CNUR 303 Maternity Questions 2025/2026 with
100% Correct Solutions
Goodell's sign
softening of the cervix
6-8 wks
Chadwick's sign
Bluish-purple coloration of the vulva
6-8 wks
Hegar's sign
softening of the lower uterine segment
Cardiovascular Risks
- risk for blood clotting
- need to take iron supplements
-place pt in left lateral recumbant position as best for cardiac output and uterine position
-megaloblastic anemia, liked to neural tube defect (folic acid supplements)
"Linea Nigra" of pregnancy
Dark line of hyperpigmentation on the abdomen
"Chloasma" of pregnancy
darkening of the face
"Stria" of pregnancy
,stretch marks
Braxton hick contractions
contractions that come and go, no cervical change, irregular and begin at 12 wks
Prenatal visits
1. GTT - 24-48wks
2. GBS - 35-37wks
3. ABO + RH blood tests
4. Rubella tests
5. HIV, Hep C+B, STI
6. Ultrasound - 16wks
Naegeles rule of EDB
first day of LMP- subtract 3 months, add 7 days
Isoimmunization
-The leaking of fetal Rh-positive blood into the Rh-negative mother's circulation, causing her
body to respond by making antibodies to destroy the Rh-positive erythrocytes
-With subsequent pregnancy, the woman's antibodies against Rh-positive blood cross the
placenta and destroy the fetal Rh-positive erythrocytes before the infant is born (hemolytic
disease)
Group B Streptococcus (GBS)
, -A common bacterium found in the vagina and rectum of healthy women. However, an infant
infected with GBS can develop septicimena, pneumonia, or meningitis.
-Treatment is Pen G, need at least 2 doses for adequate coverage of the baby before birth
monozygotic twins
identical twins formed when one zygote splits into two separate masses of cells, each of which
develops into a separate embryo
-monochorionic = I chorionic membrane
-monoamniotic = 1 amniotic sac
-this is determine by time of seperation
dizygotic twins
twins who are produced when two separate ova are fertilized by two separate sperm at roughly
the same time
-dichorionic - 2 chorionic membranes
-diamniotic = 2 amniotic sacs
-they can only be DCDA
discordant twins
-Twin pairs with a marked difference in size at birth.
-size difference >20%
Twin-twin transfusion
-blood flows unequally between twins that share a placenta
-only occurs in MCMA twins
100% Correct Solutions
Goodell's sign
softening of the cervix
6-8 wks
Chadwick's sign
Bluish-purple coloration of the vulva
6-8 wks
Hegar's sign
softening of the lower uterine segment
Cardiovascular Risks
- risk for blood clotting
- need to take iron supplements
-place pt in left lateral recumbant position as best for cardiac output and uterine position
-megaloblastic anemia, liked to neural tube defect (folic acid supplements)
"Linea Nigra" of pregnancy
Dark line of hyperpigmentation on the abdomen
"Chloasma" of pregnancy
darkening of the face
"Stria" of pregnancy
,stretch marks
Braxton hick contractions
contractions that come and go, no cervical change, irregular and begin at 12 wks
Prenatal visits
1. GTT - 24-48wks
2. GBS - 35-37wks
3. ABO + RH blood tests
4. Rubella tests
5. HIV, Hep C+B, STI
6. Ultrasound - 16wks
Naegeles rule of EDB
first day of LMP- subtract 3 months, add 7 days
Isoimmunization
-The leaking of fetal Rh-positive blood into the Rh-negative mother's circulation, causing her
body to respond by making antibodies to destroy the Rh-positive erythrocytes
-With subsequent pregnancy, the woman's antibodies against Rh-positive blood cross the
placenta and destroy the fetal Rh-positive erythrocytes before the infant is born (hemolytic
disease)
Group B Streptococcus (GBS)
, -A common bacterium found in the vagina and rectum of healthy women. However, an infant
infected with GBS can develop septicimena, pneumonia, or meningitis.
-Treatment is Pen G, need at least 2 doses for adequate coverage of the baby before birth
monozygotic twins
identical twins formed when one zygote splits into two separate masses of cells, each of which
develops into a separate embryo
-monochorionic = I chorionic membrane
-monoamniotic = 1 amniotic sac
-this is determine by time of seperation
dizygotic twins
twins who are produced when two separate ova are fertilized by two separate sperm at roughly
the same time
-dichorionic - 2 chorionic membranes
-diamniotic = 2 amniotic sacs
-they can only be DCDA
discordant twins
-Twin pairs with a marked difference in size at birth.
-size difference >20%
Twin-twin transfusion
-blood flows unequally between twins that share a placenta
-only occurs in MCMA twins
