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Exam 1: NUR254 / NUR 254 (Latest 2025/ 2026 Update) The Childbearing and Child Caring Families Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Exam 1: NUR254 / NUR 254 (Latest 2025/ 2026 Update) The Childbearing and Child Caring Families Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen QUESTION Human Chorionic Gonadotropin (hCG) Answer: Maintain corpus leteum In urine & serum 10 to 14 days after conception QUESTION Human Placental Lactogen (hPL) Answer: Insulin antagonist by placenta increase blood glucose QUESTION Estrogen Answer: Vasodilation, changes sensitivity of respiratory system to carbon dioxide Softens cervix, initiate uterine activity, maintain labor Develops breasts for lactation, secretion of prolactin QUESTION Presumptive Signs of Pregnancy Answer: Subjective signs QUESTION Probable signs of pregnancy Answer: Objective signs Positive pregnancy test, Ballottement, Hegar, Goddells QUESTION Hormones of Pregnancy Answer: progesterone and estrogen Relaxin QUESTION Breast function Answer: Progesterone (glands) Estrogen (ducts) Prolactin (milk secretions) QUESTION Hegars Sign Answer: softening of the lower uterine segment QUESTION Goddells sign Answer: Cervical softening QUESTION Ballottement Answer: a sharp upward pushing against the uterine wall with a finger inserted into the vagina for diagnosing pregnancy by feeling the return impact of the displaced fetus QUESTION Positive Signs of pregnancy Answer: audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of fetus, leopolds QUESTION Muscular Uterine changes Answer: Can hold 15-20 liters Mucous plug QUESTION Placenta previa Answer: Low implantation of the placenta No vaginal ultrasounds, Monitor bleeding- should be painless C/s @ delivery QUESTION Placenta accreta Answer: Improper implantation of placenta into the myometrium with little or no intervening decidua QUESTION abruptio placentae Answer: premature separation of the placenta prior to delivery, form retroplacental blood clot, oxygen & nutrients to fetus compromised QUESTION Placenta Answer: Transports oxygen & nutrients Removes metabolic waste Barrier separating maternal & fetal structures Secretes hCG, progesterone, estrogen, hPL QUESTION Uterine Growth Answer: Increased production of estrogen & progesterone initiates uterine growth After 12th week growth, mechanical distinction QUESTION Prepregnant Cervix Answer: Firm & Closed

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Examl 1:l NUR254l /l NURl 254l (Latestl
2025/l 2026l Update)l Thel Childbearingl
andl Childl Caringl Familiesl Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen


Q:l Humanl Chorionicl Gonadotropinl (hCG)
Answer:
Maintainl corpusl leteum
Inl urinel &l seruml 10l tol 14l daysl afterl conception



Q:l Humanl Placentall Lactogenl (hPL)
Answer:
Insulinl antagonistl byl placental increasel bloodl glucose



Q:l Estrogen
Answer:
Vasodilation,l changesl sensitivityl ofl respiratoryl systeml tol carbonl dioxide
Softensl cervix,l initiatel uterinel activity,l maintainl labor
Developsl breastsl forl lactation,l secretionl ofl prolactin



Q:l Presumptivel Signsl ofl Pregnancy
Answer:
Subjectivel signs

,Q:l Probablel signsl ofl pregnancy
Answer:
Objectivel signs
Positivel pregnancyl test,l Ballottement,l Hegar,l Goddells



Q:l Hormonesl ofl Pregnancy
Answer:
progesteronel andl estrogen
Relaxin



Q:l Breastl function
Answer:
Progesteronel (glands)
Estrogenl (ducts)
Prolactinl (milkl secretions)



Q:l Hegarsl Sign
Answer:
softeningl ofl thel lowerl uterinel segment



Q:l Goddellsl sign
Answer:
Cervicall softening



Q:l Ballottement
Answer:

,al sharpl upwardl pushingl againstl thel uterinel walll withl al fingerl insertedl intol thel vaginal
forl diagnosingl pregnancyl byl feelingl thel returnl impactl ofl thel displacedl fetus



Q:l Positivel Signsl ofl pregnancy
Answer:
audiblel fetall heartbeat,l fetall movementl feltl byl examiner,l ultrasoundl visualizationl ofl
fetus,l leopolds



Q:l Muscularl Uterinel changes
Answer:
Canl holdl 15-20l liters
Mucousl plug



Q:l Placental previa
Answer:
Lowl implantationl ofl thel placenta
Nol vaginall ultrasounds,l Monitorl bleeding-l shouldl bel painless
C/sl @l delivery



Q:l Placental accreta
Answer:
Improperl implantationl ofl placental intol thel myometriuml withl littlel orl nol interveningl
decidua



Q:l abruptiol placentae
Answer:
prematurel separationl ofl thel placental priorl tol delivery,l forml retroplacentall bloodl clot,l
oxygenl &l nutrientsl tol fetusl compromised

, Q:l Placenta
Answer:
Transportsl oxygenl &l nutrients
Removesl metabolicl waste
Barrierl separatingl maternall &l fetall structures
Secretesl hCG,l progesterone,l estrogen,l hPL



Q:l Uterinel Growth
Answer:
Increasedl productionl ofl estrogenl &l progesteronel initiatesl uterinel growth
Afterl 12thl weekl growth,l mechanicall distinction



Q:l Prepregnantl Cervix
Answer:
Firml &l Closed



Q:l Pregnantl Cervix
Answer:
Chadwickl sign-l increasel cervicall vascularl action,l increasedl friability
Goodalll sign,l Hegarl sign-l softenl connectivel tissue/l smoothl musclel hypertrophy
Mucousl plug
Impendingl labor-l cervixl movesl forward,l softens,l opens



Q:l Prenatall Interview
Answer:
-Healthl history
-Nutritionall history
-Historyl ofl drug/herball preparationl use
-Informedl consentl forl drugl testing

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