NSG 6665 Exam: Maternal-Newborn Nursing Certification Study Guide| Pregnancy Complications & Postpartum Care| A Review of 190 Real Past Exams Questions With Answers | Updated 2026/202| Guaranteed Pass| Brand New!!

NSG 6665 Exam 5: Maternal-Newborn Nursing Certification Study Guide | Pregnancy Complications & Postpartum Care This comprehensive study guide is derived directly from NSG 6665 Exam 5, covering essential maternal-newborn nursing concepts for nurse practitioner students, certified nurse-midwives (CNMs), and practicing obstetric nurses. NSG 6665 Exam: Maternal-Newborn Nursing Certification Study Guide| Pregnancy Complications & Postpartum Care| A Review of 190 Real Past Exams Questions With Answers | Updated 2026/202| Guaranteed Pass| Brand New!! 1. Skin changes in pregnancy - ANSWER️-increased sweat and sebaceous glands, Linea nigra, melasma (chloasma), striae gravidarum 2. GI changes in pregnancy - ANSWER️-Slowed peristalsis (progesterone), constipation, dyspepsia 3. Cardiac output change in pregnancy - ANSWER️-Increases 30-50% 4. Blood volume change - ANSWER️-Increases about 1.5 L 5. Cause of physiologic anemia - ANSWER️-Plasma increases more than rbcs 6. Clotting changes - ANSWER️-Increased clotting factors → higher clot risk 7. Oxygen consumption change - ANSWER️-Increases about 30% 8. Lung capacity change - ANSWER️-Decreases about 5% 9. Acid-base change in pregnancy - ANSWER️-Respiratory alkalosis 10. Urinary changes in pregnancy - ANSWER️-Frequency, incontinence, increased UTI risk, decreased bladder tone (frequency and incontinence) 11. Musculoskeletal changes - ANSWER️-Waddling gait, sciatica, ligament pain, pelvic relaxation 12. Basal metabolic rate change - ANSWER️-Increases 20-25% 13. Cognitive changes in pregnancy - ANSWER️-Decreased attention, concentration, memory lapses, emotional lability and irritability due to shifting hormone levels, sleep alterations 14. Purpose of prenatal care - ANSWER️-Prevent complications, detect risks, improve maternal/fetal outcomes 15. Presumptive signs of pregnancy - ANSWER️-Amenorrhea, nausea, vomiting, urinary frequency, fatigue, breast tenderness 16. Probable signs of pregnancy - ANSWER️-Cervical softening/darkening, uterine softening/enlargement, ballottement, positive pregnancy test 17. Positive signs of pregnancy - ANSWER️-Fetal heart tones, fetal outline and movement, ultrasound visualization 18. Key pregnancy hormones - ANSWER️-Estrogen, progesterone, human placental lactogen, prolactin-inhibiting factor 19. Breast changes in pregnancy - ANSWER️-Increased duct/gland growth, increased breast weight, striae, lactation 20. Hegar's sign - ANSWER️-Softening of lower uterine segment (isthmus/LUS) 21. Fundal height rule - ANSWER️-1 cm ≈ 1 week gestation 22. Goodell's sign - ANSWER️-Softening of cervix 23. Chadwick's sign - ANSWER️-Bluish discoloration of cervix/vagina 24. What does the mucus plug protect? - ANSWER️-the fetus 25. Effacement vs dilation - ANSWER️-Effacement = thinning of cervix; dilation = opening 26. Common vaginal changes - ANSWER️-Increased vascularity (increased libido), leukorrhea, ph changes, vaginal wall rugae, varicosities 27. Pelvic-related risks due to relaxin and progesterone - ANSWER️-hemorrhoids, uterine prolapse, dyspareunia 28. Naegle’s rule - ANSWER️-Add 7 days to first day of LMP then subtract 3 months 29. If LMP EDC and US EDC are within 7 days in the 1st trimester, always go with the - ANSWER️-LMP EC if LMP EDC and US EDC are more than 7 days different then go with US EDC 30. When to use TVUS? - ANSWER️-only first 7-8 weeks then try pelvic US 31. TVUS often used to identify - ANSWER️-ectopic pregnancy 32. Important prenatal history - ANSWER️-OB history, mental health, infections, genetics, substance use, IPV!! 33. Prenatal medical hx - ANSWER️-birth control used at conception Prior obstetric hx Mental health hx Infectious disease hx Decreased immune response Screen fro OSA in women BMI 30 Genetic hx RF Substance use/abuse 34. Prenatal PE - ANSWER️-routine PE Oral cavity assessment Pap test; manual exam of uterus, fundus FTH monitoring 35. Normal fetal heart rate - ANSWER️-120-160 bpm