Week 1 PPT (5601 Summer): Preconception Care and Nursing Management
During Pregnancy PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM APPROVED QUESTIONS WITH WELL
ELABORATED ANSWERS WITH RATIONALES (100% CORRECT
VERIFIED SOLUTIONS) LATEST UPDATED VERSION 2026
EDITION|GUARANTEED PASS A+
A client tells you she is excited about her pregnancy but wishes she felt
better. She is worried about how her baby will effect her job and financial
situation. She confides in you that although she is excited she is not sure
she is ready to be a parent.
What is your best response?
a) "Ambivalent feelings regarding a pregnancy are common for both mothers
and fathers/partners"
b) "It is not normal for you to feel this way. I am worried you may abuse your child"
c) "Usually only fathers feel ambivalence"
d) "I recommend that you talk about your feelings with someone"
A.a)"Ambivalent feelings regarding a pregnancy are common for both mothers
and fathers/partners"
Physical Assessment of Pregnant Woman:
- Head to Toe
- Pelvic Exam
- Pelvic measurements (1st pregnancy)
- Diagonal conjugate, true conjugate, ischial tuberosity
- External & internal genitalia
Uterine Assessment:
- fundal height (McDonalds method)
- Correlates to gestation
- +2 cm is normal
,Fetal Assessment:
- Transvaginalor abdominal ultrasound
- Fetal Heartbeat
Recommended weight underweight pt:
28-40 pounds
Recommended Normal Weight:
25-35 pounds
Recommended Overweight patients:
15-25 pounds
Recommended Obese patients:
11-20 pounds
Blood Tests 1st Trimester (1-12 weeks):
§Blood type/antibody screen
§ CBC
§ Measles/Mumps/Rubella
§ Hepatitis B
§ Syphilis-VDRL/RPR
§ HIV
§ Genetic screening
§cfDNA
§Cystic fibrosis
Urine Tests 1st Trimester:
- Glucose
- Protein
- Signs of infection
, Cervical/Vaginal 1st Trimester:
- Pap Smear
- Gonorrhea
- Chlamydia
Gestational Diabetes Screening (1 hour glucose challenge test (GCT)
- 24-28 weeks
- > 140 fails
Gestational Diabetes Screening (3 hour glucose tolerance test (GTT):
- Blood draws fasting, every hour for 3 hours
- 2 elevated readings - gestational diabetes
Rh- negative mothers receive:
Rhogam at 28 weeks; get the drug again after delivery or 72 hours
- Prevent sensitization of mother to Rh + fetus
Lab Tests 3rd Trimester:
- Repeat STI Screening (Gonorrhea & chlamydia)
- Hemoglobin & hematocrit, anemia
- Group Beta Strep
Prenatal Visit Schedule:
- Positive
pregnancy test- 28 weeks (every 4 weeks)
- 29 weeks - 36 weeks (every 2 weeks)
- 37 weeks- delivery (weekly)
During Pregnancy PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM APPROVED QUESTIONS WITH WELL
ELABORATED ANSWERS WITH RATIONALES (100% CORRECT
VERIFIED SOLUTIONS) LATEST UPDATED VERSION 2026
EDITION|GUARANTEED PASS A+
A client tells you she is excited about her pregnancy but wishes she felt
better. She is worried about how her baby will effect her job and financial
situation. She confides in you that although she is excited she is not sure
she is ready to be a parent.
What is your best response?
a) "Ambivalent feelings regarding a pregnancy are common for both mothers
and fathers/partners"
b) "It is not normal for you to feel this way. I am worried you may abuse your child"
c) "Usually only fathers feel ambivalence"
d) "I recommend that you talk about your feelings with someone"
A.a)"Ambivalent feelings regarding a pregnancy are common for both mothers
and fathers/partners"
Physical Assessment of Pregnant Woman:
- Head to Toe
- Pelvic Exam
- Pelvic measurements (1st pregnancy)
- Diagonal conjugate, true conjugate, ischial tuberosity
- External & internal genitalia
Uterine Assessment:
- fundal height (McDonalds method)
- Correlates to gestation
- +2 cm is normal
,Fetal Assessment:
- Transvaginalor abdominal ultrasound
- Fetal Heartbeat
Recommended weight underweight pt:
28-40 pounds
Recommended Normal Weight:
25-35 pounds
Recommended Overweight patients:
15-25 pounds
Recommended Obese patients:
11-20 pounds
Blood Tests 1st Trimester (1-12 weeks):
§Blood type/antibody screen
§ CBC
§ Measles/Mumps/Rubella
§ Hepatitis B
§ Syphilis-VDRL/RPR
§ HIV
§ Genetic screening
§cfDNA
§Cystic fibrosis
Urine Tests 1st Trimester:
- Glucose
- Protein
- Signs of infection
, Cervical/Vaginal 1st Trimester:
- Pap Smear
- Gonorrhea
- Chlamydia
Gestational Diabetes Screening (1 hour glucose challenge test (GCT)
- 24-28 weeks
- > 140 fails
Gestational Diabetes Screening (3 hour glucose tolerance test (GTT):
- Blood draws fasting, every hour for 3 hours
- 2 elevated readings - gestational diabetes
Rh- negative mothers receive:
Rhogam at 28 weeks; get the drug again after delivery or 72 hours
- Prevent sensitization of mother to Rh + fetus
Lab Tests 3rd Trimester:
- Repeat STI Screening (Gonorrhea & chlamydia)
- Hemoglobin & hematocrit, anemia
- Group Beta Strep
Prenatal Visit Schedule:
- Positive
pregnancy test- 28 weeks (every 4 weeks)
- 29 weeks - 36 weeks (every 2 weeks)
- 37 weeks- delivery (weekly)
