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NUR 254 Exam 1 focuses on maternity nursing, covering antepartum,
high-risk pregnancy questions, and the beginning of the intrapartum
period questions. Key topics include maternal physiological/psychological
changes, fetal development, nutrition, common discomforts, diagnostic
tests, and management of complications like preeclampsia, gestational
diabetes, and bleeding disorders.
Core Components of Exam 1:
Antepartum (Unit 1): Covers normal pregnancy changes (e.g.,
cardiovascular, respiratory, musculoskeletal), nutrition, developmental
tasks for families, and nursing care.
Key Physiological Changes: Hegar’s/Goodell’s/Chadwick’s signs, lordosis,
and increased cardiac output.
High-Risk Pregnancy (Unit 2): Focuses on complications requiring
specialized care.
Conditions: TORCH infections, gestational diabetes,
hypertension/preeclampsia, placenta previa, abruptio placenta, and
spontaneous abortion.
Intrapartum (Unit 3 - Early Coverage): Focuses on labor onset and
stages.
Topics: Nursing assessment/care during stages I-IV, fetal monitoring,
pain management, and inductions.
(Ultimate Guide for Yr. 2026/2027)
1
, Quiz_________________?
Presumptive signs of pregnancy -
Answer
SUBJECTIVE
-Nausea/vomiting
-amenorrhea
-breast changes
-fatigue
-urinary frequency
-quickening (fetal movement)
Quiz_________________?
Probable signs of pregnancy -
Answer
EXAMINER OBJECTIVE FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
2
, -Ballotment
Quiz_________________?
nonstress test -
Answer
A method for evaluating fetal status during the antepartum period by
observing the response of the fetal heart rate to fetal movement.
accelerations should be 15x15 at 36wks
Quiz_________________?
Cerclage -
Answer
suturing of the cervix to prevent it from dilating prematurely during
pregnancy, thus decreasing the chance of a spontaneous abortion or
premature birth
Quiz_________________?
Estrogen -
Answer
- Responsible for enlargement ofuterus, breasts, and genitals
3
, - supports melanocyte-stimulating hormone in hyperpigmentation of
skin
- vasular changes
- alters sodium and water retention
Quiz_________________?
Progesterone -
Answer
- inhibits uterine contractility
- promotes the development of secretory ducts for lactation
- Reduced smooth muscle tone (inc. risk for heartburn, constipation,
UTI)
Quiz_________________?
Human chorionicsomatomammotropi -
Answer
- produced by placenta
- Affects glucose and protein metabolism
- Decreases maternal metabolism of glucose
- increases resistance to insulin
4