ANTEPARTUM, INTRAPARTUM, AND
POSTPARTUM EXAM GUIDE WITH
CORRECT ANSWERS
Naegele's Rule - Answer-add 7 days to LMP, subtract 3 months, add 1 year. It's a
standard way of calculating the due date for pregnancy.
Embryonic Period - Answer-the period from two to eight weeks after fertilization, during
which the major organs and structures of the organism develop
The nurse is providing education to a client in her first trimester of pregnancy. Which
statement indicates the client needs further education?
1. "It is normal to have some fatigue"
2. "I will schedule visits with my health care provider only as needed"
3. "I will continue to take my prenatal vitamins as directed"
4. "I will continue to exercise as directed" - Answer-2. "I will schedule visits with my
health care provider only as needed"
A pregnant client has a strict health care visit protocol that she must adhere to. The
nurse must provide this information and set up an appointment schedule for the client.
Adhering to the appointment schedule with the health care provider can help ensure a
healthy pregnancy and can identify/prevent complications.Fatigue is normal for a
pregnant client to experience along with other symptoms such as but not limited to
nausea, frequent urination and breast sensitivity. Pregnant clients should continue to
take their prenatal vitamins to help prevent complications and may remain on an
exercise schedule as discussed with their health care provider.
First Trimester - Answer-0-12 weeks
Normal Maternal Changes during pregnancy - Answer-Colostrum is produced
Linea Nigra
Melasma gravidarum
Supine hypotensive syndrome
Bleeding gums
Vascular spiders
Constipation
Heartburn/gastric reflux
Leg cramps
Groin pain
Later: insomnia, urinary frequency, dyspnea, pedal edema, increase in flatulence,
hemorrhoids, preganancy waddle, Braxton-Hicks
Gestational diabetes screening - Answer-performed at 24-28 weeks.
, Nonfasting one-hour (50 g) glucola screening is performed. If the reading is greater than
140 mg/dL (7.8 mmol/L) the next step is to perform a three-hour oral glucose tolerance
test (OGTT).
OGTT is a diagnostic test for GDM, performed when two out of the four values meet or
exceed normal limits.
Rho(D) immune globulin - Answer-for Rh- mom at 24-28 wks
Quickening - Answer-the first movement of the fetus in the uterus that can be felt by the
mother, usually between 18-20 wks
Fetal Heart Rate detection - Answer-ultrasound doppler used to measure, first detected
around 12-14 wks
Leopold Maneuver - Answer-Abdominal palpation of fetus, lie, attitude, helps nurse
assess the position of the fetus to determine the optimal placement of the fetal
monitoring transducer. Empty bladder beforehand, supine positioning
Second Trimester - Answer-13-27 weeks
True labor vs False labor - Answer-True:
Contractions: occurs at regular intervals, unaffected by activity, increases in strength
and frequency
Pain: usually start in the lower back and moves to the front of the abdomen
Membranes: either intact or ruptured
Cervix: effacement and dilation
False:
Contractions: irregular, diminishes with activity, usually weak and do not intensify
Pain: usually felt in the front of the abdomen or pelvic region
Membranes: intact
Cervix: no changes
Fetal kick counts - Answer-Begin around 28 wks. Record daily; count 2-3 times a day
for 60 min each time
Fetal movements of less than 3 in/hr or movements that cease entirely for 12 hr indicate
a need for further eval
Non Stress Test - Answer-The non-stress test (NST) involves placing an electronic fetal
monitor on the maternal abdomen to continually record fetal movement for about 20-30
minutes. The mother is given a button to press and presses the button each time she
feels the fetus move. Each time the fetus moves, the heart rate should accelerate about
15 beats/minute above the baseline for about 15 seconds. The fetus should be at least
23-24 weeks for accurate test results.A reactive (good) outcome is one in which two or
more such accelerations in FHR occur with associated fetal movement.
POSTPARTUM EXAM GUIDE WITH
CORRECT ANSWERS
Naegele's Rule - Answer-add 7 days to LMP, subtract 3 months, add 1 year. It's a
standard way of calculating the due date for pregnancy.
Embryonic Period - Answer-the period from two to eight weeks after fertilization, during
which the major organs and structures of the organism develop
The nurse is providing education to a client in her first trimester of pregnancy. Which
statement indicates the client needs further education?
1. "It is normal to have some fatigue"
2. "I will schedule visits with my health care provider only as needed"
3. "I will continue to take my prenatal vitamins as directed"
4. "I will continue to exercise as directed" - Answer-2. "I will schedule visits with my
health care provider only as needed"
A pregnant client has a strict health care visit protocol that she must adhere to. The
nurse must provide this information and set up an appointment schedule for the client.
Adhering to the appointment schedule with the health care provider can help ensure a
healthy pregnancy and can identify/prevent complications.Fatigue is normal for a
pregnant client to experience along with other symptoms such as but not limited to
nausea, frequent urination and breast sensitivity. Pregnant clients should continue to
take their prenatal vitamins to help prevent complications and may remain on an
exercise schedule as discussed with their health care provider.
First Trimester - Answer-0-12 weeks
Normal Maternal Changes during pregnancy - Answer-Colostrum is produced
Linea Nigra
Melasma gravidarum
Supine hypotensive syndrome
Bleeding gums
Vascular spiders
Constipation
Heartburn/gastric reflux
Leg cramps
Groin pain
Later: insomnia, urinary frequency, dyspnea, pedal edema, increase in flatulence,
hemorrhoids, preganancy waddle, Braxton-Hicks
Gestational diabetes screening - Answer-performed at 24-28 weeks.
, Nonfasting one-hour (50 g) glucola screening is performed. If the reading is greater than
140 mg/dL (7.8 mmol/L) the next step is to perform a three-hour oral glucose tolerance
test (OGTT).
OGTT is a diagnostic test for GDM, performed when two out of the four values meet or
exceed normal limits.
Rho(D) immune globulin - Answer-for Rh- mom at 24-28 wks
Quickening - Answer-the first movement of the fetus in the uterus that can be felt by the
mother, usually between 18-20 wks
Fetal Heart Rate detection - Answer-ultrasound doppler used to measure, first detected
around 12-14 wks
Leopold Maneuver - Answer-Abdominal palpation of fetus, lie, attitude, helps nurse
assess the position of the fetus to determine the optimal placement of the fetal
monitoring transducer. Empty bladder beforehand, supine positioning
Second Trimester - Answer-13-27 weeks
True labor vs False labor - Answer-True:
Contractions: occurs at regular intervals, unaffected by activity, increases in strength
and frequency
Pain: usually start in the lower back and moves to the front of the abdomen
Membranes: either intact or ruptured
Cervix: effacement and dilation
False:
Contractions: irregular, diminishes with activity, usually weak and do not intensify
Pain: usually felt in the front of the abdomen or pelvic region
Membranes: intact
Cervix: no changes
Fetal kick counts - Answer-Begin around 28 wks. Record daily; count 2-3 times a day
for 60 min each time
Fetal movements of less than 3 in/hr or movements that cease entirely for 12 hr indicate
a need for further eval
Non Stress Test - Answer-The non-stress test (NST) involves placing an electronic fetal
monitor on the maternal abdomen to continually record fetal movement for about 20-30
minutes. The mother is given a button to press and presses the button each time she
feels the fetus move. Each time the fetus moves, the heart rate should accelerate about
15 beats/minute above the baseline for about 15 seconds. The fetus should be at least
23-24 weeks for accurate test results.A reactive (good) outcome is one in which two or
more such accelerations in FHR occur with associated fetal movement.
