NSPN 7100 FINAL EXAM 2026-2027 QUESTIONS
AND ANSWERS GRADED A+
When should one get their first ultrasound?
8-12 weeks
When should one get their detailed ultrasound?
18-20 weeks
When is one screened for gestational diabetes?
24-28 weeks
When is one screened for GBS?
35-37 weeks
What are the key antenatal assessments?
- vital signs
- urine (protein or ketones)
- weight gain
- SFH starting at 20 weeks
- overall adaptation to pregnancy
,What is attachment influenced by?
1. confirmation of pregnancy
2. visualizing via US
3. feeling movement
4. GA of the fetus
Fundus
top of the uterus
Isthmus
area between the body of the uterus and the cervix
What is folic acid required for and what are some dietary sources?
Required for closure of neural tube
- meat, fortified cereals, legumes, leafy greens, oranges
What are some signs of impending labour?
- low back ache
- pelvic pressure
,- less short of breath
- less heart burn
- Braxton hicks
- Urinary frequency increasing
- SFH decreasing
- Bloody show
- Weight loss
- Energy surge
When can fetal movement be felt?
between 16-20 weeks
Uterine layers
Inner: endometrium (decidua)
Middle: mymometrium (3 layers of smooth muscle)
Outer: external coat of parietal peritoneum
What tests can be done to confirm PROM?
Nitrazine or ferning test
Risk factors for preterm labour
, - infection
- previous preterm birth
- smoking
- drug use
- inadequate weight gain
- stress
- multiples
- late or no prenatal care
5 P's
Passenger, passage, powers, position, psyche
What is defined as the onset of labour?
regular uterine contractions accompanied by cervical changes
Cervical changes include
- cervix moving from posterior to anterior
- effacement
- dilation
Maternal preparation for labour
AND ANSWERS GRADED A+
When should one get their first ultrasound?
8-12 weeks
When should one get their detailed ultrasound?
18-20 weeks
When is one screened for gestational diabetes?
24-28 weeks
When is one screened for GBS?
35-37 weeks
What are the key antenatal assessments?
- vital signs
- urine (protein or ketones)
- weight gain
- SFH starting at 20 weeks
- overall adaptation to pregnancy
,What is attachment influenced by?
1. confirmation of pregnancy
2. visualizing via US
3. feeling movement
4. GA of the fetus
Fundus
top of the uterus
Isthmus
area between the body of the uterus and the cervix
What is folic acid required for and what are some dietary sources?
Required for closure of neural tube
- meat, fortified cereals, legumes, leafy greens, oranges
What are some signs of impending labour?
- low back ache
- pelvic pressure
,- less short of breath
- less heart burn
- Braxton hicks
- Urinary frequency increasing
- SFH decreasing
- Bloody show
- Weight loss
- Energy surge
When can fetal movement be felt?
between 16-20 weeks
Uterine layers
Inner: endometrium (decidua)
Middle: mymometrium (3 layers of smooth muscle)
Outer: external coat of parietal peritoneum
What tests can be done to confirm PROM?
Nitrazine or ferning test
Risk factors for preterm labour
, - infection
- previous preterm birth
- smoking
- drug use
- inadequate weight gain
- stress
- multiples
- late or no prenatal care
5 P's
Passenger, passage, powers, position, psyche
What is defined as the onset of labour?
regular uterine contractions accompanied by cervical changes
Cervical changes include
- cervix moving from posterior to anterior
- effacement
- dilation
Maternal preparation for labour
