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Maternity Nursing: Pregnancy And Childbirth Questions With Accurate Answers

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15x15 Window correct answer The fetal heart accelerates at least 15 bpm above the baseline for at least 15 seconds. Used as the basis for NST. 4 Positive Signs of Pregnancy correct answer Visualization on US, fetal heart sounds, palpable fetal movements, visible fetal movements 4 Presumptive Signs of Pregnancy correct answer Breast changes (swelling, tingling, soreness), amenorrhea, morning sickness, urinary frequency 8 Probable Signs of Pregnancy correct answer Presence of hCG in blood, presence of hCG in the urine, uterine growth, Braxton Hicks, ballottment of fetus, Chadwick's sign, Hegar's sign, Goodell's sign. Affect of pregnancy on vital signs correct answer Pulse increases by about 10-15bpm on average BP normally decreases slightly Respirations may increase due to SOB as a result of hormones in the firs trimester and the expanding uterus in the third trimester All previous pregnancies a woman has had, regardless of outcome. correct answer Gravida Anticipatory signs of labor correct answer 2 weeks prior: presenting part may settle into pelvic cavity ("baby has dropped", "lightening"). Often not experienced in multiparity

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Maternity Nursing: Pregnancy
And Childbirth Questions With
Accurate Answers
15x15 Window correct answer The fetal heart accelerates at least 15 bpm above
the baseline for at least 15 seconds. Used as the basis for NST.


4 Positive Signs of Pregnancy correct answer Visualization on US, fetal heart
sounds, palpable fetal movements, visible fetal movements


4 Presumptive Signs of Pregnancy correct answer Breast changes (swelling,
tingling, soreness), amenorrhea, morning sickness, urinary frequency


8 Probable Signs of Pregnancy correct answer Presence of hCG in blood, presence
of hCG in the urine, uterine growth, Braxton Hicks, ballottment of fetus,
Chadwick's sign, Hegar's sign, Goodell's sign.


Affect of pregnancy on vital signs correct answer Pulse increases by about 10-
15bpm on average
BP normally decreases slightly
Respirations may increase due to SOB as a result of hormones in the firs trimester
and the expanding uterus in the third trimester


All previous pregnancies a woman has had, regardless of outcome. correct answer
Gravida

,Anticipatory signs of labor correct answer 2 weeks prior: presenting part may
settle into pelvic cavity ("baby has dropped", "lightening"). Often not experienced
in multiparity
Braxton-Hicks contractions begin occuring more frequenbtly and may become
uncomfortable, resulting in a feeling called "false labor." Decrease in intensity
with walking or position changes.
GI disturbances
Mucus plug expulsion/bloody show
Burst of energy 24-48 hrs before onset of labor; may have energy and desire to
take on large projects in preparation for baby's arrival ("nesting"). Caution her not
to over-exert herself because she'll need that energy during labor


At what stage in gestation can the fundus be palpated halfway between the
symphysis pubis and the umbilicus? correct answer 16 weeks gestation


Attitude in which fetus is neither flexed nor hyperextended; larger head diameter
presents correct answer Military presentation


Attitude of full extension, forehead presents first correct answer Face
presentation


Attitude of partial extension correct answer Brow presentation


Belief that the way to make childbirth an enjoyable experience is to copy what
animals do naturally duing the birthing process. This includes darkness and
solitude, quiet atmosphere, physical comfort and relaxation, controlled breathing
and closed eyes with the appearance of sleep. correct answer Bradley Method

, Bluish-purplish color of the cervix, vagina and perineum correct answer
Chadwick's sign, a probable sign of pregnancy


Bony passageway through which fetus must travel during delivery, including the
inlet, midpelvis and outlet correct answer True pelvis


Causes symptoms similar to the common cold during pregnancy correct answer
Vasocongestion


Clinical signs of impending labor correct answer Dilation
Effacement


Clotting during pregnancy correct answer Hypercoagulable state due to increased
production of fibrinogen (protective mechanism for childbirth). Can lead to DVT.


Combines Dick-Read Method with Pavlov's theory of conditioned response. The
goal is to have the woman respond during labor with the conditioned responses
to pain, rather than natural responses like holding her breath and tensing. Also
encourages birthing partner support during labor with things like praise and
encouragement, position changes and comfort measures. correct answer Lamaze
Method


Communicates the outcome of previous pregnancies correct answer Parity, or
"para". Includes any delivery after twenty weeks, living or stillborn. Counts
multiples as one single pregnancy.


Contraction Stress Test correct answer Monitors fetal response to contractions.
Goal is to have 3 contractions of at least 40 seconds in a 10 minute period. If there

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