and Parks?
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shock and numbness, yearning and searching, disorientation and disorganization, resolution and reorganization.
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What is the theory of aging/steps to resolving a loss such as a misscarriage?
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coming to know, losing and gaining, receiving and not receiving, realizing that other feel the loss, going public, seeing other pregnant women, getting through, trying again
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What is the theory of caring related to nursing for a person who has experienced a loss
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Knowning and achnowledging, being emotionally presnet, doing for the patient under stress, enabling, facilitating grief, maintain and sustain belief in the person's capacity
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The elizabeth kubler ross stages of dying
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anger, bargaining, depression, accpetance.
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T/F: Studies and person expereince show that grieving follows a specific predictable order.
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FALSE
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T/F: Enabling or facilitating grieving is a way nurses can assist with the grieing process.
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TRUE
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T/F: The shorter the preganncy the easier it is to deal with a loss.
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FALSE
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T/F: When a mother chooses to terminate a pregnancy, she will not feel grief because it was a conscience decision.
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FALSE
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T/F: Current medical practice does not allow a mother to go through labor with a stillbirth.
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FALSE
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T/F: Today mothers are encouraged to hold and bond with their stillborn baby.
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TRUE
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T/F: People who lose an infant or child to death go through a different grieving process from that of the dath of an adult.
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FALSE
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T/F: It is normal to see those who have lost a child be functioning normally at the beginning.
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TRUE
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T/F: If a mother has a stillborn baby it is important NOT to let her see or hold the baby due to the distressing effects this may have.
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FALSE
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T/F: Anti-depression medication is the most important intervention for clients experiencing grief.
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FALSE
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The nurse if reviewing the lab tests of four prenatal clients. Which lab finding would support the diagnosis of hyperemesis gravidarum?
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hypokalemia
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A prenatal client is admitted to the hospital with severe hyperemesis gravidarum. Which feeding pattern or diet should the nurse anticipate for this client?
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NPO for 24-48 hours
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A client at 30 weeks gestation is admitted to the hopital with vaginal bleeding. What should be the nurse's initial nursing action?
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assess blood pressure and pulse
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A client at 36 wks gestation is admitted to the labor unit. Her chief complaint is abdominal cramping with a sudden gush of fluid. What is the priority nursing diagnosis for this prenatal client?
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risk for infection related to premature rupture of membranes
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A prenatal client presents at the client with unexplained bleeding, cramping, and backache, which she has had for the past 2 days. A pelvic exam reveals a closed cervix. What type of abortion does this indicate.
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threatened
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The nurse correctly responds to a client's question about how often ectopic pregancies occur by stating:
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about 1-2% of all pregnancies are ectopic.
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A client presents at the doctor's office with complaints of right sided abdominal pain and dizziness. A pelvic exam determines the patient is about 10 weeks pregnant with adnexal tenderness. what diagnosis could the nurse expect?
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ectopic pregnancy
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A client is 15 wks gestation presents at the prenatal clinic with prune-juice like vaginal bleeding. Other assessment data include a hematocrit of 10 and complaints of severe nausea and vomiting. What diagnosis should the nurse expect?
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hydatidiform mole
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A nurse in the prenatal clinic is reviewing the charts of four clients diagnosed with an incompetent cervix. Which client would be the best candidate for a cerclege?
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a client with 12 weeks gestation with a 3mm cervical dilation
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A prenatal nurse is assessing a client at 34 weeks gestation who complains of water vaginal discharge. What should be the nurse's initial action?
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Test the fluid with nitrazine fluid.
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The nurse assesses a laboring client whose conctractions occur every 5-7 minutes and last for 30 seconds. Which phase of labor is the client in?
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latent
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The physician orders internal fetal monitoring for a laboring client. What criteria must the client meet prior to the procedure?
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The membranes must be ruptured
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A client is admitted to the birthing center with possible rupture of membranes. What substance in the fluid could contribute to a false positive reading on Nitrazine paper?
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lubricant
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The nurse is evaluating an intrapartal client's bloodwork. Which laboratory finding should the nurse report to the physician or nurse mid-wife?
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platelets of 120,000
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A nurse is assessing the frequency of contractions in a laboring client by palpation. Which of the following is the appropriate technique?
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The nurse notes the beginning of one contraction to the beginning of the next one.
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A nurse is planning to perform Leopold's maneuvers on a laboring client. What should be the nurse's initial action?
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have the client void
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A nurse is auscultating the heart rate of a fetus in a cephalic presentation. In which location would the nurse hear the heart rate most clearly?
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lower quadrant of the maternal abdomen
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The fetal monitor has shown late decelerations over the past 10 minutes. What does this pattern indicate?
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uteroplacental insufficiency
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The nurse has auscultated a fetal heart rate of 80. What should the nurses initial action?
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check maternal pulse
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The nurse is caring for a patient at 37 weeks gestation who has PIH and is in active phase of labor. How frequently should the nurse assess the fetal heart rate?
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every 15 minutes.
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A nurse is caring for a newborn. What should the nurse assess within 4 hours following birth?
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latent
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A baby is born weighing 7 pounds, 3 ounces and is 29.5 inches long at birth. In 6 months, what would the nurse expect the approximate length of this baby to be?
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35-37 inches
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A nurse is assessing a newborn of 24 hours and discovers 2mm white palpules on the neck and chest. What is the most likely diagnosis.
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erythema toxicum
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A nurse is palpating the fontanels on a newborn. In what position should the nurse place the newborn in for this exam?
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sitting
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A nurse is monitoring a baby in the nursery. What pulse rate should the nurse report to the doctor?
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a baby with a pulse of 170 who is active
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When breastfeeding, a woman should consume how many extra calories per day?
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200
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What is an example of a meal high in protein?
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bacon, eggs, and toast
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What is appropriate weight gain in pregnancy?
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3 and 1/2 to 5 pounds in the first trimester and 1 pound per week in the last two trimesters.
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What is naegle's rule?
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begin with the first day of the last missed period, subtract three months, add 7 days
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What is HCG?
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human chorionic gonadotropin, thought to support the pregnancy by instigating the production of progesterone
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What is the role of progesterone in the pregnancy?
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inhibit smooth muscle contractions
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What is the role of estrogen in the pregnancy?
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increases uterine blood flow,
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What is the role of prolactin in pregnancy?
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allows for lactation
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what is your name?
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kimberly
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