Maternity and Pediatrics Exam 1 Study
Guide with Complete Solutions
Are general anesthesias recommended for mothers? - ANSWER-No, risk for putting out
the mother entirely so it's only done during emergencies ( getting the baby out the
mother as soon as possible especially during C- sections )
GTPAL? - ANSWER-Gravida, Term, Preterm Births ( alive or stillborn ) , Abortion and
Living Children
How are fraternal twins formed? - ANSWER-Different eggs also are fertilized, also
called dizygotic
How are identical twins formed? - ANSWER-Same egg is fertilized, also called
monozygotic
How are trimesters separated? - ANSWER-3 months each or 13 weeks each, totaling a
term of 38 - 40 weeks of pregnancy ( NOTE : book says 37 weeks total )
How can a nurse tell if the mother is not ready to get up and go to the rest room? -
ANSWER-Anesthesia has not worn off and the mother complains of dizziness
How can amniotic fluid be presented? - ANSWER-a gush or trickles which can confuse
the mom into thinking it is urine
How can the baby be monitored? - ANSWER-FHR ( fetal heart rate ), bleeding from the
perineal area
How can the mother be monitored? - ANSWER-Hook her up to the monitor and monitor
contractions and vitals
How do contractions change with the stages of labor? - ANSWER-Contractions start out
far apart then mild and as delivery gets closer they get stronger, closer together and
harder
How long can these contractions last? - ANSWER-more frequently every 2 minutes, any
contractions lasting more than 90 seconds need to be reported to the registered nurse
How long does stage 2 of labor ( baby ) last for? - ANSWER-30 minutes to 2 hours
How long does stage 3 ( placenta) of labor last for? - ANSWER-5 minutes to 30 minutes
How long does stage 4 ( recovery ) last for? - ANSWER-2 hours
, How long should the intervals be? - ANSWER-no longer than 60 seconds
How many weeks can an embryo or zygote have to be survive outside the womb? -
ANSWER-20 weeks
How many weeks does it take to figure out if there are any genetic problems with the
baby? - ANSWER-16 weeks
How much water / fluids should pregnant mothers consume a day? - ANSWER-8 - 10 8
ounce glasses of fluid each day
How should the nurse teach the mother to push when it's not ready to push yet? -
ANSWER-Ask for the mother to pant ( blow out candles )
hy should preterm babies be a complication of the pregnancy? - ANSWER-Babies are
underdeveloped, especially the lungs
If the baby was a breech where would the head of the baby be? - ANSWER-up on the
top of the abdomen and the butt would be at the bottom
If the frequency is contracting every 40 seconds, 90 seconds and 2 minutes, would it be
concerning? - ANSWER-yes, because they are contracting too soon
If the umbillical cord is hanging out, what should be the nursing intervention? -
ANSWER-apply normal sterile sailine and put mom in trindelliburg position ( knee to
chest ) to take baby's weight off of the cord because it's the baby's lifeline
What amount of kicks should be a concern and should be notified to doctor? -
ANSWER-Fewer than 3 kicks in an hour and less than 10 kicks or no movement in 12
hours
What are all the parts in the uterus to promote growth of the baby? - ANSWER-Uterus,
amniotic sac, amniotic fluid, umbilical cord, placenta
What are some discomforts than can occur in the first trimester? - ANSWER-nausea ,
vomiting, breast tenderness , urination frequency, vaginal discharge ( extra white color )
What are some presumptive and probable signs? - ANSWER-Nausea, missed period,
change in breast ( pigmentation and shape ), quickening ( may be too early, but women
who previously gave birth might be able to feel it ), Chadwicks, frequent urination,
fatigue, Goodell's sign ( softening of the cervix ), Peggers ( softening of the lower part of
the uterus ) and McDonalds, and pregnancy test ( test ourselves )
What are some signs that would be dangerous if felt by a pregnant women? -
ANSWER-bleeding and abdominal pain
Guide with Complete Solutions
Are general anesthesias recommended for mothers? - ANSWER-No, risk for putting out
the mother entirely so it's only done during emergencies ( getting the baby out the
mother as soon as possible especially during C- sections )
GTPAL? - ANSWER-Gravida, Term, Preterm Births ( alive or stillborn ) , Abortion and
Living Children
How are fraternal twins formed? - ANSWER-Different eggs also are fertilized, also
called dizygotic
How are identical twins formed? - ANSWER-Same egg is fertilized, also called
monozygotic
How are trimesters separated? - ANSWER-3 months each or 13 weeks each, totaling a
term of 38 - 40 weeks of pregnancy ( NOTE : book says 37 weeks total )
How can a nurse tell if the mother is not ready to get up and go to the rest room? -
ANSWER-Anesthesia has not worn off and the mother complains of dizziness
How can amniotic fluid be presented? - ANSWER-a gush or trickles which can confuse
the mom into thinking it is urine
How can the baby be monitored? - ANSWER-FHR ( fetal heart rate ), bleeding from the
perineal area
How can the mother be monitored? - ANSWER-Hook her up to the monitor and monitor
contractions and vitals
How do contractions change with the stages of labor? - ANSWER-Contractions start out
far apart then mild and as delivery gets closer they get stronger, closer together and
harder
How long can these contractions last? - ANSWER-more frequently every 2 minutes, any
contractions lasting more than 90 seconds need to be reported to the registered nurse
How long does stage 2 of labor ( baby ) last for? - ANSWER-30 minutes to 2 hours
How long does stage 3 ( placenta) of labor last for? - ANSWER-5 minutes to 30 minutes
How long does stage 4 ( recovery ) last for? - ANSWER-2 hours
, How long should the intervals be? - ANSWER-no longer than 60 seconds
How many weeks can an embryo or zygote have to be survive outside the womb? -
ANSWER-20 weeks
How many weeks does it take to figure out if there are any genetic problems with the
baby? - ANSWER-16 weeks
How much water / fluids should pregnant mothers consume a day? - ANSWER-8 - 10 8
ounce glasses of fluid each day
How should the nurse teach the mother to push when it's not ready to push yet? -
ANSWER-Ask for the mother to pant ( blow out candles )
hy should preterm babies be a complication of the pregnancy? - ANSWER-Babies are
underdeveloped, especially the lungs
If the baby was a breech where would the head of the baby be? - ANSWER-up on the
top of the abdomen and the butt would be at the bottom
If the frequency is contracting every 40 seconds, 90 seconds and 2 minutes, would it be
concerning? - ANSWER-yes, because they are contracting too soon
If the umbillical cord is hanging out, what should be the nursing intervention? -
ANSWER-apply normal sterile sailine and put mom in trindelliburg position ( knee to
chest ) to take baby's weight off of the cord because it's the baby's lifeline
What amount of kicks should be a concern and should be notified to doctor? -
ANSWER-Fewer than 3 kicks in an hour and less than 10 kicks or no movement in 12
hours
What are all the parts in the uterus to promote growth of the baby? - ANSWER-Uterus,
amniotic sac, amniotic fluid, umbilical cord, placenta
What are some discomforts than can occur in the first trimester? - ANSWER-nausea ,
vomiting, breast tenderness , urination frequency, vaginal discharge ( extra white color )
What are some presumptive and probable signs? - ANSWER-Nausea, missed period,
change in breast ( pigmentation and shape ), quickening ( may be too early, but women
who previously gave birth might be able to feel it ), Chadwicks, frequent urination,
fatigue, Goodell's sign ( softening of the cervix ), Peggers ( softening of the lower part of
the uterus ) and McDonalds, and pregnancy test ( test ourselves )
What are some signs that would be dangerous if felt by a pregnant women? -
ANSWER-bleeding and abdominal pain
