MATERNITY FINAL EXAM 2024|2025
QUESTIONS AND CORRECT WELL
DETAILED ANSWERS GRADED A+++
S&S of Pregnancy: Presumptive - correct answers
Amenorrhea
Breast/nipple tingling, tenderness, and/or enlargement
Fatigue, nausea/vomiting
Pigmentation changes
Sustained elevated basal body temperature in the absence of
infection
Urinary frequency
Probable S/S of pregnancy - correct answers Hagars sign
Goddells sign
Chadwick's sign
Quickening
Positive pregnancy test
,Positive signs of pregnancy - correct answers audible fetal
heartbeat, fetal movement felt by examiner, ultrasound
visualization of fetus
hCG levels in blood or urine (can be detected on day 11, hCG
levels double every 24-48 hours) (below 5 not viable, above
25 positive/ multiple)
EDD - correct answers - 3 months
+ 7 days
+ 1 year
Uterine changes - correct answers -Increased vascularity
-Dilation of blood vessels
- weight increase 70 to 1100 g
Cervical changes - correct answers Goddell sign (cervix
softens)
Chadwick sign (cyanosis, blue/purple discoloration)
Vaginal changes - correct answers Enlarge a and softens,
increased acidity
Breast changes during pregnancy - correct answers 1.
*Fullness, heightened sensitivity, tingling, & heaviness*
, begins in early weeks *in response to increased estrogen &
progesterone*
2. Nipples and areolae become more *pigmented & erect*
3. *Hypertrophy of the oil glands embedded in the primary
areolae, called Montgomery tubercles*, may be seen around
the nipples
4. Around the tubercles, *oil & sweat glands secrete
lubrication and anti-infective substances* for protection
during breastfeeding
5. Vessels beneath the skin will be dilated
6. *Lactation is inhibited until the progesterone levels
decrease after birth*
Integumentary changes during pregnancy - correct answers
Changes in hair and nails.
Chloasma (dark mask like patches on face)
Linda Nigra (dark line down belly)
Pregnancy brain - correct answers Short periods of memory
loss
Cardiovascular changes - correct answers growing uterus
displaces the heart upward and to the left
QUESTIONS AND CORRECT WELL
DETAILED ANSWERS GRADED A+++
S&S of Pregnancy: Presumptive - correct answers
Amenorrhea
Breast/nipple tingling, tenderness, and/or enlargement
Fatigue, nausea/vomiting
Pigmentation changes
Sustained elevated basal body temperature in the absence of
infection
Urinary frequency
Probable S/S of pregnancy - correct answers Hagars sign
Goddells sign
Chadwick's sign
Quickening
Positive pregnancy test
,Positive signs of pregnancy - correct answers audible fetal
heartbeat, fetal movement felt by examiner, ultrasound
visualization of fetus
hCG levels in blood or urine (can be detected on day 11, hCG
levels double every 24-48 hours) (below 5 not viable, above
25 positive/ multiple)
EDD - correct answers - 3 months
+ 7 days
+ 1 year
Uterine changes - correct answers -Increased vascularity
-Dilation of blood vessels
- weight increase 70 to 1100 g
Cervical changes - correct answers Goddell sign (cervix
softens)
Chadwick sign (cyanosis, blue/purple discoloration)
Vaginal changes - correct answers Enlarge a and softens,
increased acidity
Breast changes during pregnancy - correct answers 1.
*Fullness, heightened sensitivity, tingling, & heaviness*
, begins in early weeks *in response to increased estrogen &
progesterone*
2. Nipples and areolae become more *pigmented & erect*
3. *Hypertrophy of the oil glands embedded in the primary
areolae, called Montgomery tubercles*, may be seen around
the nipples
4. Around the tubercles, *oil & sweat glands secrete
lubrication and anti-infective substances* for protection
during breastfeeding
5. Vessels beneath the skin will be dilated
6. *Lactation is inhibited until the progesterone levels
decrease after birth*
Integumentary changes during pregnancy - correct answers
Changes in hair and nails.
Chloasma (dark mask like patches on face)
Linda Nigra (dark line down belly)
Pregnancy brain - correct answers Short periods of memory
loss
Cardiovascular changes - correct answers growing uterus
displaces the heart upward and to the left
