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Hondros RN - OB Quiz 1 Practice Exam Questions With Correct Solutions 2025.

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kick count - Answer 10 in a 3 hour period - if kicks are not present, give a caffeinated beverage - if still not present, go to hospital GTPAL - Answer T: Number of term infants born (past 37 wks) P: Number of preterm infants (before 37wks) A: Number of pregnancies ending in abortion (before 20 weeks) L: Number of currently living children cardio changes in pregnancy - Answer -Cardiovascular system- Increased levels of estrogen and progesterone -Cardiac output and blood volume increases -Increased size of uterus interferes with blood return from lower extremities -Increased level of red cells to increase oxygen delivery to cells -Clotting factors increase skeletal changes in pregnancy - Answer Relaxation of joints caused by increased estrogen and progesterone Lordosis - Back Pain- Anatomical changes Increased lumbosacral vertebrae curve due to enlarging uterus Leg cramps: Imbalance of calcium and phosphorus and muscle fatigue from poor lower extremity circulation respiratory changes in pregnancy - Answer Nasal Congestion Shortness of breath Epistaxis Dyspnea varicose veins intervention - Answer Due to Venous congestion and weight gain Elevate legs as much as possible Wear support hose

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Hondros NUR 221
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Hondros NUR 221
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Hondros NUR 221

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Uploaded on
May 25, 2025
Number of pages
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Written in
2024/2025
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Hondros RN - OB Quiz 1 Practice Exam
Questions With Correct Solutions 2025.
kick count - Answer 10 in a 3 hour period - if kicks are not present, give a caffeinated beverage
- if still not present, go to hospital



GTPAL - Answer T: Number of term infants born (past 37 wks)

P: Number of preterm infants (before 37wks)

A: Number of pregnancies ending in abortion

(before 20 weeks)

L: Number of currently living children



cardio changes in pregnancy - Answer -Cardiovascular system- Increased levels of estrogen
and progesterone

-Cardiac output and blood volume increases

-Increased size of uterus interferes with blood return from lower extremities

-Increased level of red cells to increase oxygen delivery to cells

-Clotting factors increase



skeletal changes in pregnancy - Answer Relaxation of joints caused by increased estrogen and
progesterone

Lordosis - Back Pain- Anatomical changes

Increased lumbosacral vertebrae curve due to enlarging uterus

Leg cramps: Imbalance of calcium and phosphorus and muscle fatigue from poor lower
extremity circulation



respiratory changes in pregnancy - Answer Nasal Congestion

Shortness of breath

Epistaxis

Dyspnea



varicose veins intervention - Answer Due to Venous congestion and weight gain

, chromosomal - recessive/dominant - Answer **autosomal recessive**- Cystic fibrosis,
congenital adrenal hyperplasia, alpha and beta thalassemia

**autosomal dominant** - polycystic kidney disease

**x-linked recessive** - Duchenne muscular dystrophy, hemophilia A

**x-linked dominant** - fragile x syndrome



Normal fetal heart rate - Answer 110-160



fetal movement is typically not felt until - Answer 18 weeks



Kick counts will begin at approximately week - Answer "quickening"

weeks 26-28

10 movements per hour



Triple and quad screenings (AFP) are looking for - Answer Screening for Down's syndrome -
Trisomy 18 and 21 or other neural tube defects



Triple screenings are looking at - Answer Performed on mother's serum between gestation
weeks 15 and 20 Assess for:

Appropriate levels of alpha-fetoprotein (AFP)

Human chorionic gonadotropin (hCG)

Unconjugated estriol (UE3)

Triple test is most widely used test to screen for Down syndrome (trisomy 21) trisomy 18, and
neural tube defects (NTDs)



Quadruple screening - Answer Performed on mother's serum between gestation weeks 15 and
20

Detects specific serum markers

Alpha-fetoprotein (AFP)

Human chorionic gonadotropin (hCG)

Unconjugated estriol (UE)

Inhibin-A (placental hormone)


More sensitive accurate detector of trisomy 21

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