NURS 2910 Week 11 Exam With
Complete Solution
What does goal of prenatal care mean? - ANSWER Early and regular prenatal care is the
best way to ensure a healthy outcome for both mother and child
What are the goals of prenatal care? - ANSWER --- Ensure safe birth for mother and
child by promoting good health habits and reducing risk factors
--- Educate in self-care for pregnancy
--- Provide physical care for pregnancy
--- Prepare parents for the responsibilities of parenthood
What are the presumptions of subjective changes? - ANSWER --- Amenorrhea
--- Nausea and vomiting
--- Excessive Fatigue
--- Urinary frequency
--- Breast tenderness and enlargement
--- Quickening
What are the objective and probable changes? - ANSWER --- Enlargement of the
abdomen
--- Cervical changes
--- Uterine Changes
--- Pregnancy tests
What are some cervical changes? - ANSWER ---> Goodell's sign - softening of the cervix
---> Hegar's sign - softening of the isthmus of the cervix
---> Chadwick's sign - bluish-purple discoloration of mucous membranes of
cervix/vagina
(Uterine Changes)
---> Fetal outline
, ---> Ballottement
---> Braxton Hicks contractions
---> Abdominal enlargement
What are some pregnancy tests? - ANSWER ELISA and Home pregnancy tests (HCG in
blood or urine)
What are positive or diganostic changes? - ANSWER --- Completely objective
--- Cannot be confused with pathologic state
--- Conclusive proof of pregnancy
--- Fetal heartbeat
→ Heard with an electronic doppler as early as 10-12 weeks of pregnancy
→ Heard with a fetoscope at 18-20 weeks
--- Fetal movement palpated by examiner
--- Visualization of the fetus
→ Transvaginal ultrasound at 4-6 weeks after LMP-will identify the fetus and a
detectable heartbeat
How do you determine an estimated date of confinement (delivery) for a pregnant
patient? - ANSWER --- Common method for calculating the EDC (Estimated Date of
Confinement)
--- Assumes the woman has a 28-day cycle and that fertilization occurred on the 14th
day
--- Determine first day of the LMP (last menstrual period), subtract 3 calendar months
and add 7 days, then change the year
→ Figure out a due date by using last menstrual periods
What is the five digit and two digit system? - ANSWER G—Gravida: Number of
pregnancies (current pregnancy IS included in count)
T—Term Births: Number of term gestations delivering between 37 and 42 weeks
P—Preterm Births: Number of preterm pregnancies ending >20 weeks or viability but
before completion of 37 weeks
A—Abortions or Miscarriages: Number of pregnancies ending before 20 weeks or
viability
L—Living Children: Number of children currently living
Complete Solution
What does goal of prenatal care mean? - ANSWER Early and regular prenatal care is the
best way to ensure a healthy outcome for both mother and child
What are the goals of prenatal care? - ANSWER --- Ensure safe birth for mother and
child by promoting good health habits and reducing risk factors
--- Educate in self-care for pregnancy
--- Provide physical care for pregnancy
--- Prepare parents for the responsibilities of parenthood
What are the presumptions of subjective changes? - ANSWER --- Amenorrhea
--- Nausea and vomiting
--- Excessive Fatigue
--- Urinary frequency
--- Breast tenderness and enlargement
--- Quickening
What are the objective and probable changes? - ANSWER --- Enlargement of the
abdomen
--- Cervical changes
--- Uterine Changes
--- Pregnancy tests
What are some cervical changes? - ANSWER ---> Goodell's sign - softening of the cervix
---> Hegar's sign - softening of the isthmus of the cervix
---> Chadwick's sign - bluish-purple discoloration of mucous membranes of
cervix/vagina
(Uterine Changes)
---> Fetal outline
, ---> Ballottement
---> Braxton Hicks contractions
---> Abdominal enlargement
What are some pregnancy tests? - ANSWER ELISA and Home pregnancy tests (HCG in
blood or urine)
What are positive or diganostic changes? - ANSWER --- Completely objective
--- Cannot be confused with pathologic state
--- Conclusive proof of pregnancy
--- Fetal heartbeat
→ Heard with an electronic doppler as early as 10-12 weeks of pregnancy
→ Heard with a fetoscope at 18-20 weeks
--- Fetal movement palpated by examiner
--- Visualization of the fetus
→ Transvaginal ultrasound at 4-6 weeks after LMP-will identify the fetus and a
detectable heartbeat
How do you determine an estimated date of confinement (delivery) for a pregnant
patient? - ANSWER --- Common method for calculating the EDC (Estimated Date of
Confinement)
--- Assumes the woman has a 28-day cycle and that fertilization occurred on the 14th
day
--- Determine first day of the LMP (last menstrual period), subtract 3 calendar months
and add 7 days, then change the year
→ Figure out a due date by using last menstrual periods
What is the five digit and two digit system? - ANSWER G—Gravida: Number of
pregnancies (current pregnancy IS included in count)
T—Term Births: Number of term gestations delivering between 37 and 42 weeks
P—Preterm Births: Number of preterm pregnancies ending >20 weeks or viability but
before completion of 37 weeks
A—Abortions or Miscarriages: Number of pregnancies ending before 20 weeks or
viability
L—Living Children: Number of children currently living
