NURS 330 OBS Midterm UPDATED ACTUAL
Questions and CORRECT Answers
When should OBS care begin? -before conception begins
-at age pregnant people should be assessed for
future pregnancies
What entails preconception care? -personal/family Hx
-physical exam
-lab screening
-reproductive plan
-nutrition
-supplements
-weight
-exercise
-vaccinations
-injury prevention
,Risk factors for adverse pregnancy -isotretinoins
outcomes -anti-epileptic drugs
-folic acid deficiency
-HIV/AIDS
-alcohol misuse
-diabetes
-Hep B
-Rubella seronegativity
-obesity
-STI's
-smoking
Fetal Development Weeks 1st Trimester: week 1-12
2nd Trimester: weeks 13-26
3rd Trimester: week 27-end
preembryonic stage fertilization to 2nd week
embryonic stage end of 2nd week to 8th week
Fetal stage end of 8th week until birth
what are the protective layers in the -Amnion
uterus? -Chorion
What are the presumptive signs of Fatigue, breast tenderness, nausea and vomiting,
pregnancy? amenorrhea, urinary frequency, hyperpigmentation
of the skin, fetal movements, uterine enlargement,
breast enlargement
, What are probable signs of -braxton hicks
pregnancy? -positive pregnancy test
-abdominal enlargement
-ballottement
-Goodell's sign
-Hegar's sign
-Chadwick's sign
What is Goodell's sign? Cervical softening
What is Hegar's sign? softening of lower uterine segment
What is Chadwick's sign? blueish purple color of vagina/cervix
What are the positive signs of -ultrasound verification of embryo or fetus
pregnancy? -fetal movement by clinician
-auscultation of fetal heart rate tones by doppler
Prenatal health Hx -age
-menstrual Hx
-prior OBS Hx
-past medical/surgical Hx
-psychological screening
-family Hx
-genetic screening
-dietary habits
-lifestyle practices
-medication/drug use
-Hx of exposure to STI's
What is Nagele's rule? -identify first day of last normal menstrual period
-subtract 3 months
-add 7 days
-adjust year as necessary
Questions and CORRECT Answers
When should OBS care begin? -before conception begins
-at age pregnant people should be assessed for
future pregnancies
What entails preconception care? -personal/family Hx
-physical exam
-lab screening
-reproductive plan
-nutrition
-supplements
-weight
-exercise
-vaccinations
-injury prevention
,Risk factors for adverse pregnancy -isotretinoins
outcomes -anti-epileptic drugs
-folic acid deficiency
-HIV/AIDS
-alcohol misuse
-diabetes
-Hep B
-Rubella seronegativity
-obesity
-STI's
-smoking
Fetal Development Weeks 1st Trimester: week 1-12
2nd Trimester: weeks 13-26
3rd Trimester: week 27-end
preembryonic stage fertilization to 2nd week
embryonic stage end of 2nd week to 8th week
Fetal stage end of 8th week until birth
what are the protective layers in the -Amnion
uterus? -Chorion
What are the presumptive signs of Fatigue, breast tenderness, nausea and vomiting,
pregnancy? amenorrhea, urinary frequency, hyperpigmentation
of the skin, fetal movements, uterine enlargement,
breast enlargement
, What are probable signs of -braxton hicks
pregnancy? -positive pregnancy test
-abdominal enlargement
-ballottement
-Goodell's sign
-Hegar's sign
-Chadwick's sign
What is Goodell's sign? Cervical softening
What is Hegar's sign? softening of lower uterine segment
What is Chadwick's sign? blueish purple color of vagina/cervix
What are the positive signs of -ultrasound verification of embryo or fetus
pregnancy? -fetal movement by clinician
-auscultation of fetal heart rate tones by doppler
Prenatal health Hx -age
-menstrual Hx
-prior OBS Hx
-past medical/surgical Hx
-psychological screening
-family Hx
-genetic screening
-dietary habits
-lifestyle practices
-medication/drug use
-Hx of exposure to STI's
What is Nagele's rule? -identify first day of last normal menstrual period
-subtract 3 months
-add 7 days
-adjust year as necessary