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26 Cards in this Set
- Front
- Back
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A pregnant woman comes to the clinic for a visit. This is her third pregnancy. She had a miscarriage at 12 weeks and gave birth to a son, now 3 years old, at 32 weeks. Using the GTPAL system, the nurse would document this woman’s obstetric history as: A) 31021; B) 30111; C) 21212; D) 20111
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B) 30111
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A woman is 20 weeks pregnant. The nurse would expect to palpate the fundus at which of the following locations?
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At the umbilicus
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A woman is in her early second trimester of pregnancy. The nurse would instruct the woman to return for a follow-up visit every:
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4 weeks
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After teaching a pregnant woman how to count fetal movements, the nurse determines that the teaching was successful when the client states which of the following? A) “I’ll do the count once a week on a morning that I’m not rushed for work.” B) “I’ll sit comfortably in a recliner or lie on my side when I do the counts.” C) “I won’t expect more than three movements to happen in an hour.” D) “I’ll do the counts while I’m sitting and watching my son’s basketball game.”
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B
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What are the two purposes of the placenta?
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1 - Produce the hormones that maintain the pregnancy; 2 - It is the babies lifeline & provides nutrients, oxygen, fluid & takes away waste.
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Give the length of the trimesters
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1st - 1st day of LMP - 13 weeks
2nd - 14 wks - 26 wks 3rd - 27 wks - 40 wks |
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Estimate the date of birth if the LMP began on July 4th, using Naegele's Rule.
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April 11th
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Estimate the date of birth if the LMP began on September 30th, using Naegele's Rule
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July 7th
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If a woman has had two previous pregnancies, has delivered two term children, and is currently pregnant. What is her GTPAL?
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32002
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A patient reports that the first day of her LMP was January 7th. The calculated EDD is?
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October 14th
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A patient has two pervious pregnancies, has had no abortions or miscarriages, delivered two full-term neonates, and is currently pregnant. Her GTPAL is?
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32002
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Define Macrosomia
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Birth weight > 4-4500 grams
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What defect does folic acid help prevent?
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NTD's (Neural Tube Defects)
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Name the four types of pregnancy tests.
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Immunoassay
Radioimmunoassay Radioreceptor assay ELISA |
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Which type of pregnancy test is the most common for OTC home use?
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ELISA
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What hormone makes the endometrium able to accept a fetilized ovum?
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The hCG hormone produced by the corpus lutium
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What is the purpose of prenatal care?
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To identify risk factors and other deviations from normal.
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Name the probably signs of pregnancy.
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Chadwick's sign
Hegar's sign Goodell's sign Ballottment |
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Name the presumptive signs of pregnancy
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Amenorrhea
N/V Breast Changes Fatigue Urination Frequency Quickening |
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Name the positive signs of pregnancy
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Auscultation of the FH @ 10-12 wks. Observation & Palpation of fetal movement by examiner. Sonographic visualization of the fetus.
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At what point is cardiac activity of the fetus able to be seen by sonogram?
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Can be noted at 4-8 weeks.
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What is the approximate length of pregnancy?
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40 weeks or 280 days
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Changes in the Uterus during pregnancy
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Size, shape & position.
Changes in contractility Uteroplacental blood flow Cervical changes Quickening |
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Changes in the Breasts during pregnancy
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Fullness & heaviness
Heightened sensitivity from tingling to sharp pain Areolae become more pigmented Montgomery's tubercles Colostrum |
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Changes in the CV system during pregnancy
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Blood pressure decreases
Blood volume increases Pulse increases Cardiac Output increases Hypercoagulation |
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What positions will help prevent Vena Cava Syndrome or Supine Hypotensive Syndrome?
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Left or Right Lateral Recumbent
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