Perinatal Quiz(All Accurately solved)
1) Teratogens in 1st trimester correct answers Teratogenic substances: tobacco alcohol and
certain drugs
(from 2nd lecture) ALCOHOL!! FETAL retardation, spontaneous abortions, issues suckling.
Worst teratogenic. Higher fetal mortality, low birth weight.
Medications:mental health issues: no psych drug is ok during pregnancy.
*NOT MARIJUANA, no proof
listed in ATI book:
viruses- TORCH infections (toxoplasmosis, other, rubella, CMV, herpes)
warfarin
tobacco
alcohol
possible hazards from work environment
2) Know the term PICA correct answers PICA=appetite disorder, craving to eat nonfood
substances such as dirt or red clay. May diminish amount of nutritional foods ingested (IE
practice question w/ African American culture eats clay! this is PICA!)
3) Phases of Labor correct answers -First stage (3 phases)
1)Latent Phase (until cervix dilated to 3cm)
irregular mild to moderate contractions Q5-30min, lasting 30-45 seconds
2)Active Phase (3cm-7cm cervix dilation)
more regular, moderate strong contractions Q3-5min, lasting 40-70sec
3) Transition Phase (from 7cm until fully dilated 10cm)
strong to very strong contractions, Q2-3min, lasting 45-90 sec
-Second Stage: cervix fully dilated until baby is delivered. contractions Q1-2min
-Third Stage: delivery of placenta
-Fourth stage: maternal stabilization of v/s
4) Which Fetal Heart rate pattern is of most concern? correct answers Nonreassuring FHR patters
are associated with fetal hypoxia include:
-LATE DECELERATIONS
-fetal bradycardia
-fetal tachycardia
-absence of FHR variability
-Variable decelerations
5)Common complication with epidural?
Which intervention should be done? correct answers Maternal hypotension,
Interventions:
-administer bolus of IV fluids
-encourage pt to remain side lying to avoid supine hypotension syndrome
-monitor BP, HR for hypotension
, -assess for orthostatic hypotension, give IV vasopressor (ie ephederine) position pt laterally
increase IV rate of fluids, initiate O2
-Provide for client safety, lift side rails, dont let pt ambulate w/o assistance
6) what is physiologic jaundice correct answers Jaundice can be either physiologic or pathologic.
PHYSIOLOGIC = considered benign (resulting
from normal newborn physiology of increased bilirubin production due to the shortened lifespan
and breakdown
of fetal RBCs and liver immaturity). The newborn who has physiological jaundice exhibits an
increase in unconjugated bilirubin levels 72 to 120 hr after birth, with a rapid decline to 3 mg/dL
5 to 10 days after birth.
7) Normal respiratory findings 30min after birth correct answers Newborn respiration 30-60
breaths/min, at normal rate by 30min after birth
8) TPAL acronym correct answers GTPAL=
G=gravidity (# times pt has been pregnant)
T=term births (38weeks or more)
P=preterm births (from variability to 37wk)
A=abortions/miscarriages (prior to variability)
L= Living children
*viability= point in time when an infant has capacity to survive outside uterus, 22-25 weeks
considered on threshold of viability
9) Chadwick's sign correct answers deepened violet-bluish color of cervix and vaginal mucosa =
probable sign
*probable sign= changes that make the examiner suspect a woman is pregnant, primarily related
to physical changes of uterus, and can be caused by physiological factors other than pregnancy
(pelvic congestion or tumors)
10) weight gain in pregnancy correct answers general weight gain based on single pregnancy =
25-35lb
Gain 1-2kg (2.2-4.4lb) during 1st trimester,
Gain 0.4kg (1lb) per week for last 2 trimesters
*underweight pt gain 28-40lb, overweight to gain 15-25lb
11)vegan diet correct answers Need to eat rice and beans together if pt has vitamin b12
deficiency!
1) Nurse is listening to fetal heart tones of client 37week gestation while in supine. "i am getting
lightheaded and dizzy" what is nurse's best action:
Assist pt to sit up
remind pt to lie still to listen to baby
help client onto left side
check pt BP correct answers Help client onto left side
1) Teratogens in 1st trimester correct answers Teratogenic substances: tobacco alcohol and
certain drugs
(from 2nd lecture) ALCOHOL!! FETAL retardation, spontaneous abortions, issues suckling.
Worst teratogenic. Higher fetal mortality, low birth weight.
Medications:mental health issues: no psych drug is ok during pregnancy.
*NOT MARIJUANA, no proof
listed in ATI book:
viruses- TORCH infections (toxoplasmosis, other, rubella, CMV, herpes)
warfarin
tobacco
alcohol
possible hazards from work environment
2) Know the term PICA correct answers PICA=appetite disorder, craving to eat nonfood
substances such as dirt or red clay. May diminish amount of nutritional foods ingested (IE
practice question w/ African American culture eats clay! this is PICA!)
3) Phases of Labor correct answers -First stage (3 phases)
1)Latent Phase (until cervix dilated to 3cm)
irregular mild to moderate contractions Q5-30min, lasting 30-45 seconds
2)Active Phase (3cm-7cm cervix dilation)
more regular, moderate strong contractions Q3-5min, lasting 40-70sec
3) Transition Phase (from 7cm until fully dilated 10cm)
strong to very strong contractions, Q2-3min, lasting 45-90 sec
-Second Stage: cervix fully dilated until baby is delivered. contractions Q1-2min
-Third Stage: delivery of placenta
-Fourth stage: maternal stabilization of v/s
4) Which Fetal Heart rate pattern is of most concern? correct answers Nonreassuring FHR patters
are associated with fetal hypoxia include:
-LATE DECELERATIONS
-fetal bradycardia
-fetal tachycardia
-absence of FHR variability
-Variable decelerations
5)Common complication with epidural?
Which intervention should be done? correct answers Maternal hypotension,
Interventions:
-administer bolus of IV fluids
-encourage pt to remain side lying to avoid supine hypotension syndrome
-monitor BP, HR for hypotension
, -assess for orthostatic hypotension, give IV vasopressor (ie ephederine) position pt laterally
increase IV rate of fluids, initiate O2
-Provide for client safety, lift side rails, dont let pt ambulate w/o assistance
6) what is physiologic jaundice correct answers Jaundice can be either physiologic or pathologic.
PHYSIOLOGIC = considered benign (resulting
from normal newborn physiology of increased bilirubin production due to the shortened lifespan
and breakdown
of fetal RBCs and liver immaturity). The newborn who has physiological jaundice exhibits an
increase in unconjugated bilirubin levels 72 to 120 hr after birth, with a rapid decline to 3 mg/dL
5 to 10 days after birth.
7) Normal respiratory findings 30min after birth correct answers Newborn respiration 30-60
breaths/min, at normal rate by 30min after birth
8) TPAL acronym correct answers GTPAL=
G=gravidity (# times pt has been pregnant)
T=term births (38weeks or more)
P=preterm births (from variability to 37wk)
A=abortions/miscarriages (prior to variability)
L= Living children
*viability= point in time when an infant has capacity to survive outside uterus, 22-25 weeks
considered on threshold of viability
9) Chadwick's sign correct answers deepened violet-bluish color of cervix and vaginal mucosa =
probable sign
*probable sign= changes that make the examiner suspect a woman is pregnant, primarily related
to physical changes of uterus, and can be caused by physiological factors other than pregnancy
(pelvic congestion or tumors)
10) weight gain in pregnancy correct answers general weight gain based on single pregnancy =
25-35lb
Gain 1-2kg (2.2-4.4lb) during 1st trimester,
Gain 0.4kg (1lb) per week for last 2 trimesters
*underweight pt gain 28-40lb, overweight to gain 15-25lb
11)vegan diet correct answers Need to eat rice and beans together if pt has vitamin b12
deficiency!
1) Nurse is listening to fetal heart tones of client 37week gestation while in supine. "i am getting
lightheaded and dizzy" what is nurse's best action:
Assist pt to sit up
remind pt to lie still to listen to baby
help client onto left side
check pt BP correct answers Help client onto left side
