Maternal Newborn Exam 1|221 Questions and
answers A+ Scores
What immunization can you NOT have during pregnancy? - -Rubella (live
virus)
- How many extra calories does a mom need if she has a normal-weight
BMI? - -about 300 calories (a bagel)
- What is a psychosocial assessment? - -history of emotional or physical
abuse
history of emotional problems
Support systems
acceptance of pregnancy, plans for care
feeding preference for baby
- How long are trimesters? - -13 weeks
- what is nagele's Rule? - -First day of last menstrual period- 3 months + 7
days= EDD
- antepartum is considered when? - -conception to labor
- Intraparum is considered when? - -active labor until 2 hrs after baby is
born
- Postpartum is considered when? - -2 hrs after baby is born to 6 weeks
- How often should prenatal visits be scheduled for a mom from conception
to 28weeks? - -Every 4 weeks
- How often should a prenatal visit be scheduled for a mom thats 29-36
weeks? - -every 2-3 weeks
- How often should a mom have a prenatal visit between 37 weeks to birth?
- -Every week
- Nulligravida - -never been pregnant
- primigravida - -woman who is pregnant for the first time
- multigravida - -woman who is pregnant for at least the 2nd time
- para - -given birth to one or more children who are passed age of
"viability" which is 20 weeks (twins count as 1)
, - abortion - -termination of pregnancy before viability of 20 weeks; induced
or spontaneous
- term - -37 weeks or greater (para)
- Preterm - -20-36.6 weeks (para)
- GTPAL(M) - -Gravida
Term
Preterm
Abortions
Living
Multiple
- what are some danger signs of pregnancy? - -gush of fluid from vagina
vaginal bleeding
abdominal pain
fever over 100.4
blurred vision, dizziness, spots before eyes
persistent vomiting
pre-tibial edema
muscular convulsions
RUQ pain (liver)
un-relievable headaches
oliguria/dysuria
decrease/absence of fetal movement
- umbilical cord contains which vessels and how many? - -one vein and two
arteries (always 3 vessels)
- the umbilical arteries carry which kind of blood? - -deoxygenated blood
- What type of blood does the umbilical vein carry? - -oxygenated blood
- what is the normal length of the umbilical cord? - -55cm
- What is the substance that protects the umbilical cord? - -wharton's jelly,
protects from compression or breakage
- How does the fetus breath in uteuro? - -placenta supplies oxygen and
allows fetus to excrete CO2 into the maternal blood stream.
- What are the three fetal shunts? - -foramen ovale
ductus venosus
ductus arteriosus
, - how do these shunts work? - -Fetal circulation. Blood leaves the placenta
and enters the fetus through the umbilical vein. After circulating through the
fetus, the blood returns to the placenta through the umbilical arteries. The
ductus venosus, the foramen ovale, and the ductus arteriosus allow the
blood to bypass the fetal liver and lungs
- Fetal hemoglobin and oxygen compared to mother? - -fetal hemoglobin
carries 20-30% more oxygen, 50% more hemoglobin, and higher CO per
weight
- how old does a fetus have to be to be called a "fetus"? - -9 weeks
- what is amennorhea? - -absence of blood
- quickening - -first awareness of fetal movement= 18weeks
- what are presumptive signs of pregnancy? - -subjective data, what the
mom tells us
- What are probable signs of pregnancy - -physiological and anatomical
changes that can be perceived by the health care provider... (objective data)
- linea nigra - -line up mideline of stomach due to collagen overgrowth
- what are positive signs of pregnancy? - -auscultation of fetal heartbeat
fetal movement observed/palpated by examiner
visualization of the fetus on ultrasound
(objective data that only relates to fetus)
- Physiologic changes in the reproductive system of the mom - -increased
estrogen and progesterone
20x enlargement of uterus
Expanded circulatory volume
Acid pH of vagina
- what can a UTI cause in a pregnant mom? - -preterm labor
- What does progesterone due for circulation? - -vasodilation to fetal
circulation, relaxes everything
- what is a nullipara cervix? - -not had baby yet, round.
- multipara cevix - -had baby 20 weeks or older, elongated
answers A+ Scores
What immunization can you NOT have during pregnancy? - -Rubella (live
virus)
- How many extra calories does a mom need if she has a normal-weight
BMI? - -about 300 calories (a bagel)
- What is a psychosocial assessment? - -history of emotional or physical
abuse
history of emotional problems
Support systems
acceptance of pregnancy, plans for care
feeding preference for baby
- How long are trimesters? - -13 weeks
- what is nagele's Rule? - -First day of last menstrual period- 3 months + 7
days= EDD
- antepartum is considered when? - -conception to labor
- Intraparum is considered when? - -active labor until 2 hrs after baby is
born
- Postpartum is considered when? - -2 hrs after baby is born to 6 weeks
- How often should prenatal visits be scheduled for a mom from conception
to 28weeks? - -Every 4 weeks
- How often should a prenatal visit be scheduled for a mom thats 29-36
weeks? - -every 2-3 weeks
- How often should a mom have a prenatal visit between 37 weeks to birth?
- -Every week
- Nulligravida - -never been pregnant
- primigravida - -woman who is pregnant for the first time
- multigravida - -woman who is pregnant for at least the 2nd time
- para - -given birth to one or more children who are passed age of
"viability" which is 20 weeks (twins count as 1)
, - abortion - -termination of pregnancy before viability of 20 weeks; induced
or spontaneous
- term - -37 weeks or greater (para)
- Preterm - -20-36.6 weeks (para)
- GTPAL(M) - -Gravida
Term
Preterm
Abortions
Living
Multiple
- what are some danger signs of pregnancy? - -gush of fluid from vagina
vaginal bleeding
abdominal pain
fever over 100.4
blurred vision, dizziness, spots before eyes
persistent vomiting
pre-tibial edema
muscular convulsions
RUQ pain (liver)
un-relievable headaches
oliguria/dysuria
decrease/absence of fetal movement
- umbilical cord contains which vessels and how many? - -one vein and two
arteries (always 3 vessels)
- the umbilical arteries carry which kind of blood? - -deoxygenated blood
- What type of blood does the umbilical vein carry? - -oxygenated blood
- what is the normal length of the umbilical cord? - -55cm
- What is the substance that protects the umbilical cord? - -wharton's jelly,
protects from compression or breakage
- How does the fetus breath in uteuro? - -placenta supplies oxygen and
allows fetus to excrete CO2 into the maternal blood stream.
- What are the three fetal shunts? - -foramen ovale
ductus venosus
ductus arteriosus
, - how do these shunts work? - -Fetal circulation. Blood leaves the placenta
and enters the fetus through the umbilical vein. After circulating through the
fetus, the blood returns to the placenta through the umbilical arteries. The
ductus venosus, the foramen ovale, and the ductus arteriosus allow the
blood to bypass the fetal liver and lungs
- Fetal hemoglobin and oxygen compared to mother? - -fetal hemoglobin
carries 20-30% more oxygen, 50% more hemoglobin, and higher CO per
weight
- how old does a fetus have to be to be called a "fetus"? - -9 weeks
- what is amennorhea? - -absence of blood
- quickening - -first awareness of fetal movement= 18weeks
- what are presumptive signs of pregnancy? - -subjective data, what the
mom tells us
- What are probable signs of pregnancy - -physiological and anatomical
changes that can be perceived by the health care provider... (objective data)
- linea nigra - -line up mideline of stomach due to collagen overgrowth
- what are positive signs of pregnancy? - -auscultation of fetal heartbeat
fetal movement observed/palpated by examiner
visualization of the fetus on ultrasound
(objective data that only relates to fetus)
- Physiologic changes in the reproductive system of the mom - -increased
estrogen and progesterone
20x enlargement of uterus
Expanded circulatory volume
Acid pH of vagina
- what can a UTI cause in a pregnant mom? - -preterm labor
- What does progesterone due for circulation? - -vasodilation to fetal
circulation, relaxes everything
- what is a nullipara cervix? - -not had baby yet, round.
- multipara cevix - -had baby 20 weeks or older, elongated
