CNUR 303 - Midterm UPDATED ACTUAL Questions and
CORRECT Answers
,Preconception 12 weeks
1st Trimester 1-13 weeks
2nd Trimester 14-26 weeks
3rd Trimester 27-40 weeks
Pospartum 6 weeks
Prenatal Care Q 4-6 weeks until 28 weeks gestation
28-36, q 2-3 weeks
>36 weeks, q 1-2 weeks
What is assessed at prenatal visits? BP
Weight
Fundal height
Urine dip for protein, glucose, bacteruria
FHR
Focused physical assessment
Health teaching
Psychosocial assessment
> 36 weeks: vaginal exam
GTT: check for gestational diabetes @ 24-28 weeks
Maternal serum screening
Further tests - amniocentesis, CVS, counselling, TOP
35-37 weeks : GBS screen
CBC
Group & screen - ABO & Rh
Rubella
Hep B, C, HIV
Gonorrhea & Chlamydia
VDRL - syphillis
Assessment of the Pregnant Patient - Subjective Health History:
Pregnancy
- GTPAL
- Current gestation and status of pregnancy
- Issues in current and or previous pregnancies
- Review of systems
- Current medications
- Psycho-social and cultural
, How to calculate EDD Naegele's Rule
- Obtain first day of LMP
- Subtract 3 months
- Add 7 days
Assessment of the Pregnant Patient - Objective Data Physical Exam
- Head to Toe
- Vitals
- Fundal height
- Leopolds Maneuver
Laboratory Tests
Diagnostic Tests
GTPAL Gravida - Total # of pregnancies
Para - Total # of pregnancies carried to viable age
Term - Total # of term births
Premature births - # of premature births
Abortion - # of therapeutic or spontaneous abortion
L - # of living children
What are we assessing when palpating contractions? Strength (weak, moderate, strong)
Frequency (beginning of contraction to the beginning of another one)
Duration (how long one contraction lasts)
Leopold's Maneuvers Fundal grip (top of fundus)
Umbilical grip (hands on side of the uterus)
Pawlicks grip (thumb and fingers above the symphysis to assess presenting
part)
Pelvic grip (both hands on lower abdomen and assess engagement)
Isoimmunization If fetal Rh-positive blood leaks into the Rh-negative mother's circulation, her
body may respond by making antibodies to destroy the Rh-positive
erythrocytes and can lead to hemolytic disease if untreated
How to prevent isoimmunization? @28 weeks ALL Rh negative woman are given 300 ug of anti-D IgG IM routinely
when the fetal blood type is either unknown or known to be Rh positive
CORRECT Answers
,Preconception 12 weeks
1st Trimester 1-13 weeks
2nd Trimester 14-26 weeks
3rd Trimester 27-40 weeks
Pospartum 6 weeks
Prenatal Care Q 4-6 weeks until 28 weeks gestation
28-36, q 2-3 weeks
>36 weeks, q 1-2 weeks
What is assessed at prenatal visits? BP
Weight
Fundal height
Urine dip for protein, glucose, bacteruria
FHR
Focused physical assessment
Health teaching
Psychosocial assessment
> 36 weeks: vaginal exam
GTT: check for gestational diabetes @ 24-28 weeks
Maternal serum screening
Further tests - amniocentesis, CVS, counselling, TOP
35-37 weeks : GBS screen
CBC
Group & screen - ABO & Rh
Rubella
Hep B, C, HIV
Gonorrhea & Chlamydia
VDRL - syphillis
Assessment of the Pregnant Patient - Subjective Health History:
Pregnancy
- GTPAL
- Current gestation and status of pregnancy
- Issues in current and or previous pregnancies
- Review of systems
- Current medications
- Psycho-social and cultural
, How to calculate EDD Naegele's Rule
- Obtain first day of LMP
- Subtract 3 months
- Add 7 days
Assessment of the Pregnant Patient - Objective Data Physical Exam
- Head to Toe
- Vitals
- Fundal height
- Leopolds Maneuver
Laboratory Tests
Diagnostic Tests
GTPAL Gravida - Total # of pregnancies
Para - Total # of pregnancies carried to viable age
Term - Total # of term births
Premature births - # of premature births
Abortion - # of therapeutic or spontaneous abortion
L - # of living children
What are we assessing when palpating contractions? Strength (weak, moderate, strong)
Frequency (beginning of contraction to the beginning of another one)
Duration (how long one contraction lasts)
Leopold's Maneuvers Fundal grip (top of fundus)
Umbilical grip (hands on side of the uterus)
Pawlicks grip (thumb and fingers above the symphysis to assess presenting
part)
Pelvic grip (both hands on lower abdomen and assess engagement)
Isoimmunization If fetal Rh-positive blood leaks into the Rh-negative mother's circulation, her
body may respond by making antibodies to destroy the Rh-positive
erythrocytes and can lead to hemolytic disease if untreated
How to prevent isoimmunization? @28 weeks ALL Rh negative woman are given 300 ug of anti-D IgG IM routinely
when the fetal blood type is either unknown or known to be Rh positive
