NUR 252 OB Exam - Antepartum and
Intrapartum Test Questions and Correct
Answers
Daily Nutritional Requirements ✅Additional 300 calories per/day
400mcg Folic Acid
Iron supplement
What is folic acid for? ✅prevent neural tube defects and fetal growth restriction and for
rbc formation
PICA indicates ✅iron-deficiency anemia
Smoking can cause ✅intrauterine growth restriction/low birth weight
Alcohol causes ✅increase in congenital deformities and cognitive impairment
Caffeine can cause ✅intrauterine growth restriction/low birth weight, Spontaneous
abortion (miscarriage)
cocaine can cause ✅Increased risks of stillbirth and placental abruption (abruptio
placentae)
Estrogen: ✅provides environment for fetal growth, levels MAINTAIN a pregnancy!!
Human Chorionic Gonadotropin (HCG) ✅Stimulates progesterone/estrogen production
to maintain pregnancy
Will be high in a molar pregnancy
Human Placental Lactogen (HPL) ✅promotes lipolysis, decreases maternal
metabolism of glucose to allow for more fetal growth
Progesterone ✅Maintains the endometrium and inhibits uterine contractions/ Prevents
abortion/miscarriage (maintains pregnancy)
Prostoglandin ✅associated with the onset of labor/ When decreased, contributes to
pregnancy induced hypertension
Relaxin ✅inhibits uterine contractions and softens cervix
, Vena Cava Syndrome: what is it, S/S, prevention ✅supine hypotensive syndrome
s/s: pallor, dizzy, clammy, hypotensive, fetal distress
prevent: HOB elevated, Lay on left side, never flat on back
Normal Cardiovascular Physiologic Changes in pregnancy ✅Physiologic anemia
(plasma volume increase, hematocrit decrease aka hemodilution)
Supine Hypotensive Syndrome
Hypercoagulation: blood volume increase
Heart Rate increase: 10-15bpm because cardiac output increases
Postural hypotension
Hypertension in 3rd trimester
Respiratory system changes in pregnancy ✅Nasopharyngeal Edema: runny nose
SOB and hyperventilation: everything being pushed up
Renal System Changes in pregnancy ✅Glycosuria: kidneys are not able to reabsorb
all the glucose being filtered. May be normal or if too much then may indicate
gestational diabetes.
GFR increases
Urinary frequency increases in 1st and 3rd trimester
Gastrointestinal System changes in pregnancy ✅Hyperptyalism: increased salvia
formation
Pyrosis: Heartburn
Decreased gastric motility: constipation, gas, flatulence
N/V in 1st trimester
Integumentary System changes in pregnancy ✅Increase in pigmentation of areola,
nipples, and vulva
Striae gravidarum: stretch marks
Intrapartum Test Questions and Correct
Answers
Daily Nutritional Requirements ✅Additional 300 calories per/day
400mcg Folic Acid
Iron supplement
What is folic acid for? ✅prevent neural tube defects and fetal growth restriction and for
rbc formation
PICA indicates ✅iron-deficiency anemia
Smoking can cause ✅intrauterine growth restriction/low birth weight
Alcohol causes ✅increase in congenital deformities and cognitive impairment
Caffeine can cause ✅intrauterine growth restriction/low birth weight, Spontaneous
abortion (miscarriage)
cocaine can cause ✅Increased risks of stillbirth and placental abruption (abruptio
placentae)
Estrogen: ✅provides environment for fetal growth, levels MAINTAIN a pregnancy!!
Human Chorionic Gonadotropin (HCG) ✅Stimulates progesterone/estrogen production
to maintain pregnancy
Will be high in a molar pregnancy
Human Placental Lactogen (HPL) ✅promotes lipolysis, decreases maternal
metabolism of glucose to allow for more fetal growth
Progesterone ✅Maintains the endometrium and inhibits uterine contractions/ Prevents
abortion/miscarriage (maintains pregnancy)
Prostoglandin ✅associated with the onset of labor/ When decreased, contributes to
pregnancy induced hypertension
Relaxin ✅inhibits uterine contractions and softens cervix
, Vena Cava Syndrome: what is it, S/S, prevention ✅supine hypotensive syndrome
s/s: pallor, dizzy, clammy, hypotensive, fetal distress
prevent: HOB elevated, Lay on left side, never flat on back
Normal Cardiovascular Physiologic Changes in pregnancy ✅Physiologic anemia
(plasma volume increase, hematocrit decrease aka hemodilution)
Supine Hypotensive Syndrome
Hypercoagulation: blood volume increase
Heart Rate increase: 10-15bpm because cardiac output increases
Postural hypotension
Hypertension in 3rd trimester
Respiratory system changes in pregnancy ✅Nasopharyngeal Edema: runny nose
SOB and hyperventilation: everything being pushed up
Renal System Changes in pregnancy ✅Glycosuria: kidneys are not able to reabsorb
all the glucose being filtered. May be normal or if too much then may indicate
gestational diabetes.
GFR increases
Urinary frequency increases in 1st and 3rd trimester
Gastrointestinal System changes in pregnancy ✅Hyperptyalism: increased salvia
formation
Pyrosis: Heartburn
Decreased gastric motility: constipation, gas, flatulence
N/V in 1st trimester
Integumentary System changes in pregnancy ✅Increase in pigmentation of areola,
nipples, and vulva
Striae gravidarum: stretch marks
