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Nur 3500 - Maternal Exam 1 Questions & Answers

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NUR 3500 - MATERNAL EXAM 1 QUESTIONS & ANSWERS

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NUR 3500 - MATERNAL EXAM 1 QUESTIONS &
ANSWERS


How many weeks does it take to determine the sex of the baby? - Answer -12 weeks

True or False: A patient with a spinal cord injury CANNOT deliver vaginally. - Answer -
False; A vaginal delivery is possible if at the T6 level

What education would you give a patient dealing with Pyrosis (Heartburn)? - Answer -1.
Eat small/frequent meals
2. Don't lay down for at least an hour
3. Avoid antacids as much as possible

What is Goodell's sign? What does it feel like? - Answer -Softening of the cervix
Feels like as earlobe

What is Chadwick's sign? - Answer -Blue/Purple tint to the cervix and mucosa

What is primigravida? - Answer -A woman who is pregnant for the first time

At what point does a primigravida who is experiencing painless contractions need to be
seen? - Answer -If they are 60 seconds apart

What is hyperemesis gravidarum? - Answer -Excessive vomiting during pregnancy

What is a complication with hyperemesis gravidarum? - Answer -Electrolyte imbalances
leading to compromise of organ systems

What is a molar pregnancy? - Answer -A noncancerous tumor that develops in the
uterus as a result of a nonviable pregnancy

What is the treatment for a molar pregnancy? - Answer -Surgery

What is an ectopic pregnancy? - Answer -Fertilized egg that develops outside the
uterus

When does gestational hypertension occur? - Answer -May occur anytime between 20
weeks gestation - 6 weeks after delivery

What is an amniocentesis? - Answer -Sampling of amniotic fluid for genetic mapping
and fetal lung maturity

What are some complications of an amniocentesis? - Answer -1. Premature labor

, 2. Infections
3. Fetal injury
4. Rupture of membranes

What does TORCH stand for? - Answer -T: *toxoplasmosis*
O: *other parvo- b 19, varicella zoster*
R: *rubella*
C: *cytomeglovirus*
H: *herpes*

True or False: Amniotic fluid is alkaline - Answer -True; Amniotic fluid is alkaline and
urine is acidic

How many fetal movements should occur within a span of 2 hours? - Answer -10
movements

At how many weeks gestation do you test for gestational diabetes? - Answer -Between
24-28 weeks

What is a normal blood sugar for a pregnant person? - Answer -Less than 129

What blood sugar levels are indicative of gestational diabetes? - Answer -Above 130
**If blood sugar is between 130-199 you need to retest; if blood sugar is above 200
there is no need to retest**

What secondary test should be performed for a pregnant person who is believed to
have gestational diabetes? - Answer -3 hour glucose tolerance test

What position should the fetus be inside the pelvis? - Answer -R/L occiput anterior

What is disseminated intravascular coagulation (DIC)? - Answer -Body produces
abnormal amount of clotting factors that remain in the blood vessels

What treatment is indicated for DIC? - Answer -IV heparin

What are s/s of DIC? - Answer -1. Petechiae (early sign)
2. Bleeding under the skin
3. Cardiovascular collapse

What is preeclampsia? - Answer -Pregnancy induced hypertension

At what blood pressure do you treat with preeclampsia? - Answer -160/110

Why is magnesium administered with preeclampsia? - Answer -1. To protect the fetal
brain
2. Lower risk for seizures

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