NSG 250 Final Exam
(Maternal Child)
questions and answers
2025/2026 latest update
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,Gravida -✔✔ answer pregnant woman, number of pregnancies
Gravidity -✔✔ answer pregnancy
Multigravida -✔✔ answer woman who has been pregnant more than once
Multipara -✔✔ answer woman who has given birth to two or more children
Nulligravida -✔✔ answer a woman who has never been pregnant
Nullipara -✔✔ answer a woman who has never borne a viable child
Parity -✔✔ answer Number of pregnancies in which fetus or fetuses have reached viability, not the
number of fetuses born
Primigravada -✔✔ answer a woman who is pregnant for the first time
Primipara -✔✔ answer a woman who has borne one viable child
Preterm -✔✔ answer a pregnancy that has reached 20 weeks of gestation but ends before
completion of 37 weeks of gestation
Term pregnancy -✔✔ answer pregnancy from 38 weeks to 42 weeks
Postterm or postdates -✔✔ answer after 42 weeks gestation
,Viability -✔✔ answer Ability of the fetus to survive outside the womb (22-25 weeks)
GPTAL -✔✔ answer gravidity, term, preterm, abortions, living children
Presumptive signs of pregnancy -✔✔ answer amenorrhea, nausea, breast tenderness, deepening
pigmentation, urinary frequency, quickening (felt by the woman)
Probable signs of pregnancy -✔✔ answer (examiners objective findings) Positive pregnancy test,
enlarge abdomen uterus, Gooddells signs, chadwick, hegars signs, ballottement, braxtons hicks
contractions
Positive signs of pregnancy -✔✔ answer audible fetal heartbeat, fetal movement felt by examiner,
ultrasound visualization of fetus
first trimester -✔✔ answer 1-13 weeks
second trimester -✔✔ answer 14-26 weeks
third trimester -✔✔ answer 27-40 weeks
BUBBLEHEAD Assessment -✔✔ answer Breast, Uterus (Fundus), Bladder, Bowel, Lochia, Episiotomy,
Hemorrhoids, Emotions, Activity, Diet
Types of Lochia -✔✔ answer Rubra (red) - lasts 3 to 4 days; blood, decidual, trophoblastic debris
Serosa (pink) - lasts 22 to 27 days; old blood, serum, leukocytes, debris
Alba (white) - continues for 2 to 6 weeks after birth; leukocytes, decidua, epithelial cells, mucous, serum,
bacteria
, Phases of Maternal Role Attainment: Taking-in Phase -✔✔ answer -First 24 to 48 hours
-Focus on meeting personal needs
-Rely on others for assistance
-Excited, talkitive
-Need to review birth experience with others
Phases of Maternal Role Attainment: Taking-hold Phase -✔✔ answer -Begins on day 2 or 3
-Lasts 10 days to several weeks
-Focus on baby care and improving caregiving competency
-Want to take charge but need acceptance from others
-Want to learn and practice
-dealing with physical and emotional discomfors, can experience "baby blues"
Phases of Maternal Role Attainment: Letting-go Phase -✔✔ answer -Focus on family as a unit
-Resumption of role (intimate partner, individual)
APGAR Scoring -✔✔ answer Taken at 1 and 5 minutes after birth; 0-3: severe distress - resusitate
fully!; 4-6: moderate distress - some resusitation; 7-10: adequate
-Appearance: Blue, pale (0); Pink body, cyanotic hands and feet/acrocyanosis (1); Completely pink (2)
-Pulse: Absent (0); Less than 100 bpm (1); Over 100 bpm (2)
-Grimace (reflex): Absent (0); Grimace (1); Cry and pull away (2)
-Activity (Muscle tone): Limp (0); Minor flexion (1); Active flexion and extension (2)
-Respiratory effort: Absent (0); Weak cry (1); Strong cry (2)
Expected Newborn Ranges: Weight -✔✔ answer 2,500 to 4,000 g (5.5 to 8.8 pounds)
Typically 3,400 g (7.5 lb) for female, 3,500 g (7.7 lb) for male