NURS 330 Exam #1 questions with correct answers
Effects of Maternal Increased Circulating Volume Correct Answer--
Cardiac output increases by 30-50%
-Blood volume increases 30-45%
-Done to meet increased metabolic needs
-Maternal HR increases 10-15 bpm between 5-32 weeks
-Increases 1500mL
-ANEMIA DUE TO HEMODILUTION NOT IRON DEFICIENCY
-Anemia in pregnancy: <10.5
-Anemia Post Partum: <7
-Put mother on iron supplement
-Increased clotting factor lead to increased risk for DVT/PE 2/2
increased estrogen
Different Types of Families Correct Answer-Nuclear Family: mom, dad,
kids ("traditional")
Multigenerational: grandparents, parents, kids
Non-parent: foster parents or kinships
Married-parent: biologic or adoptive parents are married
Married-blended: parent, step-parent, children from previous marraiges
Single-parent: one parent with children
Cohabitating: parents are not married
Homosexual (alternative): parents are in same sex relationship
Binuclear: separated/divorced parents are raising equally
,Extended: extended family members in household
GTPAL Correct Answer-Gravidity (G): total pregnancies (regardless of
outcome)
Term: babies from 38-41 weeks
Preterm: babies from 20-37 weeks
Abortions: spontaneous or elective up to 20 weeks
Living: living children
Nagele's Rule Correct Answer-To determine EDD/EDC
From the FIRST DAY of the last menstrual period
*Subtract 3 months, add 7 days, and 1 year
*Add 7 days and count forward 9 months
The Menstrual Cycle Correct Answer-Day #1 of the cycle: the day
bleeding starts
Mid-cycle: ovulation
(28 day cycle, ovulate day 14 or 30 day cycle, ovulate day 15)
, Phases: Menstruation --> proliferative -->secretory (ovulation) -->
ischemic
Hormone: FSH, LH, Estrogen, Progesterone
Hormones produced by the ovary Correct Answer-Estrogen and
progesterone are responsible for maintaining a pregnancy.
Progesterone: prepares the body for pregnancy by causing the uterine
lining to thicken and keeps the lining in place.
Estrogen: triggers ovulation and responsible for female sex traits.
Supine Hypotension Correct Answer--The weight of the uterus, amniotic
fluid, and baby weigh down on the Inferior Vena Cava (IVC) and cut off
blood return.
-Mother should not be flat on back, especially after 2nd trimester.
-Nursing Interventions: put wedge under one side or have lay on side
and check vital signs
-S&S: lightheadedness, dizziness, SOB, pallor, faintness, tacky, nausea,
clammy, sweating, confused
Risk Factors for Breast Cancer Correct Answer-Non-modifiable: age,
previous hx, family hx, genetics (BRCA 1, BRCA 2), hx of
Effects of Maternal Increased Circulating Volume Correct Answer--
Cardiac output increases by 30-50%
-Blood volume increases 30-45%
-Done to meet increased metabolic needs
-Maternal HR increases 10-15 bpm between 5-32 weeks
-Increases 1500mL
-ANEMIA DUE TO HEMODILUTION NOT IRON DEFICIENCY
-Anemia in pregnancy: <10.5
-Anemia Post Partum: <7
-Put mother on iron supplement
-Increased clotting factor lead to increased risk for DVT/PE 2/2
increased estrogen
Different Types of Families Correct Answer-Nuclear Family: mom, dad,
kids ("traditional")
Multigenerational: grandparents, parents, kids
Non-parent: foster parents or kinships
Married-parent: biologic or adoptive parents are married
Married-blended: parent, step-parent, children from previous marraiges
Single-parent: one parent with children
Cohabitating: parents are not married
Homosexual (alternative): parents are in same sex relationship
Binuclear: separated/divorced parents are raising equally
,Extended: extended family members in household
GTPAL Correct Answer-Gravidity (G): total pregnancies (regardless of
outcome)
Term: babies from 38-41 weeks
Preterm: babies from 20-37 weeks
Abortions: spontaneous or elective up to 20 weeks
Living: living children
Nagele's Rule Correct Answer-To determine EDD/EDC
From the FIRST DAY of the last menstrual period
*Subtract 3 months, add 7 days, and 1 year
*Add 7 days and count forward 9 months
The Menstrual Cycle Correct Answer-Day #1 of the cycle: the day
bleeding starts
Mid-cycle: ovulation
(28 day cycle, ovulate day 14 or 30 day cycle, ovulate day 15)
, Phases: Menstruation --> proliferative -->secretory (ovulation) -->
ischemic
Hormone: FSH, LH, Estrogen, Progesterone
Hormones produced by the ovary Correct Answer-Estrogen and
progesterone are responsible for maintaining a pregnancy.
Progesterone: prepares the body for pregnancy by causing the uterine
lining to thicken and keeps the lining in place.
Estrogen: triggers ovulation and responsible for female sex traits.
Supine Hypotension Correct Answer--The weight of the uterus, amniotic
fluid, and baby weigh down on the Inferior Vena Cava (IVC) and cut off
blood return.
-Mother should not be flat on back, especially after 2nd trimester.
-Nursing Interventions: put wedge under one side or have lay on side
and check vital signs
-S&S: lightheadedness, dizziness, SOB, pallor, faintness, tacky, nausea,
clammy, sweating, confused
Risk Factors for Breast Cancer Correct Answer-Non-modifiable: age,
previous hx, family hx, genetics (BRCA 1, BRCA 2), hx of
