PN 3003 MAT PED FINAL EXAM Newest
2025/2026 Complete Questions with
anwers
placenta - ANSWERresponsible for exchange of gasses and nutrients
where does the blood glucose level sample come from on a newborn? - ANSWERheel (lateral)
firs step in umbilical cord prolapse - ANSWERinsert your hand vaginally and lift the presenting part OFF
the cord; hand stay sin vagina, encourage mom to get into the knee-chest or Trendelenburg position
what does the nurse perform during shoulder dystocia? - ANSWERMcRobert's Maneuver (widening the
pelvis by flexing the legs backwards) to release the baby's shoulder
oligohydramnios - ANSWERtoo little amniotic fluid
polyhydramnios - ANSWERtoo much amniotic fluid
umbilical cord anatomy - ANSWER1 vein that provides nutrition/oxygen to baby, 2 arteries that take
waste back to the placenta
surfactant - ANSWERnecessary for fetal lung maturity, keeps alveoli open
Naegele's Rule - ANSWERdate of LMP - 3 months + 7 days
Fetal nonstress test (NST) - ANSWERdetermines an intact fetal CNS by assessing response of FHR to fetal
movement
reactive fetal nonstress test - ANSWER2 accelerations of 15 bpm from baseline (determined after 10
minutes) lasting 15 seconds each
Biophysical Profile (BPP) - ANSWER1. reactive FHR or NST
2. amniotic fluid volume
3. fetal breathing movement
4. gross body movement
5. fetal tone
,neural tube defects - ANSWERspina bifida and anencephaly
what do the MSAFP and Quad screen look for? - ANSWERmarker for neural tube defects (spina bifida,
anencephaly); SCREENING, not diagnostic
amniocentesis - ANSWERneedle puncture of the amniotic sac to withdraw amniotic fluid for analysis;
can determine gender, chromosomal abnormalities, ONTD, fetal lung maturity
GTPAL - ANSWERG - number of pregnancies regardless of outcome
T - term pregnancies (37 + weeks)
P - preterm (before 37 weeks)
A - abortion
L - living children
acceptance of pregnancy - ANSWERa crucial part of the 1st trimester for both parents; ambivalence is
normal
acceptance of the fetus - ANSWER2nd trimester, fantasize about being parents
preparing for the baby - ANSWER3rd trimester, clean house, prepare nursery
subjective signs of pregnancy - ANSWER- amenorrhea
- fatigue
- breast tenderness and size increase
- quickening (First fetal movements)
- uterine enlargement
positive signs of pregnancy - ANSWER- fetal heart sounds
- ultrasound image of baby
- fetal movement
McDonald's rule for fundal height - ANSWERweeks gestation +/- 2 cm is normal fundal height
normal breast changes during pregnancy - ANSWERareola darkening and enlargement
WBCs during pregnancy - ANSWERincrease to compensate for decreased immune system
melanocyte-stimulating hormone - ANSWERresponsible for skin changes in pregnancy
BP should decrease during which trimester? - ANSWERsecond
CV changes in pregnancy - ANSWER- increase in blood volume by 30-50%
- increased iron needs for fetal and maternal changes
vena cava syndrome - ANSWERWhere the gravid uterus compresses the vena cava when the woman is
supine. This reduces the blood flow returning to the heart and may cause maternal hypotension.
, how to resolve vena cava syndrome - ANSWERturn the mom onto her L side to push the uterus off the
vena cava ; allows more blood to flow through
urinary frequency in 1st trimester is d/t - ANSWERcompression of the anterior bladder
urinary frequency is NOT normal in which trimester? - ANSWERsecond
progesterone - ANSWERdecreased smooth muscle contraction, primary pregnancy hormone, makes a
suitable environment for a baby to grow
TORCH - ANSWERToxoplasmosis
Other - syphilis, HIV, Hep
Rubella
Cytomegalovirus
Herpes
ideal sleeping position for pregnant person - ANSWERL-sided sims position
pregnant women should ambulate how often when traveling? - ANSWERevery 2-3 hours
leukorrhea - ANSWERa profuse, whitish mucus discharge from the uterus and vagina
smoking in pregnancy can result in... - ANSWERgrowth-restricted fetus
recommended weight gain for normal BMI pregnant client - ANSWER25-35 pounds
recommended weight gain for underweight BMI pregnant client - ANSWER28-40 pounds
recommended weight gain for overweight BMI pregnant client - ANSWER15-25 pounds
recommended weight gain for obese BMI pregnant client - ANSWER11-20 pounds
iron supplements - ANSWERnecessary to promote maternal hemoglobin formation
Pica - ANSWERdesire to eat nonfood substances; usually linked to anemia
hyperemesis gravidarum - ANSWERsevere nausea and vomiting in pregnancy that can cause severe
dehydration in the mother and fetus
postoperative care of C-section client: - ANSWER- incentive spirometry
- blood clot prevention
- I&Os
- NO BED REST (this can cause a blood clot)
- inciscion care
C-section babies are at greater risk for... - ANSWERrespiratory distress, no vaginal squeeze to expel fluid
from lungs
2025/2026 Complete Questions with
anwers
placenta - ANSWERresponsible for exchange of gasses and nutrients
where does the blood glucose level sample come from on a newborn? - ANSWERheel (lateral)
firs step in umbilical cord prolapse - ANSWERinsert your hand vaginally and lift the presenting part OFF
the cord; hand stay sin vagina, encourage mom to get into the knee-chest or Trendelenburg position
what does the nurse perform during shoulder dystocia? - ANSWERMcRobert's Maneuver (widening the
pelvis by flexing the legs backwards) to release the baby's shoulder
oligohydramnios - ANSWERtoo little amniotic fluid
polyhydramnios - ANSWERtoo much amniotic fluid
umbilical cord anatomy - ANSWER1 vein that provides nutrition/oxygen to baby, 2 arteries that take
waste back to the placenta
surfactant - ANSWERnecessary for fetal lung maturity, keeps alveoli open
Naegele's Rule - ANSWERdate of LMP - 3 months + 7 days
Fetal nonstress test (NST) - ANSWERdetermines an intact fetal CNS by assessing response of FHR to fetal
movement
reactive fetal nonstress test - ANSWER2 accelerations of 15 bpm from baseline (determined after 10
minutes) lasting 15 seconds each
Biophysical Profile (BPP) - ANSWER1. reactive FHR or NST
2. amniotic fluid volume
3. fetal breathing movement
4. gross body movement
5. fetal tone
,neural tube defects - ANSWERspina bifida and anencephaly
what do the MSAFP and Quad screen look for? - ANSWERmarker for neural tube defects (spina bifida,
anencephaly); SCREENING, not diagnostic
amniocentesis - ANSWERneedle puncture of the amniotic sac to withdraw amniotic fluid for analysis;
can determine gender, chromosomal abnormalities, ONTD, fetal lung maturity
GTPAL - ANSWERG - number of pregnancies regardless of outcome
T - term pregnancies (37 + weeks)
P - preterm (before 37 weeks)
A - abortion
L - living children
acceptance of pregnancy - ANSWERa crucial part of the 1st trimester for both parents; ambivalence is
normal
acceptance of the fetus - ANSWER2nd trimester, fantasize about being parents
preparing for the baby - ANSWER3rd trimester, clean house, prepare nursery
subjective signs of pregnancy - ANSWER- amenorrhea
- fatigue
- breast tenderness and size increase
- quickening (First fetal movements)
- uterine enlargement
positive signs of pregnancy - ANSWER- fetal heart sounds
- ultrasound image of baby
- fetal movement
McDonald's rule for fundal height - ANSWERweeks gestation +/- 2 cm is normal fundal height
normal breast changes during pregnancy - ANSWERareola darkening and enlargement
WBCs during pregnancy - ANSWERincrease to compensate for decreased immune system
melanocyte-stimulating hormone - ANSWERresponsible for skin changes in pregnancy
BP should decrease during which trimester? - ANSWERsecond
CV changes in pregnancy - ANSWER- increase in blood volume by 30-50%
- increased iron needs for fetal and maternal changes
vena cava syndrome - ANSWERWhere the gravid uterus compresses the vena cava when the woman is
supine. This reduces the blood flow returning to the heart and may cause maternal hypotension.
, how to resolve vena cava syndrome - ANSWERturn the mom onto her L side to push the uterus off the
vena cava ; allows more blood to flow through
urinary frequency in 1st trimester is d/t - ANSWERcompression of the anterior bladder
urinary frequency is NOT normal in which trimester? - ANSWERsecond
progesterone - ANSWERdecreased smooth muscle contraction, primary pregnancy hormone, makes a
suitable environment for a baby to grow
TORCH - ANSWERToxoplasmosis
Other - syphilis, HIV, Hep
Rubella
Cytomegalovirus
Herpes
ideal sleeping position for pregnant person - ANSWERL-sided sims position
pregnant women should ambulate how often when traveling? - ANSWERevery 2-3 hours
leukorrhea - ANSWERa profuse, whitish mucus discharge from the uterus and vagina
smoking in pregnancy can result in... - ANSWERgrowth-restricted fetus
recommended weight gain for normal BMI pregnant client - ANSWER25-35 pounds
recommended weight gain for underweight BMI pregnant client - ANSWER28-40 pounds
recommended weight gain for overweight BMI pregnant client - ANSWER15-25 pounds
recommended weight gain for obese BMI pregnant client - ANSWER11-20 pounds
iron supplements - ANSWERnecessary to promote maternal hemoglobin formation
Pica - ANSWERdesire to eat nonfood substances; usually linked to anemia
hyperemesis gravidarum - ANSWERsevere nausea and vomiting in pregnancy that can cause severe
dehydration in the mother and fetus
postoperative care of C-section client: - ANSWER- incentive spirometry
- blood clot prevention
- I&Os
- NO BED REST (this can cause a blood clot)
- inciscion care
C-section babies are at greater risk for... - ANSWERrespiratory distress, no vaginal squeeze to expel fluid
from lungs
