NU 409 Exam 1 With
Solution
What birth control is not safe for breast feeding mothers?
COCs- combined oral contraceptives
What contraceptive should be washed after each use?
diaphragm- also use spermicide with this
What are irregular fluctuations in baseline FHR?
variability
What are early decelerations?
-benign changes in FHR caused by head compression
"early in the AM, you look at your head in the mirror"
What is considered fetal tachycardia?
165bpm- #1 cause is maternal fever
What is it called if FHR decreases from 120s to 80s for 11 mins?
Bradycardia
The nurse notes an abrupt decrease in FHR in a V shape that returns to
baseline- what is the best NI?
reposition the pt
,Woman has a normal 28 day cycle, ovulation anticipated by the nurse on
day?
14
Calculate GTPAL for a pt who is 25 wks pregnant, has a 2yo that she delivered
at 37.2 wks?
G-2
T-1
P-0
A-0
L-1
Why is the flu shot not considered a terotogen?
not a live vaccine
What are the 5 P's of labor?
-Passageway (The pelvis and soft tissues)
-Passengers (The fetus and placenta)
-Power (Contractions)
-Position of mother (standing, walking, side-lying, squatting, on hands and
knees)
-Psyche (psychological response)
Occiput on mom's left side and facing mom's back?
LOP
,Clomiphene Citrate is usually started how many days after the start of
mences for fertility tx?
5 days
What supplement reduces risk of neural tube defects?
folic acid
How are the frequency of contractions measured?
from beginning of one ctx to beginning of next ctx
What is considered advanced maternal age (AMA), geriatric pregnancy?
35yo
What is a probable sign of pregnancy?
bluish discoloration of the cervixs- Chadwick's Sign
True or False:
Leutinizing hormone (LH) will peak to cause ovulation
true
What is not a fetal circulation adaptation?
umbilicus foramen
Sides of placenta?
Maternal- Dirty Duncan
Fetal- Shiny Schultz
What is the decent of the fetus into the birth canal called?
, Lightening
Cultural considerations in perinatal care
-traditional and alternate means of healthcare: acupuncture, acupressure,
naturopathy, herbalism
can be polarizing and distressing for both the pt and the nurse
What is organogenesis?
-formation of fetal organs
-between weeks 3 and 10 of gestation
What is considered an adolescent pregnancy? Risk Factors?
-btwn ages 15-19
-less likely to be planned, often seek care later, abandonment, may struggle
to complete edu, limited opportunities and adverse pregnancy outcomes,
limited formation of the sense of self, lower level of maternal competence
True or False:
Nurses have a legal duty to report abuse of teen and other minors according
to individual state laws.
True
When does the likelihood of getting pregnant spontaneously (fecundity)
begin to reduce?
32yo
True or False:
Solution
What birth control is not safe for breast feeding mothers?
COCs- combined oral contraceptives
What contraceptive should be washed after each use?
diaphragm- also use spermicide with this
What are irregular fluctuations in baseline FHR?
variability
What are early decelerations?
-benign changes in FHR caused by head compression
"early in the AM, you look at your head in the mirror"
What is considered fetal tachycardia?
165bpm- #1 cause is maternal fever
What is it called if FHR decreases from 120s to 80s for 11 mins?
Bradycardia
The nurse notes an abrupt decrease in FHR in a V shape that returns to
baseline- what is the best NI?
reposition the pt
,Woman has a normal 28 day cycle, ovulation anticipated by the nurse on
day?
14
Calculate GTPAL for a pt who is 25 wks pregnant, has a 2yo that she delivered
at 37.2 wks?
G-2
T-1
P-0
A-0
L-1
Why is the flu shot not considered a terotogen?
not a live vaccine
What are the 5 P's of labor?
-Passageway (The pelvis and soft tissues)
-Passengers (The fetus and placenta)
-Power (Contractions)
-Position of mother (standing, walking, side-lying, squatting, on hands and
knees)
-Psyche (psychological response)
Occiput on mom's left side and facing mom's back?
LOP
,Clomiphene Citrate is usually started how many days after the start of
mences for fertility tx?
5 days
What supplement reduces risk of neural tube defects?
folic acid
How are the frequency of contractions measured?
from beginning of one ctx to beginning of next ctx
What is considered advanced maternal age (AMA), geriatric pregnancy?
35yo
What is a probable sign of pregnancy?
bluish discoloration of the cervixs- Chadwick's Sign
True or False:
Leutinizing hormone (LH) will peak to cause ovulation
true
What is not a fetal circulation adaptation?
umbilicus foramen
Sides of placenta?
Maternal- Dirty Duncan
Fetal- Shiny Schultz
What is the decent of the fetus into the birth canal called?
, Lightening
Cultural considerations in perinatal care
-traditional and alternate means of healthcare: acupuncture, acupressure,
naturopathy, herbalism
can be polarizing and distressing for both the pt and the nurse
What is organogenesis?
-formation of fetal organs
-between weeks 3 and 10 of gestation
What is considered an adolescent pregnancy? Risk Factors?
-btwn ages 15-19
-less likely to be planned, often seek care later, abandonment, may struggle
to complete edu, limited opportunities and adverse pregnancy outcomes,
limited formation of the sense of self, lower level of maternal competence
True or False:
Nurses have a legal duty to report abuse of teen and other minors according
to individual state laws.
True
When does the likelihood of getting pregnant spontaneously (fecundity)
begin to reduce?
32yo
True or False:
