CNUR 303 ACTUAL QUESTIONS AND CORRECT ANSWERS

CNUR 303 ACTUAL QUESTIONS AND
CORRECT ANSWERS
Recommended weight gain for singleton pregnancy - CORRECT ANSWERS
11.5-16kg
25-35lbs


hCG - CORRECT ANSWERS Human Chorionic Gonadotropin
a hormone secreted by the trophoblast cells of placenta
stimulates estrogen and progesterone


Estrogen - CORRECT ANSWERS uterus and breast enlargement


Progesterone - CORRECT ANSWERS A hormone produced by the
ovaries
acts with estrogen to bring about the mensural cycle
maintains endometrium and inhibits contractions


Relaxin - CORRECT ANSWERS softening collagen in joints
softens cervix
inhibits contractions


hPL - CORRECT ANSWERS human placental lactogen
insulin antagonist


BMR - CORRECT ANSWERS increases 20-25% d/t fetal metabolic
activity
may cause sensation of overheating

,Thyroid Gland - CORRECT ANSWERS increases by 50%
more thyroxin released


parathyroid gland - CORRECT ANSWERS increase size and hormone
concentration
increases use of calcium and vit D


blood volume increase during pregnancy - CORRECT ANSWERS
1500mLs (~45%)


heart rate increase in pregnancy - CORRECT ANSWERS 10-15bpm


displacement of heart during pregnancy - CORRECT ANSWERS up,
transverse, and to the left


changes in uterus during pregnancy - CORRECT ANSWERS increases
to 20x size, capacity increases to 5000mL or more, shapes into globe


Braxton Hicks contractions - CORRECT ANSWERS irregular
intermittent weak tightening begin about 12 weeks and remain throughout
pregnancy


Goodell's sign - CORRECT ANSWERS softening of the cervix (positive
sign of pregnancy) week 5-6 of pregnancy


Chadwick's sign - CORRECT ANSWERS Bluish purple discoloration of
the cervix, vagina, and labia during pregnancy as a result of increased vascular
congestion. week 6-8 of pregnancy

,Heger's sign - CORRECT ANSWERS softening of isthmus (lower
uterine segment) occurs wk 6-12 of pregnancy


Ovaries during pregnancy - CORRECT ANSWERS o Amenorrhea
o Follicle Stimulating Hormone (FSH) secreted by pituitary gland ceases
o Corpus Luteum - produces progesterone & estrogen in early pregnancy


Breasts during pregnancy - CORRECT ANSWERS o Soon after
conception -tingling, tenderness, swelling
o Size & nodularity increase
o Superficial veins more prominent
Nipples increase erectile
o Areola darkens
o Montogomery's Tubercules
§ Sebaceous glands of the areola become enlarged
§ Secretions from these glands prevent cracking
o Colostrum
§ Antibody Rich
§ May be expressed around 16 weeks
§ May leak in last trimester


Respiratory changes in pregnancy - CORRECT ANSWERS · Tidal
volume increases throughout pregnancy
o 30-40% rise in volume of air each minute
· O2 consumption increased by 20-40%
· Rib cage flare - up to 6cm
· Elevated diaphragm

, Subjective changes in pregnancy - CORRECT ANSWERS o
Amenorrhea
o "Morning Sickness"
o Excessive Fatigue
o Urinary Frequency
o Changes in breasts


Objective changes in pregnancy - CORRECT ANSWERS o Goodell's
Sign
o Chadwick's Sign
o Hegar's Sign
o Positive Pregnancy Test
o Progressive Uterine Enlargement
o Palpation of Fundus


1st trimester - CORRECT ANSWERS week 1-13


2nd trimester - CORRECT ANSWERS 14-26 weeks


3rd trimester - CORRECT ANSWERS 27-40 weeks


postpartum - CORRECT ANSWERS 6-week period following childbirth


Prenatal care visits - CORRECT ANSWERS - A mom should seek
prenatal care as soon as they want to get pregnant or they think they may be
pregnant
- Q 4-6 weeks until 28 weeks gestation