and nursing care of the child (Part 1)
Questions and Answers 100% Solved
Subjective signs of pregnancy - ANSWER -no period (amenorrhea), N/V, urinary
frequency, quickening (flutters), breast tenderness
Objective signs of pregnancy - ANSWER -pregnancy tests (urine, serum, ultrasound),
fetal heart tones and fundal height
HCG - ANSWER -human chorionic gonadotropin
Fetal heart tones can be heard beginning at - ANSWER -20 weeks of gestation
Fetal tachycardia - ANSWER -HR over 160 for 10 min or more
fetal bradycardia - ANSWER -HR less than 120 for 10 min or more
Fundal height can first be palpated at - ANSWER -10-12 weeks gestation
Fundal height measurements correspond with gestational age from - ANSWER -16-36
weeks (16cm = 16 weeks)
Fundal height is measured from - ANSWER -Top of symphysis pubis to top of fundus
During pregnancy underweight mothers should gain - ANSWER -28-40 lbs
During pregnancy normal weight mothers should gain - ANSWER -25-35 lbs
During pregnancy overweight mothers should gain - ANSWER -15-25 lbs
During pregnancy obese mothers should gain - ANSWER -15 lbs
Thiamine deficiency during fetal development - ANSWER -congestive heart failure,
stillbirths
Folic acid deficiency during fetal development - ANSWER -megaloblastic anemia,
neural tube defects
Vitamin D and calcium deficiency during fetal development - ANSWER -skeletal defects
, Risks associated with obese mothers during fetal development include - ANSWER -
macrosomic (large) babies, fetal distress, early neonatal death, meconium aspiration,
shoulder dystocia, c-section complications
Recommended iron supplementation is - ANSWER -30 mg elemental iron daily
Embryo refers to the stage of development between weeks: - ANSWER -3 (15 days
gestation)-8
The embryos heart begins to beat regularly at - ANSWER -week 4 gestation
The embryos eyes form at - ANSWER -week 5 gestation
Fetus refers to the stage after - ANSWER -8 weeks gestation
A fetus is full term at - ANSWER -38 weeks
Causes of nausea in first trimester - ANSWER -HCG secretions of blastocyst, changes
in carbohydrate metabolism
Causes of nausea in second and third trimester - ANSWER -pressure of growing uterus
displaces stomach and intestines, gastric emptying and peristalsis slow, elevated
progesterone cause smooth muscles to relax
Antiemetic drugs for acute treatment of N/V and HG - ANSWER -Promethazine
(Phenergan), Prochlorperazine (Compazine), Chlorpromazine (Thorazine)
Antiemetic drugs for maintenance treatment of N/V - ANSWER -Doxylamine with
pyridoxine (Unisom), Diphenhydramine (Benadryl), Cisapride (Propulsid)
Antiemetic drugs for maintenance treatment of HG - ANSWER -Metoclopramide
(Reglan), Trimethobenzamide (Tigan), Ondansetron (Zofran)
HG refers to - ANSWER -Hyperemesis Gravidarum (severe N/V that often requires
medication)
Anterpartal Tests: Alpha-Fetoprotein - ANSWER -AFT is a protein produced by fetus
and can be used to test for neural tube defects (NTD's), most accurate results are
tested between 15-16 weeks gestation.
Anterpartal Tests: Chronic Villus Sampling (CVS) - ANSWER -Obtained from placenta
to test for genetic/DNA and metabolic abnormalities. Risk for related miscarriages is
1:1600